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Int J Pediatr Otorhinolaryngol. 2012 Jul;76(7):1007-11. doi: 10.1016/j.ijporl.2012.03.020. Epub 2012 Apr 13.

Pediatric parotid tumors: clinical review of 24 cases in a Chinese population.

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  • 1Department of Oral and Maxillofacial Surgery, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China.

Abstract

OBJECTIVE:

To evaluate the incidence, types, and treatment outcomes of pediatric parotid tumors in Chinese population.

METHODS:

Pediatric salivary gland tumors treated at Stomatolgy Hospital, of Wuhan University, from 1990 to 2010, were analyzed retrospectively.

RESULTS:

One hundred and two patients 18 years old or younger were diagnosed as parotid mass, of which 24 (23.5%) were parotid tumors. Of these patients, 11 (45.8%) were benign and 13 (54.2%) malignant. Hemangioma was the most frequent no-epithelial tumor. The most common benign epithelial tumor was pleomorphic adenoma (63.6%), and the most common malignant epithelial tumor was mucoepidermoid carcinoma (38.5%), with both of them showing a female to male predominance. The most common treatment was parotidectomy (83.3%).

CONCLUSIONS:

Although pediatric parotid masses are unusual, they can represent a variety of pathological diagnoses, including malignancy. The intralesional injection can treat parotid hemangiomas in pediatric population effectively. Parotidectomy remains the mainstay treatment for both pediatric parotid gland benign and malignancies of epithelial cell origin. Adjuvant radiotherapy should be used judiciously in pediatric patients due to the higher risk of post-irradiation complications.

Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

PMID:
22503446
[PubMed - indexed for MEDLINE]
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