Mohapatra Mounabati, Chandrasekhar Srinivasamurthy Banushree
Deparatment of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, Bhubaneswar, Orissa India.
Department of Pathology, AIIMS, Bhubaneswar, Orissa India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5347-5353. doi: 10.1007/s12070-021-02578-w. Epub 2021 Apr 26.
Rhinosporidiosis of the parotid duct is extremely rare. The sporadic cases of rhinosporidiosis are seen all over the world but more than 90% of the cases are reported from South Asia and Brazil. We report five male patients with parotid duct rhinosporidiosis ranging from eighteen to seventy-two years of age, hailing from the eastern part of India. All of them presented with right parotid swelling. Clinical examination revealed cystic swelling. Imaging studies of these patients suggested sialocele and abscess. Cytology was non-diagnostic. All five patients underwent complete surgical excision of the cyst. Histopathological examination of cysts confirmed the diagnosis of rhinosporidosis of the parotid duct. Regular follow-up was done and all were disease-free even after five years of follow-up.There is a need for a high index of suspicion of parotid swelling of this nature in endemic areas.
腮腺导管鼻孢子虫病极为罕见。鼻孢子虫病的散发病例在世界各地均有发现，但超过90%的病例报告来自南亚和巴西。我们报告了5例年龄在18岁至72岁之间的腮腺导管鼻孢子虫病男性患者，他们来自印度东部。所有患者均表现为右侧腮腺肿大。临床检查发现为囊性肿大。这些患者的影像学检查提示为涎囊肿和脓肿。细胞学检查未能确诊。所有5例患者均接受了囊肿的完整手术切除。囊肿的组织病理学检查确诊为腮腺导管鼻孢子虫病。进行了定期随访，即使在随访5年后，所有患者均无疾病复发。在流行地区，对于这种性质的腮腺肿大需要高度怀疑。
