A 40-year-old male presents with a 2 cm painless mobile mass in the superficial lobe of the left parotid. FNAC shows acinic cell carcinoma. The most appropriate surgical management is:
- A Superficial parotidectomy with facial nerve preservation ✓
- B Total parotidectomy with facial nerve sacrifice
- C Enucleation of the tumor
- D Radical parotidectomy with radical neck dissection
Correct answer: A. Superficial parotidectomy with facial nerve preservation
Explanation
Acinic cell carcinoma is a low-grade malignant salivary gland tumor. For a small superficial lobe lesion, superficial parotidectomy with facial nerve preservation is adequate. Total or radical parotidectomy is reserved for deep lobe involvement or high-grade histology. Enucleation carries high recurrence risk and is inappropriate for malignancy.
Reference: Cummings Otolaryngology: Head and Neck Surgery, 7th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.