Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
169 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for pleomorphic adenoma

Answered by
Dr.
Dr. Sumit Bhatti

ENT Specialist

Practicing since :1991

Answered : 2587 Questions

default
Posted on Fri, 17 Jul 2015 in Ear, Nose and Throat Problems
Question: i am looking for a ENT doctor in Salisbuy, md for a second opinion. my current doctor is D.r XXXXXXX but I need a second in before I move forward with surgery
doctor
Answered by Dr. Sumit Bhatti 1 hour later
Brief Answer:
Pleomorphic adenoma or Warthin's Tumor.

Detailed Answer:
Hi,

Thank you for your query.

1. I am assuming that the benign nature of the parotid swelling has been confirmed by an FNAC (Fine Needle Aspiration Cytology).

2. The most common types of benign parotid growth is a pleomorphic adenoma. This has a malignant potential of about 10% over 15 years. The other important type is a Warthin's Tumor (normally seen in the tail of the parotid) which is also a benign tumor which rarely turns malignant. Some other rare types are also seen.

3. Pleomorphic adenomas require a wide margin during excision to prevent a recurrence. This is important as pleomorphic adenoma may present as a malignant growth after incomplete excision.

4. Are you in Salisbury USA or UK. This will help suggest a doctor or hospital in your area.

5. Removal of a 2 cm mass should not be difficult and it depends upon the exact location. Upload the MRI images for an assessment.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sumit Bhatti 13 hours later
I live in Salisbury, Maryland, USA and need a second opinion because Dr. XXXXXXX says the mass is not yet cancerous but can become malignant very quickly. No FNAC has been done, just the report and the scans have been looked at. I am anxious that if it is currently benign how long does it take to become malignant. I am 70 years old and if I could just be tested every year or so that is what I would prefer. YES, I am rather scared and just need someone else's opinion.

Thank you
doctor
Answered by Dr. Sumit Bhatti 3 hours later
Brief Answer:
Cancerous change is rare and slow in salivary tumors.

Detailed Answer:
Hi,

Thank you for writing back.

1. I would recommend that you get a second opinion from the local University Hospital of Maryland Medical Center.

2. As mentioned in my previous answer, if this is a pleomorphic adenoma, then the chance of cancer is about 10% over 15 years. For a Warthin's tumor, the chance is even lower.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Lab Tests

Recent questions on  MRI

doctor1 MD

I was diagnosed with SVT in may 2010 after I had my 2nd child. I have since had tests done and they say the heart is ok. Recently I have had chest...

doctor1 MD

I have gone to the eye DOC and she says everything is healthy in the eyes but have convergant problems a little so I m in eye therapy ok well what...

doctor1 MD

i have a 2n half yr daughter with hydrocephalus who got a programmable vp shunt at 5 months of age , past 4 mths she has had 3-4 days phases of...

doctor1 MD

respected sir , my wife has got unconcious /fit on 22 dec morning . Neurologist advice us to go for c.t scan thereafter MRI ( in Kota having 1.5...

doctor1 MD

For past 12+ hours, I’ve had left side pain from left pectoral up through left shoulder and down my left arm to my hand. Sharpest pain is in...

doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing...

doctor1 MD

I have been diagnosed with spondylothesis of the L5 and S1 region. I have had an mri and x-rays for my back. I had an epidural injection(2) in Nov...