Two Cases of Unresectable Pleomorphic Adenoma of the Parotid Gland.

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  • 摘出不適応と判断した耳下腺多形腺腫2症例

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Abstract

We report two cases of unresectable pleomorphic adenoma of the parotid gland. The first patient was a 34-year-old female on whom enucleation of the parotid tumor was performed in 1981. The tumor recurred 4 years later and extirpation of the tumor and superficial lobectomy were performed. However, the tumor recurred again in 1991 and we decided during the operation that the tumor could not be resected without sacrificing the facial nerve. The second patient was a 39-yearold female complaining of a tumor of the right parotid gland in 1992. Although we tried to resect the parotid tumor, it was impossible to carry out the operation and preserve the facial nerve. In 1995, we removed the tumor and sacrificed the facial nerve. In both cases, the tumor was located in a deep lobe of the parotid gland and developed in the direction of the superficial lobe, so that the facial nerve was sandwiched in a valley of the tumor. We recognized again that enucleation was contraindicated for pleomorphic adenoma.

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