Imdary Marouane, Elorfi Najib, Lakhal Oumaima, Benhoummad Othmane, Elfakiri Mehdi
Otolaryngology Department, Centre Hospitalo-Universitaire (CHU) Souss Massa, Agadir, MAR.
Otolaryngology-Head and Neck Surgery, Centre Hospitalo-Universitaire (CHU) Souss Massa, Agadir, MAR.
Cureus. 2025 Jun 14;17(6):e86004. doi: 10.7759/cureus.86004. eCollection 2025 Jun.
Sclerosing polycystic adenosis (SPA) is a rare benign salivary gland lesion that resembles both benign and malignant tumors, complicating diagnosis. We present the case of a 44-year-old woman with progressive right lateral facial swelling. MRI suggested a pleomorphic adenoma and initial parotidectomy was followed by total excision based on frozen section results. Final histopathological analysis confirmed SPA, with characteristic abnormal glandular architecture in a sclerotic stroma and absence of malignant features. Complete surgical excision was curative. This case underscores the importance of considering SPA in the differential diagnosis of parotid masses.
硬化性多囊性腺病（SPA）是一种罕见的良性唾液腺病变，它兼具良性和恶性肿瘤的特征，给诊断带来了困难。我们报告了一例44岁女性患者，其右侧面部逐渐肿胀。磁共振成像（MRI）提示为多形性腺瘤，最初进行了腮腺部分切除术，随后根据冰冻切片结果进行了全切术。最终的组织病理学分析确诊为SPA，其特征为硬化基质中具有异常的腺管结构且无恶性特征。完整的手术切除可治愈该病。该病例强调了在腮腺肿块的鉴别诊断中考虑SPA的重要性。
