Search

Objective: Parotid tumors are rare neoplasms in adults but are exceedingly infrequent in adolescents. We aimed to determine the clinical characteristics and outcomes of parotid tumors in adolescents under 20 years old. Methods: Between 1999 and 2020, 979 cases of benign parotid tumors and 236 cases of malignant parotid tumors were treated surgically in our department. Of these, 12 benign cases (1.2%) and 9 malignant cases (3.8%) were in adolescents. There were no benign or malignant cases for those aged under 10 years. Results: Regarding the histological type, all benign tumors were pleomorphic adenomas. About half of malignant tumors were mucoepidermoid carcinomas, and excluding one high-grade case, the grade of malignancy was all low/intermediate. The accuracy of fine-needle aspiration cytology among adolescents showed no significant difference with that of adults. In contrast to adults, adolescent benign tumor cases showed a markedly high rate of pleomorphic adenomas and no postoperative facial nerve palsy. Malignant tumors in adolescents had a different trend than adults; low/intermediate-grade malignancies were common and thus few symptoms/signs of malignancy could be observed. As well, the accuracy of fine-needle aspiration cytology was poor. All cases had a good prognosis and are disease-free survival. Conclusion: Parotid tumors in adolescents are rare but have several characteristics that are distinct from adults. As long-term observation is required posttreatment in adolescent patients, recurrence in benign pleomorphic adenomas and poor long-term prognosis in malignant tumors, especially for those with low/intermediate-grade malignancy, are more likely to be observed. [ABSTRACT FROM AUTHOR]

Hemangiomas account for only 0.4% to 0.6% of all parotid tumors, making them extremely rare in adults. Unlike pediatric parotid hemangiomas, those in adults typically present as asymptomatic swellings of the parotid, have no skin discoloration, and usually do not regress spontaneously. Therefore, an accurate diagnosis of parotid hemangiomas in adults before surgical excision is generally challenging. Herein, we present 3 cases of adult parotid hemangiomas. The patients all received parotidectomies with tumor resection. Histopathological analysis of the resected specimens revealed numerous dilated, thin- or thick-walled (small, large, or variably sized) vessels lined with flattened endothelial cells. A diagnosis of cavernous hemangioma of the parotid gland was established only after the histopathological analysis. Parotid cavernous hemangiomas in adults are rare and often misdiagnosed before surgical resection. Clinical presentation and imaging features on ultrasonography, computed tomography, magnetic resonance imaging, and angiography may support an accurate preoperative diagnosis. Surgical resection proved a suitable treatment approach for our 3 cases. [ABSTRACT FROM AUTHOR]

Background: Fine needle aspiration (FNA) is a common diagnostic tool used in the initial evaluation of parotid masses. In the literature, variable diagnostic accuracy of FNA is reported. Therefore, when considering clinical management of these patients, the utility of FNA is unclear. The aim of this study was to determine the capability of ultrasound-guided FNA to differentiate between benign and malignant neoplasms. Further, the way in which FNA results affect clinical decision-making was assessed. Methods: Retrospective data were collected for all patients who underwent parotidectomy at a large Canadian tertiary care center between 2011 and 2016. Patient demographics, preoperative imaging reports, preoperative FNA results, and final pathological diagnosis were analyzed. Results: Of the 199 patients who underwent parotidectomy, 184 had preoperative ultrasound-guided FNA. There were a total of 13 non-diagnostic FNAs. In diagnosing malignancy, FNA had a sensitivity and specificity of 71.4% and 98.7%, respectively. The positive predictive value (PPV) was 83.3%. The negative predictive value was 97.5%. Of the non-diagnostic FNAs, 2 out of 13 (15.4%) were deemed malignant neoplasms on final pathology. Conclusion: FNA is a useful adjunct in the work-up of parotid masses, but it should be used with caution. Due to limited sensitivity, it should not be relied upon as the sole determinant of a surgeon's management plan. [ABSTRACT FROM AUTHOR]

Objective: The present study was designed to investigate whether acellular dermal matrix (ADM) grafts could prevent Frey's syndrome (FS) and improve esthetic scores following parotidectomy. Methods: From January 2015 to December 2019, 175 patients underwent parotidectomy. We divided the patients into two groups: the ADM group and the control group. We included in each group 30 patients according to a propensity score matched analysis. Results: FS was subjective in 1 patient (3%) from the ADM group and 9 patients (30%) from the control group (P =0.015). Patients in the ADM group had a subjective esthetic score of 6.1 + 1.7 compared with 5.2 + 1.7 in the control group. The subjective esthetic score for patients in the ADM group was higher than that for patients in the control group (P =0.040). Conclusion: The present clinical study suggests that ADM grafts are effective in preventing FS and improving esthetic scores after parotidectomy. [ABSTRACT FROM AUTHOR]

Basal cell adenoma (BCA) is a rare benign salivary gland tumor accounting for only 1–2% of all salivary gland tumors. We report a case of a 50-year-old man presenting a BCA of the parotid gland. A pleomorphic adenoma was initially suspected based on radiological features and fine needle aspiration cytology findings (FNAC). [ABSTRACT FROM AUTHOR]

The article describes the case of a 14-year-old female with a history of rapidly growing right cheek mass and was diagnosed of adamantinoma-like Ewing sarcoma (ALES). Topics discussed include clinical characteristics of Ewing sarcoma (ES), the discovery of other soft tissue tumors that share a translocation between the EWSR1 gene and the ETS gene family, and treatment for most pediatric parotid tumors.

Papillary thyroid carcinoma (PTC) is the most frequent thyroid malignancy. Intraparotid recurrence of PTC is, however, rare. Most parotid malignancies are either primary or metastatic from cancer outside the head and neck. We report a case of a 71-year-old man who had undergone lobectomy and completion thyroidectomy for PTC and presented to our clinic with an insidious intraparotid recurrence, for which he underwent a superficial parotidectomy and radioactive iodine therapy. We also present a review of the literature on similar cases. Intraparotid metastasis of PTC should be considered in the differential diagnosis of a parotid mass. [ABSTRACT FROM AUTHOR]

Accessory parotid gland (APG) tumors account for 1% to 7% of all parotid gland neoplasms but are more likely to be malignant than main parotid gland tumors. Management of APG neoplasms entails surgical excision. Four primary approaches to resection have been described in the literature with varying facial nerve outcomes. We report a case of a 4-cm APG pleomorphic adenoma utilizing a transoral approach for excision without postoperative facial nerve injury. A transoral approach is known to mitigate patients' cosmetic concerns; however, prior reports utilized endoscopic assistance on patients with smaller tumors. We conclude that large APG tumors can be excised through a transoral approach without undue risk to the distal facial nerves, though this transoral approach ultimately may not be appropriate for malignant neoplasms or difficult dissections. [ABSTRACT FROM AUTHOR]

Multiple primary tumors of the parotid gland refer to the occurrence of 2 or more primary tumors in the ipsilateral or bilateral parotid gland metachronously or synchronously, which do not originate from postoperative recurrence or metastasis. Multiple primary tumors of the parotid gland, especially synchronous benign and malignant tumors, are extremely uncommon. A rare case of multiple Warthin tumors with epithelial–myoepithelial carcinoma of the ipsilateral parotid gland is reported as follows. [ABSTRACT FROM AUTHOR]

Apocrine hidrocystoma is a cystic tumor originating from apocrine sweat glands. It is predominantly located in the eyelid margins. Here, we report a case of apocrine hidrocystoma of the parotid gland in a 19-year-old man who was referred to our outpatient clinic with a 5-year history of a gradual swelling in the left parotid region. The patient underwent left superficial parotidectomy. Histological examination confirmed the diagnosis of apocrine hidrocystoma. The case is original by the tumor's location: to the best of our knowledge, this could be the first case in English and French literature reporting an apocrine hidrocystoma affecting the parotid gland. The purpose of this article is to report our case and discuss its clinical and anatomopathological features as well as its differential diagnoses. [ABSTRACT FROM AUTHOR]

Oncocytic tumors comprise a group of rare benign neoplasm of salivary glands, accounting for less than 1% of all salivary gland tumors. Nodular oncocytic hyperplasia characterized by multiple unencapsulated oncocytic nodules in the salivary glands is an extremely rare condition. We report a case of bilateral nodular oncocytic hyperplasia of parotid glands with parapharyngeal space extension in an 80-year-old woman whose initial presentation was recurrent parotitis. Our case may be the first report of nodular oncocytic hyperplasia in the parapharyngeal space, arising from the parotid gland. The patient underwent total parotidectomy and excision of parapharyngeal tumors using a transparotid transcervical approach, and at the 2-year follow-up, no evidence of recurrence was found. [ABSTRACT FROM AUTHOR]

Objective: A case of primary first bite syndrome (FBS), diagnosed in a patient with nonspecific adenocarcinoma of the deep lobe of the parotid gland. Data Sources: A Medline literature search was conducted on PubMed, using the keywords "first bite syndrome." Review Methods: Using primary FBS and existence of a definite etiology as inclusion criteria. Results: We report on an unusual case of primary FBS, which had no surgical history. After multiple examinations, the pain was localized to a mass in the deep lobe of the parotid gland. After tumorectomy, the FBS pain was significantly relieved. The postoperative pathological examination determined that the excised mass was a nonspecific adenocarcinoma. Reviewing the literature, we found that primary FBS was mostly caused by malignant tumors in the inferior temporal fossa, the deep lobe of the parotid gland, and (or) the parapharyngeal space. Surgery was reported to be an effective treatment. Conclusion: The case highlights the critical importance of identifying the etiology of primary FBS. When manifested with a primary FBS, malignant tumors must be high on the differential diagnosis list, especially those in the region of the inferior temporal fossa, the deep lobe of the parotid gland, and the parapharyngeal space. [ABSTRACT FROM AUTHOR]

Warthin tumor with ulceration of the surrounding skin is extremely rare, making it difficult to differentiate from parotid cancer in the clinical setting. We report a 65-year-old man with a Warthin tumor in the right parotid gland that had ulceration of the overlying skin. The patient presented with right upper neck mass 2 years ago. Ultrasound and fine needle aspiration were done, and Warthin tumor was suspected. One year later, the mass was enlarged with ulceration of the skin. Superficial parotidectomy with fusiform excision of the skin was performed, and histopathological diagnosis revealed a Warthin tumor with inflammatory change. We proposed that this unique manifestation may have been induced by fine needle aspiration, enlargement of the tumor, and ischemic changes secondary to pulmonary arteriovenous malformations. [ABSTRACT FROM AUTHOR]

Background: Use of suction drain after superficial parotidectomy (SP) is based on national consensus considered best practice, but there is no evidence on the effect of the treatment. The aim of the present study is to evaluate the effectiveness of drainage after SP by evaluating the rate of complications after SP in relation to the (ie, duration) of drainage and tumor size. Methods: Retrospective analysis was performed involving data from all consecutive patients undergoing SP at the Ear, Nose, and Throat department, Regional Hospital West Jutland, Denmark, between January 1, 2011, and December 31, 2017. Demographics including comorbidity, medication, tumor size, postoperative secretion through the drainage, as well as complications (hematoma, seroma, infection, fistulas, Frey syndrome, facial nerve palsy) were registered. Patients with secretion below 25 mL were compared to patients with secretion above 25 mL, that is, drainage less than 24 hours versus longer than 24 hours. Results : Two hundred five consecutive patients undergoing SP were enrolled. The overall risk of postoperative infection was 16.2%. Ten of 33 patients with infection were also diagnosed with an hematoma or seroma. The risk of infection increased with secretion above 25 mL (27.2%) compared to patients with less than 25 mL (13.1%; P =.0318). The same accounts for the risk of seromas/hematomas (P =.0055). We found no evidence that demographics or comorbidity correlated to the secretion in the drainage, but there is a tendency toward male gender having a higher risk off secretion above 25 mL (odds ratio 1.39). Conclusion: Overall, the risk of complications after SP increased with secretion beyond 25 mL (ie, drainage for more than 24 hours). This applied in particular to infections and seromas/hematomas demanding treatment. The use of routine drainage after SP is questionable, and a randomized trial is warranted to unravel the necessity of postoperative drainage. [ABSTRACT FROM AUTHOR]

The article presents a case of a 62-year-old man who was rushed to a clinic due to left parotid mass and sensation changes in his left cheek and preauricular area for several weeks to discuss crystalloid granuloma (CG) of the parotid gland. Other topics include the different crystalline structures (crystalloids) in neoplastic and non-neoplastic salivary gland lesions like oxalate, intraluminal and tyrosine, and the conditions called sialolithiasis and sialadenitis.

The article describes a case of a 50-year old male patient who was diagnosed with solitary fibrous tumor of the deep parotid gland. Topics mentioned include the symptoms experienced by the patient, a brief background of solitary fibrous tumor, the use of magnetic resonance imaging, and the result of histology and immunohistochemistry of the tumor.

The following report is of a 36-year-old male who presented with a growing mass in the region of the parotid gland. Initial fine needle aspiration biopsy suggested a primary neoplasm of the parotid gland, but subsequent frozen section analysis intraoperatively demonstrated a schwannoma of the facial nerve. An intracapsular enucleation of the schwannoma was performed in order to preserve the fibers of the motor nerve. [ABSTRACT FROM AUTHOR]

The goal of this study was to determine whether high-resolution magnetic resonance imaging (MRI) microscopy coil imaging can improve the depiction parotid masses. A total of 14 parotid masses, including 7 salivary neoplasms, 2 abnormal lymph nodes, and 5 benign cystic lesions were imaged with T2-weighted and fat-suppressed postcontrast T1-weighted sequences using a 47-mm diameter microscopy coil in addition to conventional MRI sequences acquired with a conventional head and neck neurovascular coil. Compared to conventional parotid MRI sequences, microscopy coil images provided better definition of the margins of neoplasms, provide more detailed definition of lymph node morphology, and better depict certain cyst contents in the superficial portions of the parotid gland. The microscopy coil images provided significantly better definition of lesions and surrounding tissues within the superficial parotid gland with resptect to the deep parotid gland structures due to loss of signal. Furthermore, the fat-suppressed postcontrast T1-weighted microscopy coil images were significantly better than the corresponding T2-weighted images for delineating the superficial parotid gland. Ultimately, the microscopy coil sequences added over 10 minutes to the examination time. [ABSTRACT FROM AUTHOR]

The article presents a case of a 22-year-old man who was presented to a ear, nose and throat clinic due to fluctuating left parotid swelling after suffering from respiratory tract infection. A magnetic resonance imaging (MRI) showed a lesion in his deep and superficial lobes in his parotid gland. He was diagnosed with Küttner tumor of the parotid gland and underwent subtotal parotidectomy with facial nerve preservation.

The article presents a case of a 63-year-old woman who was presented to an otorhinolaryngology clinic due to painless progressive enlarging mass on her right parotid region. Based on immunohistochemical staining, she has primary extraskeletal Ewing sarcoma (ES) of the parotid gland. She successfully underwent radiotherapy and adjuvant chemotherapy.

The article presents a case of a 14-year-old woman with a 3-year history of severe itching sensation and intermittent pain in her left parotid gland when drinking fluids. Based on fine needle aspiration (FNA), she has glandular acini with benign features, multinucleated giant cells, and inflammation. She was diagnosed with dermoid cyst in the parotid gland and was recommended to undergo complete surgical resection.

The article describes the case of a 78-year-old man who underwent a delayed auricular reconstruction using a porous polyethylene implant for an advanced skin cancer. The patient presented with a recurrent cutaneous basal cell carcinoma of the left postauricular sulcus. Topics covered include the downsides of porous polyethylene implants, the clinical findings and the treatment given to the patient.

OK-432 is an immunomodulator that has been reported to be efficacious as an injection therapy for cervical lymphomas and ranulas. We performed OK-432 injection therapy to treat a cystadenocarcinoma of the parotid gland in a 72-year-old man. The 50 x 46-mm tumor was located in the deep lobe of the gland. The tumor had compressed the glossopharyngeal, vagus, and hypoglossal nerves, causing neurally mediated syncope, hoarseness, dysphagia, and dysarthria. A concentration of 5 KE/2 ml of OK-432 was injected. Within 2 months, the cyst had disappeared; no recurrence was apparent during 59 months of follow-up. To the best of our knowledge, no previous report has described injection of OK-432 for malignant cystic disease. We describe the injection method, injection dose, and postinjection course in the hope that this information will prove useful for future applications against malignant cystic disease. [ABSTRACT FROM AUTHOR]

The article presents the case of an 86-year-old man who was presented due to a 2-year history of gradual enlargement of his parotid mass to discuss parotid gland mass as initial manifestation of oropharyngeal carcinoma. Based on fine needle aspiration (FNA) and positron emission tomography scan, he has poorly differentiated squamous cell carcinoma and fluorodeoxyglucose (FDG)-avid left base of tongue tumor. He underwent total parotidectomy and treated with adjuvant proton radiotherapy.

The article describes the case of a 70-year-old woman who has a 25-centimeter right parotid mass with multiple lobes and was diagnosed with a pleomorphic adenoma. It explains the factors that must be considered before performing a parotidectomy which include metabolic shock, the preservation of the facial nerve and its branches, blood loss and mass reduction. Also mentioned are perioperative management, hemodilution and fluid replacement.

Primary Merkel cell carcinoma (MCC) is a neuroendocrine tumor that typically affects older whites. It usually originates in the dermis, but in rare instances it has arisen in other primary sites, including the oral mucosa and the parotid gland. Explanations for the presence of MCC in these atypical locations have included theories of malignant transformation and neuroendocrine migration. We describe the case of a 35-year-old white woman who had an MCC in the parotid gland and no evidence of any other primary cutaneous lesion. A left superficial parotidectomy with facial nerve preservation was performed, and a histologic diagnosis of MCC was made. Positron-emission tomography was negative for other lesions, and postoperative radiation therapy was administered for local control. To the best of our knowledge, this is only the sixth case of a primary MCC of the parotid gland to be reported in the English-language literature; of these 6 patients, ours was by far the youngest. Otolaryngologists should be familiar with this rare but potentially fatal neoplasm. [ABSTRACT FROM AUTHOR]

Salivary glands are the site of a wide variety of histopathologic types of benign and malignant tumors. The author reviewed 23 articles from 12 African countries published between 1980 and 2004 to examine patterns of salivary gland tumors. These neoplasms represent a significant health problem in Africa. The author found that patterns of presentation are different from those seen in Western countries; for example, African patients are generally younger at presentation. Also, there may be a female preponderance in Africa, and Warthin tumor is rare. [ABSTRACT FROM AUTHOR]

The article presents a case study of a 38-year-old female with a palpable mass below her left ear that was stable in size. Examinations revealed a firm posterior auricular mass, multiple enlarged cervical lymph nodes on the ipsilateral side, necrotizing granulomatous lymph node inflammation, and a diagnosis of parotid gland tuberculosis (TB). The patient was given 4 anti-TB drugs, with isoniazid showing resistance 6 weeks into therapy and being replaced with a 6-month regimen of moxifloxacin.

Salivary gland tumors account for 3 to 6% of all head and neck neoplasms in adults. Some 70 to 85% of these lesions are found in the parotid. Carcinoid tumors, which represent a distinct and relatively uncommon subset of neuroendocrine tumors, are most commonly found in the gastrointestinal tract, although in rare cases they are known to occur in extragastrointestinal locations, including the larynx, middle ear, and pancreas. Malignancies of the parotid gland are uncommon (approximately 25% of parotid neoplasms), and to the best of our knowledge, a primary carcinoid tumor of the parotid has not been previously described in the literature. Reports of parotid carcinoid tumors during the past 30 years have described the presence of nonparotid primary carcinoid tumors (usually gastrointestinal) that had been diagnosed and treated several years prior to the presentation of the parotid lesion. Under such circumstances, the parotid lesion may be assumed to have been a metastatic rather than a primary carcinoid. This report documents what we believe is the first case of a primary carcinoid tumor of the parotid gland. We detail the clinical, surgical, radiologic, immunologic, and histochemical findings associated with its diagnosis, and we describe our management of this case. Although a primary carcinoid in this location is exquisitely rare, knowledge of such lesions is important because their management is substantially different from that of other parotid tumors. In particular, it is important to differentiate them from metastatic tumors from other sites. [ABSTRACT FROM AUTHOR]

Deep-lobe parotid tumors are relatively uncommon. Most of these tumors present as external masses. They can also present in the oral cavity or oropharynx. Magnetic resonance imaging and ultrasound-guided fine-needle aspiration for biopsy and cytology have made it possible to establish a definitive diagnosis and identify the exact location of the tumor in almost all cases before surgery. Traditionally, deep-lobe tumors have been managed by a formal superficial parotidectomy and identification and preservation of the facial nerve, followed by removal of the deep lobe that contains the tumor. Superficial parotidectomy is associated in most cases with periauricular depression secondary to a loss of volume, leading to variable aesthetic deformities. A complete parotidectomy is more likely to be associated with a larger aesthetic deficit secondary to a greater loss of tissue volume. The incidence of gustatory sweating is high after superficial parotidectomy, particularly in the early postoperative period. We hypothesize that if the superficial lobe is preserved, there is less likelihood of gustatory sweating because of the interposition of tissue between the skin and the cut ends of the secretomotor fibers. Approximately 80% of parotid tissue volume is made up of the superficial lobe, and therefore preservation of the superficial lobe should be associated with less postparotidectomy depression. Therefore, we decided to preserve the superficial lobe of the gland for deep-lobe tumors. Nine patients underwent deep-lobe parotidectomy with preservation of the superficial lobe over a 6-year period. Patients were studied prospectively with regard to technical difficulty, complications, and cosmetic outcome. Follow-up ranged from 12 months to 6 years. We did not experience any undue technical difficulty, and there were no cases of facial weakness. One patient developed gustatory sweating, which almost completely resolved over a 2-year period. There were no cases of postparotidectomy depression, and both patients and surgeons were satisfied with the cosmetic appearance. We present our technique and experience. [ABSTRACT FROM AUTHOR]

We describe the case of a patient with a parotid mass that was found to consist of both a facial nerve schwannoma and a monomorphic adenoma. To our knowledge, this is the first report of these two lesions presenting as a single tumor. We also discuss the incidence, diagnosis, and treatment of parotid facial nerve schwannomas. [ABSTRACT FROM AUTHOR]

Describes the development of multiple primary pleomorphic adenomas in a single parotid gland. Details on a case report; Result of a review of the types of parotid tumors ; Reasons for multiple pleomorphic adenomas of the major salivary glands.

Describes a case of malignant eccrine acrospiroma (MEA) with metastasis to the parotid. Reasons for maintaining a high index of suspicion in histologically benign eccrine acrospiromas; Primary treatment; Discussion on MEA.

We describe the clinical and pathologic features of two benign myoepitheliomas of the parotid gland. Through 1985, only 42 other cases had been reported in the literature--39 benign and three malignant. Fewer than 100 cases had been reported through 1993. Since then, two other reports have been published. But are these tumors really rare, or are they simply not well recognized? It is our opinion that they are not as rare as is generally believed because the number of case reports is increasing as pathologists have become more aware of their existence. [ABSTRACT FROM AUTHOR]

The article describes the case of an 87-year-old women with a history of breast cancer status post-lumpectomy with a lump under her left ear. Highlights include extensive and heterogenous T1 hyperintensity shown by magnetic resonance imaging, groups of oncocytic cells demonstrated by fine needle aspiration, and a total parotidectomy and parapharyngeal space removal through a cervical-parotid approach.

The article presents a case of a 61-year-old female who went for a medical assessment due to her history of progressively enhancing chronic left cheek mass. Based on physical examination, she has soft but nontender nodule with distinct bluish discoloration in her left parotid region. A computed tomography (CT) showed left parotid mass and related regional lymphadenopathy in her head and neck. She was eventually diagnosed with parotid venous malformation (VM).

Lymphoepithelial carcinoma (LEC) of the parotid gland is rare. When it does occur, it is usually seen in Asians and Greenland Eskimos. An association with Epstein-Barr virus (EBV) infection has been documented. We report a case of EBV-associated LEC of the parotid gland in a 30-year-old Chinese woman. The patient underwent a total parotidectomy with preservation of the facial nerve, followed by postoperative radiotherapy. She recovered well without complications or recurrence. We present this case in view of the rarity of LEC, which has prevented extensive study of its clinical course, optimal treatment options, and overall prognosis. [ABSTRACT FROM AUTHOR]

We report a case of a 73-year-old woman who presented with an enlarging superficial parotid mass, a concomitant ipsilateral deep-lobe parotid mass, and associated upper jugular lymphadenopathy. The clinical presentation and radiographic imaging were suggestive of malignancy, and the patient was treated with total parotidectomy with upper jugular lymph node sampling. Pathologic examination revealed two distinct masses, one in the superficial lobe and one in the deep lobe of the parotid gland, both consistent with synchronous Warthin tumors. Analysis of the upper jugular lymph nodes was consistent with reactive lymphoid hyperplasia. Although the true incidence of multicentricity in ipsilateral Warthin tumors may be underappreciated and underreported, this entity should remain in the differential diagnosis for unilateral parotid masses. [ABSTRACT FROM AUTHOR]

Xanthogranulomatous tissue reaction is an uncommon but well-documented process that occurs at many sites in the body. It is most often recognized in the kidney and gallbladder, where its etiology is believed to involve an outflow obstruction. We report the case of a man with a parotid mass that exhibited features consistent with an inflammatory process on fine-needle aspiration biopsy. The mass persisted despite medical management, and the patient subsequently underwent a superficial parotidectomy. Histologic examination of the resected specimen identified a xanthogranulomatous tissue reaction adjacent to a Warthin's tumor. We compare the features of this case with those of the 2 previously reported cases of xanthogranulomatous sialadenitis, and we discuss its possible etiologies. [ABSTRACT FROM AUTHOR]

We describe a case of a malignant change in a calcified pleomorphic adenoma of the deep lobe of the parotid gland in a patient whose initial symptom was facial pain. We also discuss the relative merits of the different imaging modalities as they apply to the parotid gland. [ABSTRACT FROM AUTHOR]

Only a few isolated reports of Warthin's tumor of the nasopharynx have been published in the literature. None of the patients cited in those reports had another Warthin's tumor elsewhere. We describe the case of a patient who had synchronous nasopharyngeal and parotid Warthin's tumors--a case that we believe is the first to be reported in the literature. Our case provided us with a unique opportunity to study and compare the two tumors in a single patient. Their simultaneous presence might have been more than coincidental; it is possible that these two tumors were the result of the influence of one or more unknown systemic factors on trapped salivary elements in the lymphoid stroma. [ABSTRACT FROM AUTHOR]

Benign primary tumors of the facial nerve are frequently misdiagnosed because of the variety of their clinical manifestations. Much attention has been paid to neurilemmomas in the recent otolaryngologic literature, but far less has been focused on intraparotid facial nerve neurilemmomas. In this article, we describe a new case of this truly rare tumor, and we review its diagnosis, pathology, and treatment. [ABSTRACT FROM AUTHOR]

Granular cell tumors are relatively uncommon soft tissue lesions that originate in Schwann's cells. Although these tumors can occur at any site, their presence in the parotid gland is very unusual. This article describes one such case in a 48-year-old woman, followed by a brief review of the literature on this subject. [ABSTRACT FROM AUTHOR]

The article describes the case of a 45-year-old man with synchronous lesions of the right accessory parotid gland (APG) and left main parotid gland (MPG). Topics discussed include tumor with homogeneous enhancement arising from the left deep parotid lobe, epithelial/myoepithelial carcinoma, and computed tomography scans showing contrast-enhancing lesions of the right APG and left MPG.

The article presents abstracts of articles on the medical care of ear, nose, and throat including "Management of Obstructive Sleep Apnea in Children: A Practical Research," by Kevin D. Pereira, et al., "Virtual Reality in Rhinology--A New Dimension of Clinical Experience," by Ivica Klapan, et al., and "Accessory Parotid Gland Tumors: A Series of 4 Cases," by Takuya Kakuki, et al.

The article describes the case of a 51-year-old man who was presented to the clinic because of a right painful parotid mass. He has a medical history of adenoid cystic carcinoma (ACC) of the right parotid gland. Chest computed tomography was performed which revealed large infiltrative process in the right parotid gland.

The article describes the case of a 62 year old man presented with a feeling of left facial fullness, nasal obstruction and new-onset snoring. Previous consultations with several physicians suggested tumor resection through mandibulotomy with facial degloving. A physical examination confirmed the presence of a left-sided intraoral mass and a standard transoral parotidectomy was performed. The transoral approach was chosen to avoid anticipated morbidity of a mandibulotomy with facial degloving.

The article presents a case of a 41-year-old female patient who presented with a one year history of a painful left cheek mass. Magnetic resonance imaging (MRI) showed the presence of a lesion distinct from the main parotid gland, and pathology was consistent with adenoid cystic carcinoma. The patient was referred to radiation oncology for further evaluation and treatment. The patient recovered well with no salivary duct obstruction or sialadenitis.