Abstract

Abstract

Introduction - Pleomorphic adenoma is the most common type of benign tumor which occur in major and minor salivary glands. It is mesenchymal, myoepithelial and duct reserve cell origin. 80% of the Pleomorphic adenoma are located in Parotid gland. Pleomorphic adenoma when occur in parotid gland, commonly it involves superficial lobe or superficial and deep lobe together. It occurs as a slow growing tumor which gradually increases in size without involvement of facial nerve. Method – A 40-year female patient having Pleomorphic adenoma of right parotid gland with size 40mm x 33mm x 25mm involving superficial lobe was planned for surgical resection (Superficial parotidectomy) which is the first line of treatment. In this case study Superficial Parotidectomy was done as this operation brings down recurrence rate to minimum. Result- A Pleomorphic adenoma of right parotid gland involving superficial lobe was successfully treated by surgical procedure without damaging facial nerve and any complications. No recurrence was noted during the follow up upto 6 months after surgery. Conclusion – Pleomorphic adenomas should be managed carefully as they have tendency of recurrence and malignant transformation. For better prognosis and least chances of recurrence, diagnosis should be done properly and surgery should be done with meticulous precaution by preservation of facial nerve.