Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Diagn Cytopathol. 2022 Dec;50(12):E344-E350. doi: 10.1002/dc.25023. Epub 2022 Aug 4.
Tubercular infection of the parotid gland often confuses clinicians, it being a rare entity even in an endemic area. Its similarity in presentation with that of parotid neoplasms, nonspecific symptoms, low incidence and non-contributory radiological findings often leads to its misdiagnosis as parotid neoplasm, which in the due course results in parotidectomy. Therefore, FNAC of parotid swelling is helpful to avoid unnecessary surgery and patient discomfort. We report four cases of FNAC of parotid swelling with suspicion of neoplasm/inflammatory lesion and were diagnosed as tuberculosis of the parotid gland. They were advised antitubercular drugs for 6 months and followed up. These case are reported not just to highlight that parotid is a rare site for tuberculosis, but also to ascertain that FNAC can be an easy and fast diagnostic modality for confirmation of tubercular parotitis rather than going through the long way of resection and confirmation on histopathology.
腮腺结核感染常使临床医生感到困惑，即使在流行地区，它也是一种罕见的实体。其表现与腮腺肿瘤相似，症状不典型，发病率低，影像学检查结果无特异性，这常导致误诊为腮腺肿瘤，进而导致腮腺切除术。因此，对腮腺肿胀进行细针穿刺抽吸细胞学检查有助于避免不必要的手术和患者不适。我们报告了 4 例因怀疑为肿瘤/炎性病变而对腮腺肿胀进行细针穿刺抽吸细胞学检查，最后诊断为腮腺结核的病例。我们建议他们使用抗结核药物治疗 6 个月，并进行随访。我们报告这些病例不仅是为了强调腮腺是结核的罕见部位，还为了确定细针穿刺抽吸细胞学检查是一种简单、快速的诊断方法，可以明确诊断结核性腮腺炎，而无需通过切除和组织病理学证实的漫长过程。
