Fischer T, Filimonow S, Petersein J, Zimmer C, Beyersdorff D, Guski H
Department of Radiology, Universitätsklinikum Charité, Campus Charité Mitte, Humboldt-Universität zu Berlin, Schumannstrasse 20/21, 10098 Berlin, Germany.
Eur Radiol. 2002 Jan;12(1):134-7. doi: 10.1007/s003300100879. Epub 2001 Apr 6.
The parotid gland is rarely affected by sarcoidosis (6% of all cases). If there is initial parotitis, and other major symptoms include fever, uveitis, or facial paralysis, the condition is referred to as Heerfordt's syndrome. The case presented here describes the diagnostic work-up and differentiation of swelling of the parotid gland by employing state-of-the-art ultrasound techniques in a 33-year-old patient with Heerfordt's syndrome. Color-coded duplex ultrasound demonstrated hypervascularization. Tissue harmonic and photopic imaging ultrasound additionally depicted hypoechoic, septated structural lesions of the glandular parenchyma with an optimized contrast. Since such structural changes are not a specific sonographic criterion for sarcoidosis, ultrasound-guided biopsy was performed for further clarification of the etiology of parotitis and for excluding lymphoma. In conclusion, state-of-the-art ultrasound with the option of obtaining a biopsy at low risk is a useful procedure for diagnosing unclear pathology of the parotid gland with rapid histological confirmation.
腮腺很少受到结节病的影响（占所有病例的6%）。如果最初出现腮腺炎，且其他主要症状包括发热、葡萄膜炎或面神经麻痹，则该病症被称为黑尔福特综合征。本文介绍的病例描述了一名33岁黑尔福特综合征患者，通过采用先进的超声技术对腮腺肿胀进行诊断检查和鉴别诊断的过程。彩色编码双功超声显示血管增多。组织谐波和明视成像超声还以优化的对比度描绘了腺实质的低回声、分隔性结构病变。由于这种结构变化并非结节病的特异性超声标准，因此进行了超声引导下活检，以进一步明确腮腺炎的病因并排除淋巴瘤。总之，具备低风险获取活检选项的先进超声检查，是一种用于诊断不明腮腺病变并快速获得组织学确诊的有用方法。
