Pleomorphic adenoma

Case contributed by Dr Shervin Sharifkashani


Soft tissue bulge without pain in right side upper neck for five months.

Patient Data

Age: 45 years
Gender: Male

A well-defined solid mass lesion with homogenous and pronounced enhancement and axial width up to 35x33 mm and height up to 45 mm within the right parotid gland posterior inferior superficial lobe without invasion to related structures and deep extension is seen. No significant or suspicious lymph node in neck spaces is seen. A few small stones in the left palatine tonsil and a cyst in the right maxillary sinus are also evident.

Case Discussion

The case is a pathology-proved parotid gland pleomorphic adenoma with typical findings on contrast-enhanced neck MDCT. The tumor is the most common epithelial neoplasm of the parotid gland. The definite treatment is complete surgical excision, otherwise has a relatively high recurrence rate and risk of secondary malignancy.

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