BACKGROUND: The purpose of this study was to evaluate our experience in the diagnostic approach to inflamed benign tumors of the parotid gland at a single tertiary center. METHODS: A retrospective evaluation was carried out for all patients with signs of inflammation in the parotid gland on the ground of a benign parotid tumor, as confirmed by permanent histology. RESULTS: Sixteen patients were detected for our study. Histopathologic examination confirmed cystadenolymphoma in 11 cases (with metaplastic changes in 2 cases), 2 pleomorphic adenomas, 2 monomorphic adenomas, and 1 oncocytic cystadenoma. Diverse clinical signs (inflammation signs, facial palsy), ultrasound and MRI findings (poorly defined lesion margins), and the presence of squamous metaplastic changes on cytology often raised the suspicion of parotid malignancy or abscess. CONCLUSION: In most cases, a high suspicion index combined with close monitoring of the patient may allow prompt and successful diagnosis and therapy.
BACKGROUND: The purpose of this study was to evaluate our experience in the diagnostic approach to inflamed benign tumors of the parotid gland at a single tertiary center. METHODS: A retrospective evaluation was carried out for all patients with signs of inflammation in the parotid gland on the ground of a benign parotid tumor, as confirmed by permanent histology. RESULTS: Sixteen patients were detected for our study. Histopathologic examination confirmed cystadenolymphoma in 11 cases (with metaplastic changes in 2 cases), 2 pleomorphic adenomas, 2 monomorphic adenomas, and 1 oncocytic cystadenoma. Diverse clinical signs (inflammation signs, facial palsy), ultrasound and MRI findings (poorly defined lesion margins), and the presence of squamous metaplastic changes on cytology often raised the suspicion of parotid malignancy or abscess. CONCLUSION: In most cases, a high suspicion index combined with close monitoring of the patient may allow prompt and successful diagnosis and therapy.
Authors: Georgios Psychogios; Christopher Bohr; Jannis Constantinidis; Martin Canis; Vincent Vander Poorten; Jan Plzak; Andreas Knopf; Christian Betz; Orlando Guntinas-Lichius; Johannes Zenk Journal: Eur Arch Otorhinolaryngol Date: 2020-08-04 Impact factor: 2.503
Authors: Konstantinos Mantsopoulos; Zacharias Bessas; Matti Sievert; Sarina Katrin Müller; Michael Koch; Abbas Agaimy; Heinrich Iro Journal: J Clin Med Date: 2022-02-25 Impact factor: 4.241
Authors: T Tartaglione; A Botto; M Sciandra; S Gaudino; L Danieli; C Parrilla; G Paludetti; C Colosimo Journal: Acta Otorhinolaryngol Ital Date: 2015-10 Impact factor: 2.124