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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

The rapid growth of a pleomorphic adenoma of the parotid gland in the third trimester of pregnancy

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Frederike Palluch, Martin Lehmann, Joachim Volz, Tahwinder Upile, Holger Sudhoff
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-141) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

FP was the major contributor in writing the manuscript. ML helped to assemble the data and assisted with the manuscript writing. JV provided expert advice, performed the Caesarean section, and revised his part of the manuscript. TU helped to revise the manuscript, HS performed the gland surgery and performed the final reading of the manuscript. All authors have read and approved the final manuscript.

Abstract

Introduction

We report a case highlighting the multidisciplinary management of a giant pleomorphic adenoma of the parotid gland that showed rapid growth in the third trimester of pregnancy.

Case presentation

A 43-year-old Caucasian woman presented in her 32nd week of gestation with a tumor of the parotid gland. Ultrasonography of her neck showed a parotid lesion of 40 × 30 × 27.5 mm. A follow-up magnetic resonance imaging scan of the neck four weeks later revealed that the tumor had grown to 70 × 60 × 60 mm, reaching the parapharyngeal space with marked obstruction of the oropharynx of about 50%. After discussing the case with our multidisciplinary tumor board and the gynecologists it was decided to deliver the baby by caesarean section in the 38th week of gestation, and then to perform a surgical resection of the tumor.

Conclusion

Indications for early surgical intervention of similar cases should be discussed on an individual patient basis in a multidisciplinary setting.

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