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Giant Pleomorphic Adenoma of the Parotid Gland: Report of a Case in the Reference Health Center of Commune VI of BAMAKO

Received: 16 September 2025     Accepted: 16 October 2025     Published: 3 December 2025
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Abstract

Salivary glands tumors are rare and account for less than 3% of all tumors occurring in the head and neck region. They are generally benign, with pleomorphic adenoma (PA) of the parotid gland being the most common. PA typically occurs in adult females, and giant forms are still considered rare. Thus, the present report describes a case of giant Pleomorphic Adenoma of the parotid gland in a healthy 60-year-old male who came for consultation at the ENT department of the Reference Health Center (CSRéf) of Commune VI in the District of Bamako, presenting with a giant, slow-growing, asymptomatic parotid mass that had evolved over 20 years. Physical examination revealed a firm, multisegmental, painless preauricular swelling. The scan showed a right parotid tissue mass that was heterogeneous, multi-septated, measuring 119/104 mm, without any osteolytic lesions. Management consisted of extracapsular dissection of the tumour. Histological examination of the surgical specimen revealed a giant pleomorphic adenoma of the parotid gland. The patient had an uneventful postoperative recovery and was followed for seven years without recurrence. PA can disrupt a patient's daily life or develop into malignancy if not managed early. Practitioners therefore need to be aware of these different characteristics in order to make a diagnosis that justifies appropriate therapeutic decisions, as well as educating patients.

Published in International Journal of Otorhinolaryngology (Volume 11, Issue 2)
DOI 10.11648/j.ijo.20251102.18
Page(s) 42-46
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Giant Pleomorphic Adenoma, Parotid Gland, ENT Department, Bamako/Mali

References
[1] AlKindi M., Ramalingam S., Hakeem LA., AlSheddi MA. Giant Parotid Pleomorphic Adenoma with Atypical Histological Presentation and Long-Term Recurrence-Free Follow-Up after Surgery: A Case Report and Review of the Literature. Case Rep Dent. 2020 Aug 31; 2020: 8828775.
[2] Reinheimer A., Vieira DS., Cordeiro MM., Rivero ER. Retrospective study of 124 cases of salivary gland tumors and literature review. J Clin Exp Dent. 2019 Nov 1; 11(11): e1025-e1032.
[3] Bonfils P., Laccourreye O., Giraud P., Halimi P. Tumors of the parotid gland. EMC - Oto-rhino-laryngology. 2017; 12(51): 20-629-A-10.
[4] Malika Fassih et al. Salivary gland tumors, epidemiological-clinical study and anatomoradiological correlation: a retrospective study of 148 cases. Pan African Medical Journal. 2014; 19(187).
[5] Bokhari MR., Greene J. Pleomorphic Adenoma. July 4, 2023. In: StatPearls. Treasure Island (FL): StatPearls Publishing; January 2025.
[6] Kato MG., Erkul E., Nguyen SA., Day TA., Hornig JD., Lentsch EJ., Gillespie MB. Extracapsular Dissection vs Superficial Parotidectomy of Benign Parotid Lesions: Surgical Outcomes and Cost-effectiveness Analysis. JAMA Otolaryngol Head Neck Surg. 2017 Nov 1; 143(11): 1092-1097.
[7] Ogle OE Diseases of the salivary glands. Dental clinics of North America. 2020; 64(1): 87-104.
[8] Khan H., Khan IM. Synchronous pleomorphic adenoma in the parotid glands and parapharyngeal space: a case report and literature review. J Pak Med Assoc. March 2023; 73(3): 728-730.
[9] Akintububo OB., Ogundipe OK., Kaltungo ZY., Guduf MI., Pindiga UH., Abdullahi YM. Giant pleomorphic adenoma of the parotid gland in a Nigerian man. Nigerian Journal of Clinical Practice. 2016; 19(5): 681-684.
[10] Randrianandraina PM., Razanakoto GFA., Valisoa HA., Raotoson H., Randrianirina HH., Rakoto FA. Neglected parotid tumors: case report. Pan Afr Med J. 2022 Dec 8; 43: 184. French.
[11] Bonavolontà P., Dell'Aversana Orabona G., Maglitto F., et al. Postoperative complications after resection of a pleomorphic adenoma of the parotid gland: long-term follow-up of 297 patients from 2002 to 2016 and review of the literature. The British Journal of Oral & Maxillofacial Surgery. 2019; 57(10): 998-1002.
[12] Jain A., Sudharshan M., Vijayakumar C., Kumbhar U., Nelamangala Ramakrishnaiah VP. Colossal Parotid Tumors: A Diagnostic and Surgical Challenge. Cureus. 2021; 13(4): e14539. Published 2021 Apr 18.
[13] Pareek YK., Gupta D., Aseri Y., Rawat DS., Singh BK., Verma PC. Giant pleomorphic adenomas of the parotid gland: a case series. Indian Journal of Otolaryngology and Head & Neck Surgery. 2020
[14] Tarsitano A., Pizzigallo A., Giorgini F., Marchetti C. Giant pleomorphic adenoma of the parotid gland: presentation of an unusual case and review of the literature. Acta Otorhinolaryngologica Italica: Official Journal of the Italian Society of Otorhinolaryngology and Cervico-Facial Surgery. 2015; 35(4): 293-296.
[15] Honda T., Yamamoto Y., Isago T., Nakazawa H., Nozaki M., Hirayama T. Giant pleomorphic adenoma of the parotid gland with malignant transformation. Annals of Plastic Surgery. 2005; 55(5): 524-527.
Cite This Article
  • APA Style

    Elansari, M. S. A. M. E., Sangare, M., Keita, L., Haidara, A. W., Keita, M., et al. (2025). Giant Pleomorphic Adenoma of the Parotid Gland: Report of a Case in the Reference Health Center of Commune VI of BAMAKO. International Journal of Otorhinolaryngology, 11(2), 42-46. https://doi.org/10.11648/j.ijo.20251102.18

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    ACS Style

    Elansari, M. S. A. M. E.; Sangare, M.; Keita, L.; Haidara, A. W.; Keita, M., et al. Giant Pleomorphic Adenoma of the Parotid Gland: Report of a Case in the Reference Health Center of Commune VI of BAMAKO. Int. J. Otorhinolaryngol. 2025, 11(2), 42-46. doi: 10.11648/j.ijo.20251102.18

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    AMA Style

    Elansari MSAME, Sangare M, Keita L, Haidara AW, Keita M, et al. Giant Pleomorphic Adenoma of the Parotid Gland: Report of a Case in the Reference Health Center of Commune VI of BAMAKO. Int J Otorhinolaryngol. 2025;11(2):42-46. doi: 10.11648/j.ijo.20251102.18

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  • @article{10.11648/j.ijo.20251102.18,
      author = {Mohamed Saydi Ag Mohamed Elmehdi Elansari and Mariam Sangare and Lassana Keita and Abdoul Wahab Haidara and Moussa Keita and Mamadou Ouattara and Diaffe Drame and Fatogoma Issa Kone and Kadidiatou Singare},
      title = {Giant Pleomorphic Adenoma of the Parotid Gland: Report of a Case in the Reference Health Center of Commune VI of BAMAKO
    },
      journal = {International Journal of Otorhinolaryngology},
      volume = {11},
      number = {2},
      pages = {42-46},
      doi = {10.11648/j.ijo.20251102.18},
      url = {https://doi.org/10.11648/j.ijo.20251102.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20251102.18},
      abstract = {Salivary glands tumors are rare and account for less than 3% of all tumors occurring in the head and neck region. They are generally benign, with pleomorphic adenoma (PA) of the parotid gland being the most common. PA typically occurs in adult females, and giant forms are still considered rare. Thus, the present report describes a case of giant Pleomorphic Adenoma of the parotid gland in a healthy 60-year-old male who came for consultation at the ENT department of the Reference Health Center (CSRéf) of Commune VI in the District of Bamako, presenting with a giant, slow-growing, asymptomatic parotid mass that had evolved over 20 years. Physical examination revealed a firm, multisegmental, painless preauricular swelling. The scan showed a right parotid tissue mass that was heterogeneous, multi-septated, measuring 119/104 mm, without any osteolytic lesions. Management consisted of extracapsular dissection of the tumour. Histological examination of the surgical specimen revealed a giant pleomorphic adenoma of the parotid gland. The patient had an uneventful postoperative recovery and was followed for seven years without recurrence. PA can disrupt a patient's daily life or develop into malignancy if not managed early. Practitioners therefore need to be aware of these different characteristics in order to make a diagnosis that justifies appropriate therapeutic decisions, as well as educating patients.
    },
     year = {2025}
    }
    

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    AU  - Mohamed Saydi Ag Mohamed Elmehdi Elansari
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    AU  - Lassana Keita
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    AU  - Moussa Keita
    AU  - Mamadou Ouattara
    AU  - Diaffe Drame
    AU  - Fatogoma Issa Kone
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    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
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    AB  - Salivary glands tumors are rare and account for less than 3% of all tumors occurring in the head and neck region. They are generally benign, with pleomorphic adenoma (PA) of the parotid gland being the most common. PA typically occurs in adult females, and giant forms are still considered rare. Thus, the present report describes a case of giant Pleomorphic Adenoma of the parotid gland in a healthy 60-year-old male who came for consultation at the ENT department of the Reference Health Center (CSRéf) of Commune VI in the District of Bamako, presenting with a giant, slow-growing, asymptomatic parotid mass that had evolved over 20 years. Physical examination revealed a firm, multisegmental, painless preauricular swelling. The scan showed a right parotid tissue mass that was heterogeneous, multi-septated, measuring 119/104 mm, without any osteolytic lesions. Management consisted of extracapsular dissection of the tumour. Histological examination of the surgical specimen revealed a giant pleomorphic adenoma of the parotid gland. The patient had an uneventful postoperative recovery and was followed for seven years without recurrence. PA can disrupt a patient's daily life or develop into malignancy if not managed early. Practitioners therefore need to be aware of these different characteristics in order to make a diagnosis that justifies appropriate therapeutic decisions, as well as educating patients.
    
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Author Information
  • Ear, Nose and Throat Department, Commune VI Reference Health Center, Bamako, Mali

  • Ear, Nose and Throat Department, Commune II Reference Health Center, Bamako, Mali

  • Ear, Nose and Throat Department, Commune II Reference Health Center, Bamako, Mali

  • Ear, Nose and Throat Department, Hospital Nianacoro Fomba, Segou, Mali

  • Ear, Nose and Throat Department, Hospital Gabriel Toure, Bamako, Mali

  • Ear, Nose and Throat Department, Commune II Reference Health Center, Bamako, Mali

  • Ear, Nose and Throat Department, Commune II Reference Health Center, Bamako, Mali

  • Ear, Nose and Throat Department, Hospital Gabriel Toure, Bamako, Mali

  • Ear, Nose and Throat Department, Hospital Gabriel Toure, Bamako, Mali

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