Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Lumpectomy as a Surgical Treatment of Primary Benign Pleomorphic Adenoma of the Parotid Gland

귀밑샘에 생긴 다형선종의 수술적 치료로써의 제한적 국소절제술

  • Yi, Hyung-Suk (Department of Plastic and Reconstructive Surgery, School of Medicine, Gyeongsang National University) ;
  • Kim, Jun-Sik (Department of Plastic and Reconstructive Surgery, School of Medicine, Gyeongsang National University) ;
  • Kim, Nam-Gyun (Department of Plastic and Reconstructive Surgery, School of Medicine, Gyeongsang National University) ;
  • Lee, Kyung-Suk (Department of Plastic and Reconstructive Surgery, School of Medicine, Gyeongsang National University) ;
  • Lee, Yoon-Jung (Department of Plastic and Reconstructive Surgery, School of Medicine, Gyeongsang National University)
  • 이형석 (경상대학교 의학전문대학원 성형외과학교실) ;
  • 김준식 (경상대학교 의학전문대학원 성형외과학교실) ;
  • 김남균 (경상대학교 의학전문대학원 성형외과학교실) ;
  • 이경석 (경상대학교 의학전문대학원 성형외과학교실) ;
  • 이윤정 (경상대학교 의학전문대학원 성형외과학교실)
  • Received : 2009.10.19
  • Accepted : 2010.04.16
  • Published : 2010.07.10
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Pleomorphic adenoma is the most common benign neoplasm in parotid gland. Superficial parotidectomy was usually used to remove the pleomorphic adenoma. But, this method has to remove tumor with normal parotid tissue. Authors did lumpectomy to remove pleomorphic adenoma in parotid gland, because pleomorphic adenoma is wrapped in a capsule as it grows. The purpose of this study is to evaluate the efficacy of lumpectomy as a treatment of pleomorphic adenoma in parotid gland. Method: From 2002 to 2008, 8 patients underwent the lumpectomy of the pleomorphic adenoma in parotid gland. Occurrence of the complications and recurrance were evaluated. Result: Patients were followed-up for a mean 45 months. There were no recurrance or no complication after lumpectomy. Conclusion: Authors suggest that the lumpectomy lead to decrese complications, recurrane and can be used as a procedure for the resection of pleomorphic adenoma in parotid gland.

Keywords

References

  1. Kim SY: Salivary gland tumor. Ki Sang Na: Otorhinolaryngology volume II. 2nd edition, Seoul, Iljogak 2009, p 1572
  2. Ariyan S, Narayan D, Ariyan CE: Salivary gland tumor. Stephen J. Mathes: Plastic surgery, volume V. 2nd ed, Philadelpia, Saunders Elservier, 2006, p 76
  3. Ko JS: Development of salivary glands. Keith L. Moore: The developing human clinical oriented embryology, 5th edition, Korean version., Seoul, Jung Moon Gak, 1996, p 231
  4. Donovan DT, Conley JJ: Capsular significant in parotid tumor surgery: reality and myth of lateral lobectomy. Laryngoscope 94: 324, 1984
  5. Laccourreye H, Laccourreye O, Cauchois R, Jouffre V, Menard M, Brasnu D: Total conservative parotidectomy for primary benign pleomorphic adenoma of the parotid gland: a 25-year experience with 229 patients. Laryngoscope 104: 1487, 1994
  6. Kim JT, Park SH, Kim SK: Variable methods of protection for the exposed facial nerve after parotidectomy. J Korean Soc Plast Reconstr Surg 28: 611, 2001
  7. Espat J, Carew JF, Shan JP: Cancer of the head and neck. Kirby I. Bland: Surgical Oncology Mcgraw-Hill, New york, 2001 p 519
  8. Wennmo C, Spandow O, Emgard P, Krouthen B: Pleomorphic ademonas of the parotid gland: spuerficial parotidectomy or limited excision? J Laryngol Otol 102: 603, 1988 https://doi.org/10.1017/S0022215100105845