Parotid gland neoplasms presenting as discrete infra-auricular swellings
Background: Parotid gland neoplasms usually present as pre-auricular swellings. Sometimes, they present as solitary infra-auricular swellings which make their localization difficult as they may be confused with submandibular gland or other lateral upper neck masses. Clinicopathological reports of di...
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2020-01-01
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doaj-cedc7256dee54f57b969a4cfc7712a0d2020-11-25T01:50:55ZengWolters Kluwer Medknow PublicationsSahel Medical Journal2321-66892321-66892020-01-01231677110.4103/smj.smj_59_18Parotid gland neoplasms presenting as discrete infra-auricular swellingsSeidu Adebayo BelloBamidele Adetokunbo FamurewaOsawe Felix OmoregieBackground: Parotid gland neoplasms usually present as pre-auricular swellings. Sometimes, they present as solitary infra-auricular swellings which make their localization difficult as they may be confused with submandibular gland or other lateral upper neck masses. Clinicopathological reports of discrete infra-auricular parotid lesions and their surgical managements are few. Objectives: To describe the clinical features and management of discrete infra-auricular parotid masses in a series of Nigerian patients seen during a surgical outreach mission. Methodology: This is a retrospective study of all infra-auricular swellings managed by a Nigerian surgical mission over 6 years. Patients' demographics, duration of swelling, symptoms, treatment, histopathological diagnosis, postoperative complications were retrieved from patients' records. Results: A total of 124 facial tumors were seen, of which 15 (12.1%) were parotid tumors. Eight cases (53.3%) of parotid tumors presented as discrete infra-auricular masses. Age range was 13–57 years (mean = 40.9 ± 15.4 years) with male predilection. Duration of swelling was between 1 and 15 years. All lesions were treated with extracapsular dissection. One patient had postoperative facial nerve paresis, but no facial palsy and sialocele. The histopathological results were 5 (62.5%) pleomorphic adenomas, 1 (12.5%) Warthin's tumor, and 2 (25%) low-grade mucoepidermoid carcinomas. Conclusion: Discrete infra-auricular swellings may present as benign and malignant parotid gland neoplasms.http://www.smjonline.org/article.asp?issn=1118-8561;year=2020;volume=23;issue=1;spage=67;epage=71;aulast=Belloextracapsular dissectioninfra-auricular swellingsparotid gland tumors |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Seidu Adebayo Bello Bamidele Adetokunbo Famurewa Osawe Felix Omoregie |
spellingShingle |
Seidu Adebayo Bello Bamidele Adetokunbo Famurewa Osawe Felix Omoregie Parotid gland neoplasms presenting as discrete infra-auricular swellings Sahel Medical Journal extracapsular dissection infra-auricular swellings parotid gland tumors |
author_facet |
Seidu Adebayo Bello Bamidele Adetokunbo Famurewa Osawe Felix Omoregie |
author_sort |
Seidu Adebayo Bello |
title |
Parotid gland neoplasms presenting as discrete infra-auricular swellings |
title_short |
Parotid gland neoplasms presenting as discrete infra-auricular swellings |
title_full |
Parotid gland neoplasms presenting as discrete infra-auricular swellings |
title_fullStr |
Parotid gland neoplasms presenting as discrete infra-auricular swellings |
title_full_unstemmed |
Parotid gland neoplasms presenting as discrete infra-auricular swellings |
title_sort |
parotid gland neoplasms presenting as discrete infra-auricular swellings |
publisher |
Wolters Kluwer Medknow Publications |
series |
Sahel Medical Journal |
issn |
2321-6689 2321-6689 |
publishDate |
2020-01-01 |
description |
Background: Parotid gland neoplasms usually present as pre-auricular swellings. Sometimes, they present as solitary infra-auricular swellings which make their localization difficult as they may be confused with submandibular gland or other lateral upper neck masses. Clinicopathological reports of discrete infra-auricular parotid lesions and their surgical managements are few. Objectives: To describe the clinical features and management of discrete infra-auricular parotid masses in a series of Nigerian patients seen during a surgical outreach mission. Methodology: This is a retrospective study of all infra-auricular swellings managed by a Nigerian surgical mission over 6 years. Patients' demographics, duration of swelling, symptoms, treatment, histopathological diagnosis, postoperative complications were retrieved from patients' records. Results: A total of 124 facial tumors were seen, of which 15 (12.1%) were parotid tumors. Eight cases (53.3%) of parotid tumors presented as discrete infra-auricular masses. Age range was 13–57 years (mean = 40.9 ± 15.4 years) with male predilection. Duration of swelling was between 1 and 15 years. All lesions were treated with extracapsular dissection. One patient had postoperative facial nerve paresis, but no facial palsy and sialocele. The histopathological results were 5 (62.5%) pleomorphic adenomas, 1 (12.5%) Warthin's tumor, and 2 (25%) low-grade mucoepidermoid carcinomas. Conclusion: Discrete infra-auricular swellings may present as benign and malignant parotid gland neoplasms. |
topic |
extracapsular dissection infra-auricular swellings parotid gland tumors |
url |
http://www.smjonline.org/article.asp?issn=1118-8561;year=2020;volume=23;issue=1;spage=67;epage=71;aulast=Bello |
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