伴有咽旁扩展的腮腺巨大先天性涎脂瘤
Giant Congenital Sialolipoma of Parotid Gland with Parapharyngeal Extension.
作者信息
Erdağ Taner-Kemal, Olgun Yüksel, Közen Melih-Arif, Güleryüz Handan, Özer Erdener
机构信息
Department of Otorhinolaryngology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
Department of Radiology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
出版信息
Iran J Otorhinolaryngol. 2019 Mar;31(103):119-122.
INTRODUCTION
Sialolipoma is an extremely rare salivary gland tumor characterized by a well circumscribed mass composed of glandular tissue and mature adipose elements. Herein our aim was to present the fifth case of congenital sialolipoma, which was firstly followed up as a parotid gland hemangioma, and underline the fact that sialolipomas should be kept in mind in the differential diagnosis of congenital parotid gland masses.
CASE REPORT
A 10-month old male presented with a left-sided huge neck mass which progressed after birth. Radiologic examination revealed a tumor originating from the parotid gland filling the parapharyngeal space. Histopathologic examination of an incisional biopsy was consistent with sialolipoma. A total parotidectomy with preservation of the facial nerve was performed at the age of 1 year. The postoperative recovery was uneventful with normal facial nerve function. There was no recurrence at the 24-month follow-up.
CONCLUSION
Although it is a very rare benign tumor, congenital sialolipoma should be kept in mind in the differential diagnosis of congenital parotid mass.
引言
涎腺脂肪瘤是一种极其罕见的涎腺肿瘤，其特征为界限清楚的肿块，由腺组织和成熟脂肪成分构成。在此，我们旨在报告第五例先天性涎腺脂肪瘤病例，该病例最初被误诊为腮腺血管瘤并进行了随访，并强调在先天性腮腺肿块的鉴别诊断中应考虑到涎腺脂肪瘤。
病例报告
一名10个月大的男性患儿，出生后左侧颈部出现巨大肿块且持续增大。影像学检查显示肿瘤起源于腮腺，占据咽旁间隙。切开活检的组织病理学检查结果符合涎腺脂肪瘤。患儿1岁时接受了保留面神经的全腮腺切除术。术后恢复顺利，面神经功能正常。24个月随访时无复发。
结论
尽管先天性涎腺脂肪瘤是一种非常罕见的良性肿瘤，但在先天性腮腺肿块的鉴别诊断中仍应予以考虑。
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