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Salivary gland pathology in the paediatric population: implications for management and presentation of a rare case

Published online by Cambridge University Press:  10 February 2014

L Jablenska ,
A Trinidade ,
V Meranagri  and
P Kothari
L Jablenska*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Luton and Dunstable University Hospital, Luton
A Trinidade
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, James Paget University Hospital, Great Yarmouth, UK
V Meranagri
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Luton and Dunstable University Hospital, Luton
P Kothari
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Luton and Dunstable University Hospital, Luton
*
Address for correspondence: Dr Liliana Jablenska, Department of Otolaryngology and Head and Neck Surgery, Luton and Dunstable University Hospital, Lewsey Rd, Luton LU4 0DZ, UK E-mail: ljablenska@doctors.org.uk
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Abstract

Introduction:

Salivary gland pathology in the paediatric population is rare and can present management challenges regarding both investigation and treatment.

Method:

Case report and review of available literature.

Results:

A seven-year-old, fit, well girl presented with a two-month history of a painless mass over the left parotid area. Ultrasonography confirmed the presence of a well-defined, 1.5 × 2 cm, predominantly solid lesion with minor internal cystic spaces arising from the superficial part of the gland. Magnetic resonance imaging showed no invasion of the deep lobe or skeletal erosion. Superficial parotidectomy was performed via a facelift incision. Histopathology confirmed a diagnosis of pleomorphic adenoma. Review of the literature emphasised important differences in managing this pathology in the paediatric population when compared with adults.

Conclusion:

We present the youngest reported case of a pleomorphic adenoma of the parotid gland, detail its management, and discuss the general approach to parotid pathology management in the paediatric population.

Keywords

Pleomorphic AdenomaPediatricsManagement
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 1 , January 2014 , pp. 104 - 106
Copyright
Copyright © JLO (1984) Limited 2014 

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Footnotes

Presented at the Third International Congress on Salivary Gland Diseases, 22–23 March 2012, Geneva, Switzerland, and at the Semon Club, 15 May 2012, London, UK.

References

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