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Transoral robotic surgery for parapharyngeal carcinoma ex‐pleomorphic adenoma: A case report
Author(s) -
CadenaPiñeros Enrique,
MorenoTorres Andrey,
CorreaMarin Jessica,
MeloUribe Mario A.
Publication year - 2022
Publication title -
cancer reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 5
ISSN - 2573-8348
DOI - 10.1002/cnr2.1692
Subject(s) - carcinoma ex pleomorphic adenoma , medicine , pleomorphic adenoma , transoral robotic surgery , parapharyngeal space , carcinoma , general surgery , surgery , pathology , salivary gland
Background Carcinoma ex‐pleomorphic adenoma (Ca ex‐PA) comprises 0.5% of head and neck neoplasms. Transoral robotic surgery (TORS) is an approach being used to treat a variety of benign and malignant head and neck neoplasms. Recently, this technique has gained popularity as an alternative for parapharyngeal space (PPS) tumor resection. To our knowledge, this is the first case of Ca ex‐PA managed successfully by TORS of the PPS. Case Fifty‐nine‐year‐old male with incidental mass in PPS, initial diagnosis of pleomorphic adenoma, who underwent transoral robotic resection. The histopathology diagnosis with minimally invasive Ca ex‐PA findings and malignant component of high‐grade epithelial/myoepithelial carcinoma and salivary duct carcinoma. Patient discharged on the fifth post‐operative day without complications. Conclusion Based on our findings, TORS may be a safe procedure to remove selected Ca ex‐PA from the PPS; however, further research is needed.

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