Christopher G Tang1, Justin B Fong2, Karen L Axelsson3, Deepak Gurushanthaiah4. 1. Head and Neck Surgeon at the San Francisco Medical Center in CA. christopher.g.tang@kp.org. 2. Student at Washington University in St Louis, MO. justinbf56@gmail.com. 3. Head and Neck Surgeon at the Oakland Medical Center in CA. karen.axelsson57@gmail.com. 4. Head and Neck Surgeon at the Oakland Medical Center in CA. d.gurushanthaiah@kp.org.
Abstract
CASE PRESENTATION: A 74-year-old woman presented to the Head and Neck Surgery clinic with a 4-year history of a slowly growing, painful, left-sided neck mass in the tail of the parotid gland. Fine-needle aspiration suggested well-differentiated adenocarcinoma. DISCUSSION AND RESULTS: The patient underwent a superficial parotidectomy and super-selective neck dissection (level 2). Pathology revealed a tumor consistent with sclerosing polycystic adenosis. CONCLUSION: Sclerosing polycystic adenosis is a rare inflammatory process that causes fibrocystic changes in the salivary gland. Apocrine-like metaplasia and epithelial atypia are common pathologic features. To our knowledge, a total of 51 cases have been described in the English-language literature.
CASE PRESENTATION: A 74-year-old woman presented to the Head and Neck Surgery clinic with a 4-year history of a slowly growing, painful, left-sided neck mass in the tail of the parotid gland. Fine-needle aspiration suggested well-differentiated adenocarcinoma. DISCUSSION AND RESULTS: The patient underwent a superficial parotidectomy and super-selective neck dissection (level 2). Pathology revealed a tumor consistent with sclerosing polycystic adenosis. CONCLUSION:Sclerosing polycystic adenosis is a rare inflammatory process that causes fibrocystic changes in the salivary gland. Apocrine-like metaplasia and epithelial atypia are common pathologic features. To our knowledge, a total of 51 cases have been described in the English-language literature.
Authors: F Perottino; R Barnoud; A Ambrun; M Poupart; J-C Pignat; O Merrot Journal: Eur Ann Otorhinolaryngol Head Neck Dis Date: 2010-03-24 Impact factor: 2.080