악성 병변으로 오인된 안면마비를 동반한 황색육아종성 침샘염 1예
A Case of Xanthogranulomatous Sialadenitis with Facial Palsy Mimicking Malignancy
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초록
Parotid mass with facial palsy is often suggestive of malignancy. Facial palsy is present in 12%to 19% of patients with a malignant parotid mass regardless of tumor size. Xanthogranulomatoussialadenitis is a rare chronic inflammatory disorder. This is characterized by suppurativegranulomatous inflammation and progressive destruction of the normal parenchyma. Since itsfirst report in 1993, xanthogranulomatous sialadenitis has been reported in no more than 10reports abroad, and to our knowledge, it has never been reported in Korea. It is hard to distinguishclinically xanthogranulomatous sialadenitis from malignancy because they have similarclinical symptoms and radiologic findings, so they should be diagnosed with pathologic methods. With a review of literature, the authors report a case of a parotid mass considered malignantin a 62-year-old, who has complained of a painful right parotid mass and ipsilateral facial palsy. The patient was managed by superficial parotidectomy and conservative antibitoic therapy. Korean J Otorhinolaryngol-Head Neck Surg 2021;64(6):422-8
Abstract
Parotid mass with facial palsy is often suggestive of malignancy. Facial palsy is present in 12%to 19% of patients with a malignant parotid mass regardless of tumor size. Xanthogranulomatoussialadenitis is a rare chronic inflammatory disorder. This is characterized by suppurativegranulomatous inflammation and progressive destruction of the normal parenchyma. Since itsfirst report in 1993, xanthogranulomatous sialadenitis has been reported in no more than 10reports abroad, and to our knowledge, it has never been reported in Korea. It is hard to distinguishclinically xanthogranulomatous sialadenitis from malignancy because they have similarclinical symptoms and radiologic findings, so they should be diagnosed with pathologic methods. With a review of literature, the authors report a case of a parotid mass considered malignantin a 62-year-old, who has complained of a painful right parotid mass and ipsilateral facial palsy. The patient was managed by superficial parotidectomy and conservative antibitoic therapy. Korean J Otorhinolaryngol-Head Neck Surg 2021;64(6):422-8
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