Facial Nerve Tumor or Pleomorphic Adenoma How to Tell the Difference

 


A little, painless bump is near your ear. Could it be serious? Don't worry—those lumps are usually harmless. Some are difficult to distinguish. Consider salivary gland pleomorphic adenomas and facial nerve tumors. Both begin as painless growths in similar places. Even doctors have trouble distinguishing them! Luckily, you should recognize crucial differences. Understanding those can reassure you or suggest more tests. Read on to determine if that lump near your ear is a benign pleomorphic adenoma or a malignant facial nerve tumor.

Main Differences Facial Nerve Tumours with Pleomorphic Adenomas

Pleomorphic adenomas, parotid tumor and facial nerve tumors can produce parotid gland enlargement, although there are some crucial differences.

Location

Facial nerve tumors frequently form along the facial nerve, inside the parotid gland, or where it exits the skull. Pleomorphic adenomas form within the parotid gland. The facial nerve does not cause them.

Affected nerves

Due to nerve compression, facial nerve tumors often induce facial muscle weakness or paralysis. The facial nerve and facial muscle function are usually unaffected by pleomorphic adenomas. Large pleomorphic adenomas might compress the facial nerve.

Growth

Facial nerve tumors grow quickly and are usually malignant. Pleomorphic adenomas are benign tumors that grow slowly over the years. Rarely, pleomorphic adenomas can become malignant.

Treatment

Facial nerve tumors are routinely removed surgically, including part of the nerve. Radiotherapy is another option. Surgery to remove pleomorphic adenomas from the parotid gland is usual. Local facial nerves are frequently unaffected.

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