In case of benign mixed parotid tumours T/t of choice is –
## **Core Concept**
Benign mixed parotid tumors, also known as pleomorphic adenomas, are the most common type of salivary gland tumors. They are typically slow-growing and benign but have the potential to become malignant. The primary treatment goal is to remove the tumor completely while preserving the facial nerve.
## **Why the Correct Answer is Right**
The treatment of choice for benign mixed parotid tumors (pleomorphic adenomas) is **superficial parotidectomy** or **total conservative parotidectomy**, depending on the tumor's location within the gland. This surgical approach aims to remove the tumor with a margin of normal tissue while preserving the facial nerve. This method minimizes the risk of recurrence and potential malignant transformation.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is not provided, but typically, any option suggesting radiotherapy or chemotherapy as the primary treatment would be incorrect because these modalities are not the first line for benign tumors.
- **Option B:** If this option suggests a more conservative approach that doesn't involve surgical removal of part of the gland, it would be incorrect because it might not adequately address the tumor's extent or risk of recurrence.
- **Option D:** If this option suggests a procedure that is too radical or not indicated for a benign tumor, such as a radical parotidectomy without clear indication of malignancy, it would be incorrect.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that the treatment of pleomorphic adenomas involves surgical excision, specifically aiming to balance between complete tumor removal and preservation of the facial nerve. The risk of recurrence is significantly higher if the tumor is simply enucleated (removed from within the gland) rather than removed with a portion of the gland.
## **Correct Answer:** . Superficial Parotidectomy.