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Rosai-Dorfman disease presenting as a parotid mass

Published online by Cambridge University Press:  29 June 2007

L. Norman
Affiliation:
Department of Otolaryngology, Queen Alexandra Hospital, Cosham, Portsmouth, UK
A. C. Bateman*
Affiliation:
Department of Histopathology, Queen Alexandra Hospital, Cosham, Portsmouth, UK
G. W. R. Watters
Affiliation:
Department of Otolaryngology, Queen Alexandra Hospital, Cosham, Portsmouth, UK
V. Singh
Affiliation:
Department of Otolaryngology, Queen Alexandra Hospital, Cosham, Portsmouth, UK
A. V. Spedding
Affiliation:
Department of Histopathology, Queen Alexandra Hospital, Cosham, Portsmouth, UK
*
Address for correspondence: Dr A. C. Bateman, Department of Histopathology, Level E, South Block, Southampton General Hospital, Tremona Road, Southampton SO16 6YD. Fax: 01703 796869

Abstract

Sinus histiocytosis with massive lymphadenopathy (SHML) is a rare, benign disease of unknown aetiology. This disease typically presents with massive, painless cervical lymphadenopathy but may occur in a wide variety of extranodal sites. Our report describes a 71-year-old man who presented with a discrete, unilateral parotid mass which was clinically suggestive of a primary salivary gland tumour. Initial cytological examination of a fine needle aspirate specimen taken from the mass demonstrated a discohesive cell population with nuclear atypia, raising the possibility of malignancy. However, excision of the mass and histological examination enabled a definitive diagnosis to be made.

Type
Pathology in Focus
Copyright
Copyright © JLO (1984) Limited 1997

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