Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | vineri, 19 iulie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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LIPOMAS: RARE TUMORS OF THE PAROTID GLAND
Daniela Trandafir, D. Gogălniceanu, Violeta Trandafir, Carmen Vicol, V.V. Costan
Clinica Chirurgie Orală şi Maxilo-Facială
Universitatea de Medicină şi Farmacie „Gr.T. Popa” Iaşi
Facultatea de Medicină Dentară
Jurnalul de chirurgie 2007; 3 (2):153-158
Full text: PDF Format (Romana/Romanian)

Abstract:

Lipomas are the most commonly encountered benign mesenchymal tumors, arising in any location where fat is normally present. Their occurence in the head and neck area is relatively rare (25% of lipomas). Lipomatous lesions accounted for only 0.6-4.4% of all parotid tumors and, therefore, are often not considered in the initial differential diagnosis of a parotid mass. 14 cases of lipomatous tumors of the parotid glands (1.5% of all parotid tumors) have been diagnosed and treated in our department during 15 year-period (1992-2006); six were focal lesions and eight were diffuse lipomatosis. The most common presentation was that of a slowing enlarging, soft and painless mass. Clinical examination alone is insufficient to identify the nature and location of parotid lipomas. Ultrasonography, high-resolution CT scanning, magnetic resonance imaging (MRI) and fine needle aspiration biopsy (FNAB) may be helpful in diagnosis. None of these preoperative examinations allows an absolute reliable distinction between a lipoma and a liposarcoma. All patients were treated by surgical excision. Superficial parotidectomy was the treatment of choice and no recurrence was detected in 3 years (mean period) of follow-up. Surgical intervention in these tumors is challenging because of the proximity of the facial nerve, and thus, knowledge of the anatomy and meticulous surgical technique are essential. The postoperative aesthetic and functional results were the major concerns. The complete surgical excision will minimize the possibility of a recurrence and will also lead to a definitive diagnosis.


KEYWORDS: PAROTID GLAND, TUMOR, LIPOMA

Corespondenţă: Dr. Trandafir Violeta, Clinica Chirurgie Orală şi Maxilo-Facială, Spitalul „Sf. Spiridon” Iaşi, Bd. Independenţei, nr. 1, 70011, Iaşi; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.