Table I.
Histologic types | No. of parotidectomies | % |
---|---|---|
Pleomorphic adenoma | 70 | 35.4 |
Warthin's tumour1 | 42 | 21.2 |
Salivary cyst | 5 | 2.6 |
Lymph epithelial cyst | 2 | 1 |
Epidermoid cyst | 2 | 1 |
Branchial cyst | 1 | 0.5 |
Mucopapillary cyst | 1 | 0.5 |
Inflammatory lymphonode | 2 | 1 |
Sjogren's syndrome | 1 | 1 |
Lithiasis | 1 | 0.5 |
Inflammatory degeneration | 1 | 0.5 |
Masson's tumour | 1 | 0.5 |
Cystadenoma | 3 | 1.5 |
Lymph node | 2 | 1 |
Basal cell adenoma | 1 | 0.5 |
Haemangioma | 1 | 0.5 |
Lymphangioma | 1 | 0.5 |
Fibrosis | 1 | 0.5 |
Follicular hyperplasia | 1 | 0.5 |
Chronic cystic hyperplasia | 2 | 0.5 |
Schwannoma | 1 | 0.5 |
Oncocytoma | 1 | 0.5 |
Lipoma | 1 | 0.5 |
Connective substitution | 1 | 0.5 |
TOTAL BENIGN LESIONS | 145 | 73.2 |
Metastasis of skin malignancy 15 squamocellular carcinomas | 172 | 8.7 |
1 melanoma 1 Merkel's tumour | ||
Metastasis of renal malignancy | 1 | 0.5 |
Adenocarcinomas | 113 | 5.6 |
Carcinoma on pleomorphic adenoma | 3 | 1.5 |
Mucoepidermoid carcinoma | 44 | 2 |
Oncocytic carcinoma | 1 | 0.5 |
Myoepithelial carcinoma | 1 | 0.5 |
Neuroendocrine carcinoma | 1 | 0.5 |
Lymphoma | 6 | 3 |
Normal parotid gland (associated with neck dissection) | 85 , 6 , 7 | 4 |
TOTAL MALIGNANT LESIONS | 53 | 26.8 |
ALL | 198 | 100 |
1 patient underwent bilateral parotidectomy for bilateral Warthin's tumour
Facial nerve neoplastic infiltration was evident preoperatively in 7 cases.
Facial nerve neoplastic infiltration was evident preoperatively in 1 case.
Facial nerve neoplastic infiltration was evident preoperatively in 1 case.
1 patient was submitted to bilateral parotidectomy for suspicious bilateral metastasis of squamous cell carcinoma; histology revealed the carcinoma in only one parotid gland.
1 patient was submitted to parotidectomy with radical neck dissection for head and neck melanoma; histology did not reveal the melanoma in the parotid gland.
A facial nerve deficit was preoperatively due to the neoplastic involvement of the nerve from the zygomatic skin malignancy in 1 case.