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Giant Pleomorphic Adenoma of Parotid Gland in Saudi Arabia: a Rare Case Report

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Abstract

Pleomorphic adenoma is the most common type of all benign and malignant salivary gland tumors, involving more frequently the parotid gland. It is a benign painless and slowly growing tumor that if not treated, can continue growing to reach a massive size. We report a case of a giant pleomorphic adenoma of right parotid gland in a 25-year-old mentally challenged female, being the largest in size to be excised in Saudi Arabia in recorded literature measuring 18 × 17 × 11.5 cm and weighted 1.5 kg. Clinical examination revealed a giant mass on the right side of the face without any sign of facial nerve injury. The tumor was excised by superficial parotidectomy with preservation of the facial nerve. The patient was followed up to 1 year with good postoperative results and no signs of facial nerve injury or recurrence. Neglect, lack of information, or medical resources and fear of surgery allow such tumors to grow bigger in size which might complicate the treatment and increase the risk of malignant transformation.

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Abbreviations

PA:

Pleomorphic adenoma

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Authors and Affiliations

  1. Teaching Assistant, Division of Oral and Maxillofacial Surgery, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia

    Hourya Alnofaie

  2. Board Resident, Oral and Maxillofacial Surgery, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia

    Hourya Alnofaie

  3. Associate Consultant, Oral and Maxillofacial Surgery Department, King Saud Medical City, Riyadh, Saudi Arabia

    Talal Alshammeri

  4. Consultant, Oral and Maxillofacial Surgery Department, King Fahad Medical City, Riyadh, Saudi Arabia

    Yasir Alturkistany & Abdulsalam Aljabab

  5. Consultant and Facial Asthetic Surgeon, Oral and Maxillofacial Surgery Department, King Saud Medical City, Riyadh, Saudi Arabia

    Abdulaziz Alweteid

Authors
  1. Hourya Alnofaie
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  2. Talal Alshammeri
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  3. Yasir Alturkistany
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  4. Abdulsalam Aljabab
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  5. Abdulaziz Alweteid
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Corresponding author

Correspondence to Abdulaziz Alweteid.

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The authors declare that they have no conflict of interest.

Ethical Approval

Ethical approval from Research Centre of King Saud Medical City was obtained under Reference Number H2RI-17-Dec18-01.

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Informed consent was obtained from the patient’s parents.

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Alnofaie, H., Alshammeri, T., Alturkistany, Y. et al. Giant Pleomorphic Adenoma of Parotid Gland in Saudi Arabia: a Rare Case Report. SN Compr. Clin. Med. 2, 1258–1263 (2020). https://doi.org/10.1007/s42399-020-00359-0

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