Cocco Amy E, MacLennan Gregory T, Lavertu Pierre, Wasman Jay K
Department of Pathology, University Hospitals of Cleveland, Case Western Reserve University, 11100 Euclid Ave., Cleveland, OH 44106, USA.
Ear Nose Throat J. 2005 Jun;84(6):369-70, 374.
Xanthogranulomatous tissue reaction is an uncommon but well-documented process that occurs at many sites in the body. It is most often recognized in the kidney and gallbladder, where its etiology is believed to involve an outflow obstruction. We report the case of a man with a parotid mass that exhibited features consistent with an inflammatory process on fine-needle aspiration biopsy. The mass persisted despite medical management, and the patient subsequently underwent a superficial parotidectomy. Histologic examination of the resected specimen identified a xanthogranulomatous tissue reaction adjacent to a Warthin's tumor. We compare the features of this case with those of the 2 previously reported cases of xanthogranulomatous sialadenitis, and we discuss its possible etiologies.
黄色肉芽肿性组织反应是一种不常见但有充分文献记载的过程，可发生于身体的多个部位。它最常出现在肾脏和胆囊，其病因被认为与流出道梗阻有关。我们报告一例腮腺肿块男性患者，细针穿刺活检显示其特征与炎症过程一致。尽管进行了药物治疗，肿块仍持续存在，患者随后接受了腮腺浅叶切除术。对切除标本的组织学检查发现，在沃辛瘤旁有黄色肉芽肿性组织反应。我们将该病例的特征与之前报道的2例黄色肉芽肿性涎腺炎病例进行比较，并讨论其可能的病因。
