Iro Salissou, Hmoura Ezzahra, Slimani Faiçal
Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, Casablanca, Morocco.
Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
Ann Med Surg (Lond). 2021 Apr 16;67:102338. doi: 10.1016/j.amsu.2021.102338. eCollection 2021 Jul.
and importance: benign lymphoepithelial cysts are benign lesions consisting of one or more cysts of the salivary glands or neck regions that occur in 3-6% of patients with positive HIV serology. The objective of this work is to discuss the link between HIV and benign lymphoepithelial cysts.
The authors report a case of benign lymphoepithelial parotid cysts in a 12-year-old girl who underwent a partial parotidectomy. HIV serology was performed in the patient and all her family and was positive only in the girl.
Benign lymphoepithelial lesions of the parotid gland represent the main parotid pathology associated with HIV infection. They may be the first clinical manifestation of the virus. Diagnosis is often difficult, in most cases after surgical excision and histopathological evaluation of the mass. Treatment options include observation, highly active antiretroviral therapy (HAART), aspiration, sclerotherapy, and surgery.
Because of the close relationship between parotid lymphoepithelial cysts and HIV infection, it is important to perform HIV serology in any patient with these types of cysts.
及重要性：良性淋巴上皮囊肿是由唾液腺或颈部区域的一个或多个囊肿组成的良性病变，在HIV血清学阳性患者中发生率为3%至6%。本文旨在探讨HIV与良性淋巴上皮囊肿之间的联系。
作者报告一例12岁女孩的腮腺良性淋巴上皮囊肿，该女孩接受了部分腮腺切除术。对患者及其所有家庭成员进行了HIV血清学检测，结果仅该女孩呈阳性。
腮腺良性淋巴上皮病变是与HIV感染相关的主要腮腺病理表现。它们可能是该病毒的首发临床表现。诊断通常很困难，大多数情况下需在对肿块进行手术切除和组织病理学评估后才能确诊。治疗选择包括观察、高效抗逆转录病毒疗法（HAART）、抽吸、硬化疗法和手术。
由于腮腺淋巴上皮囊肿与HIV感染关系密切，因此对任何患有此类囊肿的患者进行HIV血清学检测都很重要。
