Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

A Case of Huge Pleomorphic Adenoma with Skin Invasion in the Parotid Gland

이하선에 발생한 피부침습을 동반한 거대 다형성선종 1예

  • Park Jin-Gyu (Department of Otolaryngology-Head and Neck, Soonchunhyang University, College of Medicine) ;
  • Lee Jong-Dae (Department of Otolaryngology-Head and Neck, Soonchunhyang University, College of Medicine) ;
  • Lee Jae-Hyung (Department of Otolaryngology-Head and Neck, Soonchunhyang University, College of Medicine) ;
  • Park Jae-Hong (Department of Otolaryngology-Head and Neck, Soonchunhyang University, College of Medicine) ;
  • Lee Yong-Man (Department of Otolaryngology-Head and Neck, Soonchunhyang University, College of Medicine) ;
  • Kwon Kye-Won (Department of Pathology, Soonchunhyang University, College of Medicine) ;
  • Koh Yoon-Woo (Department of Otolaryngology-Head, Soonchunhyang University, College of Medicine)
  • 박진규 (순천향대학교 의과대학 이비인후과학교실) ;
  • 이종대 (순천향대학교 의과대학 이비인후과학교실) ;
  • 이재형 (순천향대학교 의과대학 이비인후과학교실) ;
  • 박재홍 (순천향대학교 의과대학 이비인후과학교실) ;
  • 이용만 (순천향대학교 의과대학 이비인후과학교실) ;
  • 권계원 (순천향대학교 의과대학 해부병리학교실) ;
  • 고윤우 (순천향대학교 의과대학 이비인후과학교실)
  • Published : 2003.11.01
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Abstract

Pleomorphic adenoma is the most common benign tumor in the parotid gland and a parotidectomy with preservation of the facial nerve is a widely accepted treatment. We experienced a case of huge pleomorphic adenoma arising in the parotid gland with suspicious skin invasion. This present case was 67-year-old male presenting huge parotid mass $(12{\times}7cm)$ that has been present for 30 years and this tumor showed rapid-growing nature recently. The overlying skin surface was ulcerated with serous discharge and tightly adherent to the mass. The risk of malignant transformation of a pleomorphic adenoma increases with the duration of disease. The preoperative tentative diagnosis was carcinoma ex pleomorphic adenoma in the parotid gland. The initial pathologic diagnosis of fine needle aspiration biopsy was unsatisfactory smear. After parotidectomy, the histologic examination revealed that the parotid tumor was benign pleomorphic adenoma. We present a case of huge pleomorphic adenoma with skin invasion in the parotid gland with review of literatures.

Keywords

References

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