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The changing faces of a parotid mass

Published online by Cambridge University Press:  29 June 2007

S. S. Hehar ,
J. Dugar  and
J. Sharp
S. S. Hehar*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Derbyshire Royal Infirmary, Derby, UK.
J. Dugar
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Derbyshire Royal Infirmary, Derby, UK.
J. Sharp
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Derbyshire Royal Infirmary, Derby, UK.
*
Address for correspondence: Mr S. S. Hehar, Department of Otorhinolaryngology-HNS, Derbyshire Royal Infirmary, London Road, Derby.
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Abstract

The development of a neurofibroma in the temporal and parotid regions of the facial nerve is rare. We report a case occurring in a 32-year-old male, where the initial presentation was a parotid mass. Cytologically this was initially thought to be a pleomorphic adenoma. However, the diagnosis was then changed to a schwannoma and finally a neurofibroma after complete excision of the lesion. The case illustrates how fine needle aspiration cytology under ultrasound guidance, and even histological examination of an incision biopsy can sometimes fail to give the correct diagnosis. In this case magnetic resonance imaging was used to help plan definitive surgery.

Keywords

NeurofibromaFacial nerveParotid gland
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 10 , October 1999 , pp. 938 - 941
Copyright
Copyright © JLO (1984) Limited 1999

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