Hi, I am new here. I am a 37 year old female, living in Belgium. I've read a bit on reddit and saw alot of people on here. I wondered if anybody here had been diagnosed a second time with a pleiomorphic adenoma on the parotid gland?
I've had a first surgery about 7 years ago (in UZ Gent) to remove a 6cmx8cm tumor. (I was 30 at the time) My symptoms that led to discovering it were during winter, troat infection upon troat infection. First I thought it was due to the cold and usual winter diseases. It was not.
I got surgery to get it all out. My surgeon back then told me he had to cut large. My facial nerve had to be bent to the side so I ended up with partial facial paralysis (right side). Due to my young age he told me chances were high I would recover. And I did! Except for some numbness near my ear and some rare occuring quick pain when drinking citrus juice or eating some stuff my wound disagrees with, but that was nothing compared to the relief of having it out, being confirmed it was benign and leaving all that behind me... till now.
I got recently diagnosed, after a checkup scan, with a new pleiomorphic adenoma on my parotid gland. This time it measures less than 1cmx1cm for now. But is located against my facial nerve and artery... I've had an echo and normally it was meant I would've a punction but it was too risky so it didn't happen. Due to the bad location and small size. Now the surgeon I saw, in UZ Gent, was not the same as my first one. Unfortunately for me, my first surgeon retired and the new one, well... told me the risks of leaving it in and taking it out. The surgery will be more difficult this time he said, cause they will need to cut into the healed skin who 'melted' together. There will be higher risk to damage the facial nerve and having facial paralysis again (and if so, higher risk of not recovering as well as the first time). I don't want to keep it in for too long, leaving the chance for the cells to get cancerous, but I am scared of facial paralysis who won't recover and more so, of reccurent tumors for the rest of my life. Each surgery increases the risk of seeding in more tumor cells who will develop into new tumor more rapidly between each surgery. Radiotherapy is not an option because of my age and the risk is too high to develop cancer or other anomalies later on in life caise of the radiation.
So... what do I do now?
The surgeon did not give his opinion on the matter. Just exposed some of the risks of both approaches (waiting and watching or surgery) but still vague on what my best option is. I will ask for a second opinion in Anderlecht (Jules Bordet, my doctor made that appointment after she heard the surgeon did not give his thought on the matter and left it up to me to figure out what next/when) , and I will probably ask for a third opinion in UZ Leuven later on. Now I'd like to gather some info on real people having gone through that. If you did or know someone who has been through the same diagnosis, a recurrent pleiomorphic adenoma on the parotid gland, I would appreciate knowing the gender, age/year of the first discovery/surgery and the next one(s), where it was located (same as me or higher up), if there was a punction each time, how the treatment was (or what was adviced to do or not do), how surgeries went... I need to gather info from peoples experiences cause I found almost nothing about recurrent pleiomorphoc adenoma. And not knowing is worse for me than knowing all scenarios and be mentally prepared for what might be coming and what could be options. I've also read about protontherapy. I don't know if that will be an option for me, but did any of you have that? If so, tell me about it please.
Thank you for reading this far! And thank you to be understanding, English is my third language 😅 I didn't mean to hurt your eyes with my faults. I tried my best! 🙃