Kumar K G Dharma, Bhat Vinay S, Urs Rohini D, Thomas Nitha, Sakthi Kanimozhi K, Seema G B
Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B.G.Nagara, India.
Department of ENT, Adichunchanagiri Institute of Medical Sciences, B.G.Nagara, India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):4016-4019. doi: 10.1007/s12070-023-03991-z. Epub 2023 Jul 1.
Angiolymphoid hyperplasia with eosinophilia (ALHE) is a benign vasculoproliferative disorder. It usually affects young adults presenting as papules or nodules involving the skin of head and neck region and rarely involves extracutaneous sites. ALHE involving parotid is rare and can be a diagnostic dilemma as it mimics a parotid neoplasm. This is a case of a 23 year old male presenting with a recurrent swelling over the left parotid region post surgery. Ultrasonography revealed a vascular soft tissue lesion in the preauricular region suggestive of a benign lesion. Contrast enhanced magnetic resonance imaging showed a hyperintense lesion involving the superficial lobe of the left parotid gland. Patient underwent superficial parotidectomy and histopathologically was diagnosed to have ALHE. Very few cases have been reported and this case is highlighted as the facial nerve was enmeshed by the intraparotid lesion which was a surgical challenge.
伴有嗜酸性粒细胞增多的血管淋巴样增生（ALHE）是一种良性血管增生性疾病。它通常影响年轻人，表现为累及头颈部皮肤的丘疹或结节，很少累及皮肤外部位。累及腮腺的ALHE很罕见，由于其表现类似腮腺肿瘤，可能会造成诊断上的两难。这是一例23岁男性患者，术后左侧腮腺区域反复出现肿胀。超声检查显示耳前区域有一个血管性软组织病变，提示为良性病变。增强磁共振成像显示左侧腮腺浅叶有一个高强度病变。患者接受了腮腺浅叶切除术，组织病理学诊断为ALHE。报道的病例很少，该病例值得关注，因为腮腺内病变包裹了面神经，这是一个手术挑战。
