Abstract
The pleomorphic adenoma (PA) is the most common tumor of the parotid gland. The diagnosis is easy, based on clinical and radiological signs, especially MRI. We report the case of a patient who was 68-year-old with no specific history, had a painless swelling on the right side of her face, gradually increased in size over a period in excess of 20 years. On clinical examination, the parotid mass was firm in consistency, and mobile without fixity to the adjacent structures, it measured 10 cm to 15 cm. The CT Scan revealed a heterogeneous mass of the superficial lobe of the right parotid gland. The treatment was surgical, a right superficial parotidectomy was released under anesthesia general. Histological examination of the operating room confirmed the diagnosis of a pleomorphic adenoma of the parotid without signs of malignancy. The outcomes are favorable; patient woke up without postoperative complications especially no signs of facial palsy. The surgery of the parotid exposes to possible facial paralysis which is widely described in the literature. The PA presents a risk of degeneration after a long period of development. Therefore, early diagnosis and treatment is essential to avoid malignant changes of the mass.
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