While Benjamin, Whiteside Olivia J H, Desai Vijayadwaja, Gurr Paul
Department of Ophthalmology, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK.
Ear Nose Throat J. 2010 Aug;89(8):E22-3. doi: 10.1177/014556131008900806.
An 80-year-old woman presented with a mass in her left parotid region. An ultrasound-guided core biopsy showed sebaceous glands with lymphoplasmacytic infiltration. Magnetic resonance imaging displayed a well-circumscribed lesion within the left parotid gland. The mass was completely excised, and the patient made a full recovery. Sebaceous lymphadenomas of the salivary glands are rare, benign tumors that are effectively treated by complete excision. The challenge that these tumors present lies in their accurate diagnosis. Because of their histologic similarity to related malignant tumors, such as mucoepidermoid carcinomas and sebaceous lymphadenocarcinomas, misdiagnosis could lead to unnecessarily radical treatment. We highlight the need for careful clinical and histologic diagnosis in tumors of the salivary glands.
一名80岁女性因左侧腮腺区肿物就诊。超声引导下的核心活检显示皮脂腺伴淋巴浆细胞浸润。磁共振成像显示左侧腮腺内有一个边界清晰的病变。肿物被完整切除,患者完全康复。涎腺皮脂腺腺瘤是罕见的良性肿瘤,完整切除可有效治疗。这些肿瘤面临的挑战在于准确诊断。由于其组织学与相关恶性肿瘤如黏液表皮样癌和皮脂腺淋巴腺癌相似,误诊可能导致不必要的根治性治疗。我们强调在涎腺肿瘤中进行仔细的临床和组织学诊断的必要性。