Pleomorphic adenoma of the parotid is best managed by which surgical approach to minimise recurrence?

• A Enucleation of the tumour
• B Total conservative parotidectomy with facial nerve sacrifice
• C Radiation therapy alone
• D Superficial parotidectomy with a cuff of normal parotid tissue ✓

Explanation

Pleomorphic adenoma has a pseudocapsule through which tumour pseudopods project; simple enucleation risks capsule rupture and implantation recurrence (which can be multicentric and difficult to manage). Superficial parotidectomy with preservation of the facial nerve and a cuff of normal gland provides adequate margins and minimises recurrence. Facial nerve sacrifice is not justified for a benign tumour unless the nerve is directly infiltrated.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.