Oudidi Abdellatif, Benmansour Najib, El Alami El Amine M N
Service d'Oto-rhino-laryngologie, CHU Hassan II, Fès, Maroc.
J Otolaryngol. 2006 Oct;35(5):317-9. doi: 10.2310/7070.2005.0113.
Primary hydatid cyst of the parotid gland is still an exceptional localization. The parotid gland is an uncommon site, even in our country, in which echinococcal disease is endemic. We report six cases of primary hydatid cyst of the parotid gland who presented with an isolated mass. The diagnosis was based on ultrasonography, which showed a parotid gland cystic mass. The echinococcal immunologic test (enzyme-linked immunosorbent assay) was positive in two cases. The surgical treatment consisted of total resection of the cyst, without rupture of the cystic wall and preserving the gland, in four cases and resection of the prominent dome in two cases. The diagnosis was confirmed on macroscopic examination of the resected pieces. In all cases, the postoperative course was uneventful. There was no recurrence at the 17-month follow-up.
腮腺原发性包虫囊肿仍然是一种罕见的发病部位。即使在我国棘球蚴病流行地区，腮腺也是一个不常见的发病部位。我们报告6例腮腺原发性包虫囊肿患者，均表现为孤立性肿块。诊断基于超声检查，显示腮腺囊性肿块。2例棘球蚴免疫试验（酶联免疫吸附测定）呈阳性。手术治疗包括4例行囊肿全切除，术中囊肿壁未破裂并保留腺体，2例行突出囊顶切除。切除标本的宏观检查证实了诊断。所有病例术后病程均顺利。17个月随访时无复发。
