Abstract
Parotid gland surgery can be challenging due to intricate relationship between the gland and facial nerve. Besides complete removal of the lesion, the main focus of surgery is centered on the facial nerve. Surgery can be technically demanding especially when the tumor is large or involves the deep lobe. We report a patient with a 30-year history of gigantic parotid mass, which initial fine-needle aspiration cytology reported as pleomorphic adenoma. The tumor, weighing 1.3 kg, was successfully resected with facial nerve preservation. Histopathological examination of the excised mass confirmed as carcinoma ex pleomorphic adenoma (CaExPA) of adenocarcinoma, not otherwise specified type. We describe the specific surgical and reconstruction techniques for successful removal of large parotid tumors with facial nerve preservation. To our knowledge, this is the heaviest CaExPA of the parotid gland in South-East Asian region.
Keywords
Publication details
- DOI
- 10.5001/omj.2018.62
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Maruthamuthu, T., Saniasiaya, J., Mohamad, I., Nadarajah, S., Lazim, N. M., & Rahman, W. F. W. A. (2018). Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges. Oman Medical Journal. https://doi.org/10.5001/omj.2018.62
MLA 9
Maruthamuthu, Thevagi, et al. "Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges." Oman Medical Journal, 2018. https://doi.org/10.5001/omj.2018.62.
Chicago (author–date)
Maruthamuthu, Thevagi, Jeyasakthy Saniasiaya, Irfan Mohamad, Sanjeevan Nadarajah, Norhafiza Mat Lazim, and Wan Faiziah Wan Abdul Rahman. 2018. "Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges." Oman Medical Journal. https://doi.org/10.5001/omj.2018.62.
Harvard
Maruthamuthu, T., Saniasiaya, J., Mohamad, I., Nadarajah, S., Lazim, N. M. and Rahman, W. F. W. A. (2018) 'Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges', Oman Medical Journal. doi:10.5001/omj.2018.62.
Vancouver
Maruthamuthu T, Saniasiaya J, Mohamad I, Nadarajah S, Lazim NM, Rahman WFWA. Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges. Oman Medical Journal. 2018. doi:10.5001/omj.2018.62
IEEE
T. Maruthamuthu, J. Saniasiaya, I. Mohamad, S. Nadarajah, N. M. Lazim, and W. F. W. A. Rahman, "Carcinoma Ex Pleomorphic Adenoma Presented as a Gigantic Tumor: Treatment and Diagnostic Challenges," Oman Medical Journal, 2018, doi: 10.5001/omj.2018.62.