Calderón-Osuna E, Vinuesa M, Fernández-Machín P, Mendoza E, Gallardo J A, Pineda J A
Departamento de Medicine Interna, Hospital Universitario Virgen del Rocío, Sevilla.
Med Clin (Barc). 1995 Oct 14;105(12):461-3.
Cystic lymphoepithelial lesion is an infrequent disorder involving the saliva glands mainly the parotid gland; however, its frequency has increased coinciding with the epidemics of HIV-1 infection. Three cases of parotid lymphoepithelial lesion in patients with HIV-1 infection, 2 of whom were hemophiliacs and one an ex-intravenous drug addict, are presented. In all the cases the lesion was a painless slow growth right submandibular mass, with no history of inflammation. Two of the patients had a contralateral tumor of the same characteristics which was not studied. Fine needle aspiration puncture was performed in the three patients although diagnosis was obtained by pathologic study following superficial parotidectomy. Cystic lymphoepithelial lesion is an entity to be taken into account on differential diagnosis of cervical masses in patients with HIV infection. In individuals with severe immunosuppression treatment should be conservative.
囊性淋巴上皮病变是一种罕见的疾病，主要累及唾液腺，尤其是腮腺；然而，随着HIV-1感染的流行，其发病率有所增加。本文报告了3例HIV-1感染患者的腮腺淋巴上皮病变，其中2例为血友病患者，1例为既往静脉吸毒者。所有病例中，病变均为右侧下颌下无痛性缓慢生长肿块，无炎症病史。2例患者对侧有相同特征的肿瘤，但未进行研究。3例患者均进行了细针穿刺抽吸，不过最终诊断是通过腮腺浅叶切除术后的病理研究得出的。囊性淋巴上皮病变是HIV感染患者颈部肿块鉴别诊断时应考虑的一种疾病。对于严重免疫抑制的个体，治疗应采取保守方法。
