Pathology Department, Western Lisbon Hospital Center EPE Hospital de Egas Moniz, Lisbon, Portugal
Plastic Surgery Department, Western Lisbon Hospital Center EPE Hospital de Egas Moniz, Lisbon, Portugal.
BMJ Case Rep. 2022 Jan 12;15(1):e245518. doi: 10.1136/bcr-2021-245518.
A 74-year-old man was referred for a plastic surgery consultation for two previous acute episodes of right submandibular sialadenitis. Physical examination revealed a lump in the right submandibular region, painful on palpation. The initial impression on clinical examination was of sialolithiasis. The sonography demonstrated a structural heterogeneity of the submandibular gland with a hypoechogenic and vascularised nodular formation (1.5×1.2 cm), suggestive of a mixed tumour of the right maxillary gland, requiring histological evaluation. He underwent a right submandibulectomy and an IgG-positive chronic sclerosing sialadenitis was diagnosed. The patient's condition evolved favourably, resulting in a full recovery. The clinical features and differential diagnosis of this entity are debated in light of relevant literature.
一位 74 岁男性因两次右侧下颌下唾液腺炎急性发作而被转介至整形外科就诊。体格检查发现右侧下颌下区有一肿块，触诊时疼痛。临床检查初步印象为涎石病。超声检查显示下颌下腺结构不均匀，存在低回声和血管化的结节形成（1.5×1.2cm），提示右侧上颌混合瘤，需要组织学评估。患者接受了右侧下颌下腺切除术，诊断为 IgG 阳性慢性硬化性唾液腺炎。患者病情好转，完全康复。根据相关文献，对该疾病的临床特征和鉴别诊断进行了讨论。
