Ucuncu Harun, Kurt Sezgin, Demirci Elif, Eren Suat, Altas Enver
From the Departments of *Otorhinolaryngology, †Pathology, and ‡Radiology, Medical School, Atatürk University, Erzurum, Turkey.
J Craniofac Surg. 2013 Nov;24(6):2174-6. doi: 10.1097/SCS.0b013e3182a2d865.
We report a case of a 32-year-old woman who presented with bilateral parotid gland enlargement. She had no systemic symptoms such as fever, cough, and weight loss. She had bilateral blindness for a long time. The results of a physical examination revealed a bilateral firm, painless mass in the parotid region. A computed tomographic scan showed no clear lymphadenopathy in the neck but showed localized infiltrates and multiple pulmonary nodules with enlargement of the mediastinal and axillary lymph nodes in the chest. The patient underwent a superficial parotidectomy. A histopathologic finding revealed an epithelioid noncaseating granuloma, which is consistent with sarcoidosis. In summary, this current study shows that sarcoidosis should be considered in the differential diagnosis of all painless swelling of the parotid gland, especially in women, which could be an earlier complaint.
我们报告一例32岁女性，其表现为双侧腮腺肿大。她没有发热、咳嗽和体重减轻等全身症状。她长期双目失明。体格检查结果显示双侧腮腺区有质地坚硬、无痛性肿块。计算机断层扫描显示颈部无明显淋巴结病，但胸部有局部浸润及多个肺结节，纵隔和腋窝淋巴结肿大。患者接受了腮腺浅叶切除术。组织病理学检查发现为上皮样非干酪性肉芽肿，符合结节病。总之，本研究表明，在腮腺无痛性肿大的鉴别诊断中应考虑结节病，尤其是在女性中，这可能是早期表现。
