Ozcan Cengiz, Apa Duygu Düşmez, Aslan Gönül, Gülhan Stk, Görür Kemal
Department of Otorhinolaryngology, School of Medicine, Mersin University, Mersin, Turkey.
J Craniofac Surg. 2008 Nov;19(6):1561-5. doi: 10.1097/SCS.0b013e31818ac146.
Tuberculosis of the parotid gland is extremely unusual. Tuberculosis comprises 2.5% to 10% of parotid gland lesions. Two clinical forms of parotid gland tuberculosis infection exist. One is a diffuse parenchymatous disease (either primary or secondary to nodal disease), resembling common infection. The second is a chronic, slow-growing, painless, and firm parotid mass mimicking a neoplasm. Most of these patients were diagnosed after parotid gland surgery and histopathologic evaluation. Warthin tumor is a well-known benign neoplasm of the salivary glands. It is the second most common tumor of the parotid gland. Mycobacterium tuberculosis within Warthin tumor is also unusual. Five cases with parotid gland tuberculosis within Warthin tumor were reported in the literature. In this report, we present a new patient with parotid gland tuberculosis within the Warthin tumor. This type parotid gland pathology is an extremely rare entity, and to the best of our knowledge, this is the second documented case using polymerase chain reaction. We also discussed the possible mechanisms of development of infection within Warthin tumor.
腮腺结核极为罕见。结核占腮腺病变的2.5%至10%。腮腺结核感染有两种临床形式。一种是弥漫性实质疾病（原发性或继发于淋巴结疾病），类似于常见感染。另一种是慢性、生长缓慢、无痛且质地坚硬的腮腺肿块，类似肿瘤。这些患者大多在腮腺手术后经组织病理学评估确诊。沃辛瘤是一种众所周知的唾液腺良性肿瘤。它是腮腺的第二常见肿瘤。沃辛瘤内存在结核分枝杆菌也很罕见。文献报道了5例沃辛瘤内合并腮腺结核的病例。在本报告中，我们介绍了1例新的沃辛瘤内合并腮腺结核的患者。这种类型的腮腺病理情况极为罕见，据我们所知，这是第二例使用聚合酶链反应记录的病例。我们还讨论了沃辛瘤内感染发生的可能机制。
