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PubMedDate not supplied

Adenocarcinoma of the parotid.

All of the consultants considered needle biopsy an integral tool in management of a parotid neoplasm. If the tumor was limited to the superficial lobe of the parotid, they were split between ordering no further tests (Drs. Johnson and Glenn) and proceeding with a CT scan (Dr. Beckford). If frozen section revealed adenocarcinoma, the consultants agreed that a total parotidectomy with preservation of any uninvolved nerve would be in order. If the nerve had to be sacrificed, repair should be with a greater auricular or sural nerve graft. Two consultants (Drs. Beckford and Glenn) would search for a distant primary or metastasis. Controversy regarding management of an N0 neck divided the group into favoring neck dissection (Drs. Beckford and Johnson) and a modified radical neck dissection (Dr. Glenn). In the case of anaplastic carcinoma the consultants differed by suggesting an extended resection (Dr. Beckford), total parotidectomy with nerve preservation (Dr. Johnson), and total parotidectomy with modified radical neck dissection (Dr. Glenn). All the consultants recommended postoperative radiotherapy.

Adenocarcinoma↗
PubMed1989

[Neoplasms of the parotid space. Therapeutic guides].

The Authors report about 161 neoplasms of the parotid space observed in the ten-year period since 1977 to 1987. With the exception of carcinomas and mucoepidermoid tumors, always to be treated by total parotidectomy, for the remaining pathology of the gland either neoplastic or not neoplastic as well as the extra salivary tissues diseases, the Authors suggest a conservative surgical treatment, in respect of the facial nerves and of the salivary tissue not directly involved.

Adolescent↗
PubMed2000

Management of neck lumps--a triage model.

We report our experience in the out-patient triage of 100 patients presenting with a lump in the neck. The out-patient visit consisted of a general history and examination, assessment of the upper air and food passages and, where indicated, ultrasound and core needle biopsy of the lump. Other investigations were performed as appropriate. One hundred neck lump patients were seen in a 9 month period. Ninety-six of these lumps were diagnosed on an out-patient basis, only four requiring admission for formal excision biopsy. Among the diagnoses were eleven lymphomas, nine parotid neoplasms, nine lymph node metastases, five thyroglossal cysts, and four branchial cysts. Almost half the patients seen had either a reactive lymphadenopathy, or no abnormality. The establishment of a tissue diagnosis on an out-patient basis allowed appropriate referrals to be made and management plans to be formulated. The theoretical risk of seeding of malignant cells in the needle tract is acknowledged and discussed.

Adolescent↗
PubMed1985

Facial nerve palsy associated with Warthin's tumor.

A solid parotid mass and an ipsilateral facial weakness is nearly pathognomonic for a malignant parotid neoplasm. There are only a few documented cases in the world's literature of nonmalignant parotid lesions causing facial paralysis. A case is presented of a Warthin's tumor causing a facial palsy. Extensive areas of necrosis, inflammation, and fibrosis surrounding branches of the facial nerve may have accounted for the facial palsy.

Adenolymphoma↗
PubMed1985

Intramuscular hemangioma of the head and neck.

Intramuscular hemangiomas are unusual tumors in the head and neck region that occur most frequently in the masseter muscle and are often confused with parotid neoplasms. Four cases are described and the literature reviewed. The diagnosis and management of these tumors are discussed in view of the fact that accurate preoperative diagnosis is unusual and tumor recurrence rates high. Increased awareness of the clinical presentation of intramuscular hemangiomas should enhance diagnostic accuracy and facilitate optimal treatment planning.

Adult↗