PMC5502501_01
External swelling of the patient
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F1
Coronal computed tomography scan showing the extent of the tumor
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F2
The mass was also seen to abut and obscure great vessels on the left side [Figure 2].
The mass removed in toto
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F3
The final specimen size when measured was 13 cm x 15 cm x 8 cm and the tumor weighed in at 420 g [Figures 3 and 4] making it the largest pleomorphic adenoma ever removed in toto in the literature and ensues a debate regarding minimal invasive approach with paramedian mandibulotomy as a backup for such tumors.
The postoperative specimen weighing 0.42 kg
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F4
The final specimen size when measured was 13 cm x 15 cm x 8 cm and the tumor weighed in at 420 g [Figures 3 and 4] making it the largest pleomorphic adenoma ever removed in toto in the literature and ensues a debate regarding minimal invasive approach with paramedian mandibulotomy as a backup for such tumors.
Cavity seen after removal of tumor
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F5
The huge cavity remaining after removal of the tumor was closed in two layers. [Figure 5].
Histopathological image showing mixture of epithelial and mesenchymal components typical of pleomorphic adenoma
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F6
The patient remains on follow up and has no residual lesion or feeding difficulties yet [Figure 6].
Post operative picture of the patient after six months follow up
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F7
The histopathological examination of the specimen confirmed it to be pleomorphic adenoma [Figure 7].