Subcutaneous Pleomorphic Adenoma in an Accessory Parotid Gland in the Cheek

Summary:. The accessory parotid gland (APG) is a distinct salivary tissue in the cheek that is located on the masseter muscle and is separate from the main parotid gland. APG tumors (APGTs) are rare. Due to aesthetic reasons and the risk of both malignancy and recurrence, APGTs are best treated with...

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Main Authors: Kenko Aoki, MD, Mamiko Tosa, MD, PhD, Gou Akiyama, MD, PhD, Rei Ogawa, MD, PhD, FACs
Format: Article
Language:English
Published: Wolters Kluwer 2024-10-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006211
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author Kenko Aoki, MD
Mamiko Tosa, MD, PhD
Gou Akiyama, MD, PhD
Rei Ogawa, MD, PhD, FACs
author_facet Kenko Aoki, MD
Mamiko Tosa, MD, PhD
Gou Akiyama, MD, PhD
Rei Ogawa, MD, PhD, FACs
author_sort Kenko Aoki, MD
collection DOAJ
description Summary:. The accessory parotid gland (APG) is a distinct salivary tissue in the cheek that is located on the masseter muscle and is separate from the main parotid gland. APG tumors (APGTs) are rare. Due to aesthetic reasons and the risk of both malignancy and recurrence, APGTs are best treated with surgical resection. The resection should be conducted carefully due to potential complications such as Stensen duct and facial nerve injuries. Notably, plastic surgeons rarely see APGT cases because they are classified as parotid gland tumors and are thus mostly treated by otorhinolaryngologists. Nonetheless, because they are subcutaneous tumors in the cheek, patients with APGTs do occasionally visit the plastic surgery outpatient clinic. We report a case of APGT in a 59-year-old woman. She presented in our hospital with a rigid mass in the right cheek that was difficult to diagnose on the basis of clinical findings. After magnetic resonance imaging, APGT was considered along with several other possibilities. However, it was only diagnosed after histopathology on the resected tissues. Thus, plastic surgeons treating subcutaneous tumors of the cheek should consider APGT in their differential diagnosis and seek an accurate preoperative diagnosis, because this will help avoid postoperative complications.
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spelling doaj-art-41a235f9aa794df9933b4af673ac0df72025-08-20T02:17:57ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-10-011210e621110.1097/GOX.0000000000006211202410000-00009Subcutaneous Pleomorphic Adenoma in an Accessory Parotid Gland in the CheekKenko Aoki, MD0Mamiko Tosa, MD, PhD1Gou Akiyama, MD, PhD2Rei Ogawa, MD, PhD, FACs3From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.Summary:. The accessory parotid gland (APG) is a distinct salivary tissue in the cheek that is located on the masseter muscle and is separate from the main parotid gland. APG tumors (APGTs) are rare. Due to aesthetic reasons and the risk of both malignancy and recurrence, APGTs are best treated with surgical resection. The resection should be conducted carefully due to potential complications such as Stensen duct and facial nerve injuries. Notably, plastic surgeons rarely see APGT cases because they are classified as parotid gland tumors and are thus mostly treated by otorhinolaryngologists. Nonetheless, because they are subcutaneous tumors in the cheek, patients with APGTs do occasionally visit the plastic surgery outpatient clinic. We report a case of APGT in a 59-year-old woman. She presented in our hospital with a rigid mass in the right cheek that was difficult to diagnose on the basis of clinical findings. After magnetic resonance imaging, APGT was considered along with several other possibilities. However, it was only diagnosed after histopathology on the resected tissues. Thus, plastic surgeons treating subcutaneous tumors of the cheek should consider APGT in their differential diagnosis and seek an accurate preoperative diagnosis, because this will help avoid postoperative complications.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006211
spellingShingle Kenko Aoki, MD
Mamiko Tosa, MD, PhD
Gou Akiyama, MD, PhD
Rei Ogawa, MD, PhD, FACs
Subcutaneous Pleomorphic Adenoma in an Accessory Parotid Gland in the Cheek
Plastic and Reconstructive Surgery, Global Open
title Subcutaneous Pleomorphic Adenoma in an Accessory Parotid Gland in the Cheek
title_full Subcutaneous Pleomorphic Adenoma in an Accessory Parotid Gland in the Cheek
title_fullStr Subcutaneous Pleomorphic Adenoma in an Accessory Parotid Gland in the Cheek
title_full_unstemmed Subcutaneous Pleomorphic Adenoma in an Accessory Parotid Gland in the Cheek
title_short Subcutaneous Pleomorphic Adenoma in an Accessory Parotid Gland in the Cheek
title_sort subcutaneous pleomorphic adenoma in an accessory parotid gland in the cheek
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006211
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