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唾液腺病理学中的一种罕见病例:腮腺表皮样囊肿一例报告

A rare entity in salivary gland pathology: A case report of an epidermoid cyst in the parotid gland.

作者信息

El Omri Malika, Grassi Ghada, Bellakhdhr Mouna, Mesbah Linda, Kermani Wassim, Abdelkefi Mohamed

机构信息

Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia.

Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia.

出版信息

Int J Surg Case Rep. 2024 Nov;124:110359. doi: 10.1016/j.ijscr.2024.110359. Epub 2024 Sep 27.

Abstract

INTRODUCTION AND IMPORTANCE

Cystic lesions of the parotid gland are uncommon, comprising approximately 5 % of all salivary gland tumours. Among these, epidermoid cysts are particularly rare. These benign developmental cysts typically manifest in the skin of the scalp, face, and neck, but are rarely observed in the parotid gland. It is of paramount importance to be able to differentiate these lesions from malignancies, given the similarities in their clinical presentations.

CASE PRESENTATION

We present a case of a 12-year-old boy who experienced a gradual, painless swelling in the right parotid region over the course of a year.

CLINICAL DISCUSSION

A physical examination revealed the presence of a 3 cm cystic mass in the parotid gland. Magnetic Imaging Resonance (MRI) revealed a well-defined, multilobulated cystic formation with characteristics consistent with a non-neoplastic cyst. The surgical procedure involved a superficial parotidectomy, which resulted in the successful removal of the cyst and no postoperative complications.

CONCLUSION

Epidermoid cysts in the parotid gland are uncommon but can be effectively managed with precise diagnostic and surgical techniques. It is imperative that accurate preoperative imaging and histopathological examination are conducted in order to distinguish these benign cysts from malignant tumours, thereby ensuring the appropriate treatment and favourable outcomes.

摘要

引言与重要性

腮腺囊性病变并不常见,约占所有唾液腺肿瘤的5%。其中,表皮样囊肿尤为罕见。这些良性发育性囊肿通常表现在头皮、面部和颈部的皮肤,但在腮腺中很少见。鉴于它们临床表现的相似性,能够将这些病变与恶性肿瘤区分开来至关重要。

病例介绍

我们报告一例12岁男孩,其右侧腮腺区域在一年时间里逐渐出现无痛性肿胀。

临床讨论

体格检查发现腮腺有一个3厘米的囊性肿块。磁共振成像(MRI)显示一个边界清晰、多叶状的囊性结构,其特征与非肿瘤性囊肿一致。手术采用腮腺浅叶切除术,成功切除囊肿且无术后并发症。

结论

腮腺表皮样囊肿虽不常见,但可通过精确的诊断和手术技术有效处理。必须进行准确的术前影像学检查和组织病理学检查,以将这些良性囊肿与恶性肿瘤区分开来,从而确保适当的治疗和良好的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b92e/11470506/b46e144e862a/gr1.jpg

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