Boumediene Miriam, Tbini Makram, Driss Sofiene, Bensalah Mamia, Jrad Myriam
Radiology Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
Int J Surg Case Rep. 2023 Jun;107:108355. doi: 10.1016/j.ijscr.2023.108355. Epub 2023 May 29.
Hydatid cysts are often found in the liver or lungs. As for the parotid localization, it remains exceptional even in endemic areas and presents as a tumor of the parotid thus representing a challenge to the practitioner.
A 54-year-old male farmer presented with a swelling in the left parotid gland region evolving over the past 2 years. Physical examination revealed a non-tender and mobile swelling in the left parotid region, the overlying skin was normal. Magnetic resonance imaging showed a cystic lesion of the left parotid gland. Fine-needle aspiration cytology (FNAC) yielded a clear fluid with a few benign epithelial cell. A superficial parotidectomy was performed. Histopathological examination confirmed the presence of a hydatid cyst in the parotid gland.
Parotid hydatid cyst is exceptional. However, it can be suspected in the context of an isolated parotid cystic mass in an endemic area, even in the absence of any other associated location.
Hydatid cysts of the parotid gland have a polymorphic and a specific symptomatology and require surgical removal.
包虫囊肿常见于肝脏或肺部。至于腮腺部位的包虫囊肿,即便在流行地区也极为罕见,且表现为腮腺肿瘤,这给从业者带来了挑战。
一名54岁男性农民,左腮腺区肿胀2年。体格检查发现左腮腺区有一不伴有压痛且可活动的肿胀物,其上皮肤正常。磁共振成像显示左腮腺有一囊性病变。细针穿刺细胞学检查(FNAC)抽出清澈液体,含少量良性上皮细胞。遂行腮腺浅叶切除术。组织病理学检查证实腮腺存在包虫囊肿。
腮腺包虫囊肿极为罕见。然而,在流行地区,即使没有其他相关部位受累,孤立的腮腺囊性肿块也应怀疑有包虫囊肿。
腮腺包虫囊肿有多种症状且具有特异性,需手术切除。