Recurrent pleomorphic adenoma of the parotid gland in pediatric and adult patients: Value of multiple lesions as a diagnostic indicator

Korgün Koral, James Sayre, Sunita Bhuta, Elliot Abemayor, Robert Lufkin

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

OBJECTIVE. Recurrent pleomorphic adenoma of the parotid gland is a significant problem. Rates have been as high as 40% in some series of patients who have undergone surgery for the primary lesion. In the imaging literature, anecdotal case reports show multiple lesions in recurrent pleomorphic adenoma, Our aim was to analyze the imaging of a series of patients to determine the reliability of multiple lesions as a tool in diagnosing recurrent disease. MATERIALS AND METHODS. Medical records of the patients with recurrent pleomorphic adenoma of the parotid gland referred to our institution were retrospectively reviewed. Before the second surgery, MR imaging had been performed in 15 patients. We retrospectively reevaluated and scored the MR imaging studies with particular attention paid to the location and number of the lesions and the remaining parotid gland tissue. RESULTS. On the basis of imaging findings, eight patients underwent enucleation, superficial parotidectomy had been performed in four patients, and three patients underwent total parotidectomy. For our group, the lesions were multiple in 73.3% of patients. CONCLUSION. To our knowledge, we present the first large series of imaging studies in recurrent pleomorphic adenoma of the parotid gland. Our findings show that recurrent pleomorphic adenomas are most likely to be multiple. Such multiplicity of lesions is a reliable diagnostic indicator of recurrent disease.

Original languageEnglish (US)
Pages (from-to)1171-1174
Number of pages4
JournalAmerican Journal of Roentgenology
Volume180
Issue number4
StatePublished - Apr 1 2003

Fingerprint

Pleomorphic Adenoma
Parotid Gland
Pediatrics
Medical Records

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Recurrent pleomorphic adenoma of the parotid gland in pediatric and adult patients : Value of multiple lesions as a diagnostic indicator. / Koral, Korgün; Sayre, James; Bhuta, Sunita; Abemayor, Elliot; Lufkin, Robert.

In: American Journal of Roentgenology, Vol. 180, No. 4, 01.04.2003, p. 1171-1174.

Research output: Contribution to journalArticle

@article{4b6bf18cec474c368a8ae94e372f2d36,
title = "Recurrent pleomorphic adenoma of the parotid gland in pediatric and adult patients: Value of multiple lesions as a diagnostic indicator",
abstract = "OBJECTIVE. Recurrent pleomorphic adenoma of the parotid gland is a significant problem. Rates have been as high as 40{\%} in some series of patients who have undergone surgery for the primary lesion. In the imaging literature, anecdotal case reports show multiple lesions in recurrent pleomorphic adenoma, Our aim was to analyze the imaging of a series of patients to determine the reliability of multiple lesions as a tool in diagnosing recurrent disease. MATERIALS AND METHODS. Medical records of the patients with recurrent pleomorphic adenoma of the parotid gland referred to our institution were retrospectively reviewed. Before the second surgery, MR imaging had been performed in 15 patients. We retrospectively reevaluated and scored the MR imaging studies with particular attention paid to the location and number of the lesions and the remaining parotid gland tissue. RESULTS. On the basis of imaging findings, eight patients underwent enucleation, superficial parotidectomy had been performed in four patients, and three patients underwent total parotidectomy. For our group, the lesions were multiple in 73.3{\%} of patients. CONCLUSION. To our knowledge, we present the first large series of imaging studies in recurrent pleomorphic adenoma of the parotid gland. Our findings show that recurrent pleomorphic adenomas are most likely to be multiple. Such multiplicity of lesions is a reliable diagnostic indicator of recurrent disease.",
author = "Korg{\"u}n Koral and James Sayre and Sunita Bhuta and Elliot Abemayor and Robert Lufkin",
year = "2003",
month = "4",
day = "1",
language = "English (US)",
volume = "180",
pages = "1171--1174",
journal = "American Journal of Roentgenology",
issn = "0361-803X",
publisher = "American Roentgen Ray Society",
number = "4",

}

TY - JOUR

T1 - Recurrent pleomorphic adenoma of the parotid gland in pediatric and adult patients

T2 - Value of multiple lesions as a diagnostic indicator

AU - Koral, Korgün

AU - Sayre, James

AU - Bhuta, Sunita

AU - Abemayor, Elliot

AU - Lufkin, Robert

PY - 2003/4/1

Y1 - 2003/4/1

N2 - OBJECTIVE. Recurrent pleomorphic adenoma of the parotid gland is a significant problem. Rates have been as high as 40% in some series of patients who have undergone surgery for the primary lesion. In the imaging literature, anecdotal case reports show multiple lesions in recurrent pleomorphic adenoma, Our aim was to analyze the imaging of a series of patients to determine the reliability of multiple lesions as a tool in diagnosing recurrent disease. MATERIALS AND METHODS. Medical records of the patients with recurrent pleomorphic adenoma of the parotid gland referred to our institution were retrospectively reviewed. Before the second surgery, MR imaging had been performed in 15 patients. We retrospectively reevaluated and scored the MR imaging studies with particular attention paid to the location and number of the lesions and the remaining parotid gland tissue. RESULTS. On the basis of imaging findings, eight patients underwent enucleation, superficial parotidectomy had been performed in four patients, and three patients underwent total parotidectomy. For our group, the lesions were multiple in 73.3% of patients. CONCLUSION. To our knowledge, we present the first large series of imaging studies in recurrent pleomorphic adenoma of the parotid gland. Our findings show that recurrent pleomorphic adenomas are most likely to be multiple. Such multiplicity of lesions is a reliable diagnostic indicator of recurrent disease.

AB - OBJECTIVE. Recurrent pleomorphic adenoma of the parotid gland is a significant problem. Rates have been as high as 40% in some series of patients who have undergone surgery for the primary lesion. In the imaging literature, anecdotal case reports show multiple lesions in recurrent pleomorphic adenoma, Our aim was to analyze the imaging of a series of patients to determine the reliability of multiple lesions as a tool in diagnosing recurrent disease. MATERIALS AND METHODS. Medical records of the patients with recurrent pleomorphic adenoma of the parotid gland referred to our institution were retrospectively reviewed. Before the second surgery, MR imaging had been performed in 15 patients. We retrospectively reevaluated and scored the MR imaging studies with particular attention paid to the location and number of the lesions and the remaining parotid gland tissue. RESULTS. On the basis of imaging findings, eight patients underwent enucleation, superficial parotidectomy had been performed in four patients, and three patients underwent total parotidectomy. For our group, the lesions were multiple in 73.3% of patients. CONCLUSION. To our knowledge, we present the first large series of imaging studies in recurrent pleomorphic adenoma of the parotid gland. Our findings show that recurrent pleomorphic adenomas are most likely to be multiple. Such multiplicity of lesions is a reliable diagnostic indicator of recurrent disease.

UR - http://www.scopus.com/inward/record.url?scp=0037379240&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037379240&partnerID=8YFLogxK

M3 - Article

C2 - 12646477

AN - SCOPUS:0037379240

VL - 180

SP - 1171

EP - 1174

JO - American Journal of Roentgenology

JF - American Journal of Roentgenology

SN - 0361-803X

IS - 4

ER -