Advanced Dental Admission Test (ADAT)

What is the preferred treatment for pleomorphic adenoma?

1. Chemotherapy

2. Radiation therapy

3. Surgical excision

4. Watchful waiting

The correct answer is: Surgical excision

The preferred treatment for pleomorphic adenoma, which is a benign tumor commonly occurring in the salivary glands, is surgical excision. This approach is favored because pleomorphic adenomas have the potential for recurrence if not fully removed and can also progress to malignant forms if left untreated. The goal of surgical excision is to completely remove the tumor along with an adequate margin of healthy tissue to minimize the risk of recurrence. Surgical excision not only addresses the tumor but also helps to preserve surrounding healthy glandular tissue, which is important for maintaining function. In cases where the tumor is large or there are concerns about involvement of nearby structures, imaging studies might be utilized to inform the surgical approach. While chemotherapy and radiation therapy may be considered for malignant tumors, they are not effective treatments for pleomorphic adenoma since it is typically benign. Watchful waiting might be an option in certain asymptomatic cases where the tumor is small and not causing problems, but surgical removal is still considered the primary treatment due to the risk of growth and recurrence.