Subject(s)
Humans , Female , Child , Parotid Diseases/pathology , Skin Neoplasms/pathology , Pilomatrixoma/pathology , Diagnostic Errors/prevention & control , Hair Diseases/pathology , Parotid Diseases/surgery , Skin Neoplasms/surgery , Pilomatrixoma/surgery , Biopsy, Fine-Needle , Diagnosis, Differential , Hair Diseases/surgeryABSTRACT
La adenosis poliquística esclerosante de la parótida (APEP) es una enfermedad infrecuente, caracterizada por elementos histológicos inflamatorios reactivos de las glándulas salivales, pero la presencia de displasia y atiplas hace también posible pensar se trate de un pseudotumor o una neoplasia. La APEP posee además semejanzas histopatológicas con la enfermedad fibroquística de la mama y comparten receptores de progesterona y estrógenos en las células ductales. La edad promedio de ocurrencia de esta patología es de 44,5 años y generalmente afecta las glándulas salivares mayores. Presentamos aquí el caso clínico de una mujer de 25 años de edad que el año 2002 consultó por un aumento de volumen de la parótida derecha, de larga data. Después de estudios diagnósticos y tratamientos fue intervenida quirúrgicamente y el análisis histopatológico sugirió el diagnóstico APEP.
Sclerosing polycystic adenosis (SPA) of the parotid gland is a rare disease characterized histologically by a reactive inflammation of the salivary glands, although the presence of displasia and atypia raise the possibility that SPA might represent a neoplastic lesion. SPA bears histopathological resemblance to fibrocystic disease of the breast, and both glands show progesterone and oestrogen receptors in the ductal cells. The mean age of occurrence is 44.5 year-old, and it mostly affects major salivary glands. We report the case of a 25-years-old woman, who in 2002 presented with increased volume in the right parotid gland. After medical studies and several surgical treatments, the histopathological study revealed it to be SPA.
Subject(s)
Humans , Female , Adult , Parotid Diseases/surgery , Parotid Diseases/pathology , Cysts/surgery , Cysts/pathology , Biopsy , Diagnosis, Differential , Parotid Diseases/diagnosis , Photomicrography , Parotid Gland/pathology , Parotid Gland/ultrastructureABSTRACT
A case of bilateral parotid swelling of short duration, which turned out to be sarcoidosis confirmed by fine needle aspiration cytology, is presented here. The patient also had asymptomatic bilateral hilar lymphadenopathy and dryness of the eyes suggesting sarcoid involvement of the lungs and lacrimal glands. Sarcoidosis of the parotids, although rare, should be considered in the differential diagnosis of acute bilateral parotid swelling. Clinico-radiological findings of multi-organ involvement suggest the diagnosis in such cases.
Subject(s)
Biopsy, Fine-Needle , Diagnosis, Differential , Female , Humans , Middle Aged , Parotid Diseases/pathology , Sarcoidosis/pathology , Tuberculosis/pathologySubject(s)
Adolescent , Castleman Disease/pathology , Humans , Lymphocytes/pathology , Male , Parotid Diseases/pathologyABSTRACT
Tuberculosis of the parotid gland is a rare entity. Only about a hundred cases have been reported till date, mostly from parotidectomy specimens. The present case was diagnosed by fine needle aspiration and treated successfully by short-course antitubercular chemotherapy. An early diagnosis can avoid parotidectomy, which can be a hazardous procedure in a medically treatable condition.
Subject(s)
Female , Humans , Middle Aged , Parotid Diseases/pathology , Tuberculosis, Oral/pathologyABSTRACT
La tuberculosis de la glandula parotida es una rara entidad con dos formas clinicas de presentación: la forma difusa, tipo agudo inflamatorio y extremadamente rara, y la forma localizada, clinicamente indistinguible de otras tumoraciones benignas parotideas, y que representa la forma más frecuente, de ahí la importancia de esta patologia en llegar a un diagnostico correcto que requerirá casi siempre una parotidectomia. Presentamos un nuevo caso de esta afección a proposito del cual realizamos una revision de la literatura
Subject(s)
Parotid Diseases/diagnosis , Parotid Diseases/pathology , TuberculosisABSTRACT
Unilocular Cystic Sebaceous Lymphadenoma of the parotid gland also described as benign lymphoepithelial parotid cyst with sebaceous differentiation is an unusual tumour which histogenetically resembles Warthin's tumour. We present two such cases reported in the department of Pathology, Kasturba Medical College with review of the literature on histogenesis.
Subject(s)
Adult , Aged , Epidermal Cyst/pathology , Humans , Male , Parotid Diseases/pathologyABSTRACT
This article presents a case of a young, otherwise asymptomatic male patient with a parotid gland enlargement. The initial clinical history did not reveal any risk factors related with HIV infection. A fine needle aspiration biopsy of the lesion showed a benign cystic lymphoepithelial lesion of the parotid gland. This once unusual lesion of the salivary gland has been recently associated with infection by the human immunodeficiency virus (HIV) and is presently encountered with increased frequency in the clinical practice. The knowledge of the association between these two entities led, in this case, to the diagnosis of HIV infection in an otherwise asymptomatic patient. Early detection of HIV infection is of vital importance since it has been demonstrated that prompt treatment of these patients with AZT slows down the progression of the disease