Ho Caleb, Judson Benjamin L, Prasad Manju L
Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Ear Nose Throat J. 2015 Oct-Nov;94(10-11):E1-5.
Phleboliths within the parotid gland are exceedingly rare. We report a case of a venous malformation with multiple phleboliths that involved the left parotid gland and extended into the extraparotid tissue in a 43-year-old woman. We also review 13 similar cases that have been reported since 1948, and we highlight the significance of distinguishing phleboliths from sialoliths because management of the two can be entirely different. Phleboliths in and around the salivary glands primarily affect the parotid and submandibular glands in adult women. Patients can present with recurrent, intermittent swelling that may be associated with food intake and hyposalivation. Any sialolithiasis located outside of its most common location in the submandibular glands must be investigated thoroughly before surgery.
腮腺内的静脉石极为罕见。我们报告了一例43岁女性的静脉畸形伴多发静脉石病例，该病变累及左侧腮腺并延伸至腮腺外组织。我们还回顾了自1948年以来报道的13例类似病例，并强调了区分静脉石和涎石的重要性，因为二者的治疗方法可能截然不同。唾液腺及其周围的静脉石主要影响成年女性的腮腺和下颌下腺。患者可能会出现反复、间歇性肿胀，这可能与进食和唾液分泌减少有关。任何位于下颌下腺最常见位置以外的涎石病在手术前都必须进行彻底检查。
