Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-15T11:14:04.706Z Has data issue: false hasContentIssue false
  • English
  • Français

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.
Get access Rights & Permissions [Opens in a new window]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Batsakis, J. G. (1979) Clinical and pathological considerations. In Tumours of the Head and Neck. 2nd Edition. (Williams and Wilkins), Baltimore, pp 313–333.Google ScholarPubMed
Bretlau, P., Melchiors, H., Krogdahl, A. (1983) Intraparotid neurilemmoma. Acta Otolaryngologica (Stockh) 95: 382–384.CrossRefGoogle ScholarPubMed
Cawthorne, T. (1969) Intratemporal facial palsy. Archives of Otolaryngology 90: 789–799.CrossRefGoogle ScholarPubMed
Conley, J., Janecka, I. (1973) Neurilemmoma of the facial nerve. Plastic and Reconstructive Surgery 95: 55–60.CrossRefGoogle Scholar
Conley, J. C., Janecka, I. (1974) Schwann cell tumours of the facial nerve. Laryngoscope 84: 958–962.CrossRefGoogle ScholarPubMed
Conley, J. C., Selfe, R. W. (1981) Occult neoplasms in facial paralysis. Laryngoscope 91: 205–210.CrossRefGoogle ScholarPubMed
Elahi, M. M., Audet, N., Rochon, L., Black, M. J. (1995) Intraparotid facial nerve schwannoma. Journal of Otolaryngology 24: 6, 364–367.Google ScholarPubMed
Fisch, U. (1977) Management of intratemporal tumours, panel discussion number 15. In Facial Nerve Surgery. Proceedings: Third International Symposium on Facial Nerve Surgery. Fisch, U. (Ed.) Kugler Medical Publications Netherlands; Aesculapius Publishing Co., Birmingham, AL, pp 423–469.Google Scholar
Hardin, J. C., Reed, R. F. (1969) Tumours of the peripheral nervous system. In Atlas of Tumour Pathology. 2nd Edition. Armed Forces Institute of Pathology, Washington, pp 29–37.Google Scholar
Katz, A. D., Passy, V., Kaplan, L. (1971) Neurogenous neoplasms of major nerves of face and neck. Archives of Surgery 103(1): 51–56.CrossRefGoogle ScholarPubMed
Kayem, M. J., Dufour, J. J., Robert, F. (1995) Development of a schwannoma within a facial nerve neurofibroma: a case report and literature review. Otolaryngology – Head and Neck Surgery 112(3): 483–487.CrossRefGoogle ScholarPubMed
Kyriakos, M. (1987) Pathology of selected soft tissue tumours of the head and neck. In Comprehensive Management of Head and Neck Tumours. 1st Edition. (Thawley, S. E., Panje, W. R., Batsakis, J. G., Lindberg, R. D., eds.). W. B. Saunders, Philadelphia, pp 1254–1256.Google Scholar
May, M. (1986) Tumours involving the facial nerve. In The Facial Nerve. (May, M. ed.) Thieme Inc., New York, pp 455–467.Google Scholar
Maxwell, J. H. (1951) Extra-temporal repair of the facial nerve. Annals of Otology, Rhinology and Laryngology 60: 1114–1133.CrossRefGoogle ScholarPubMed
Neely, J. G. (1974) Neoplastic involvement of the facial nerve. Otolaryngologic Clinics of North America 7: 385–396.CrossRefGoogle ScholarPubMed
Neely, J. G., Alford, B. R. (1974) Facial nerve neuromas. Archives of Otolaryngology 100: 298–301.CrossRefGoogle ScholarPubMed
Schmidt, C. (1930) Neurinom des nervus facialis. Zentralblatte fur Hals-Nasan-und Ohrenheilkunde 116: 329.Google Scholar
Shambaugh, G. E., Arenberg, I. K., Barney, P. L., Valvassori, G. E. (1969) Facial neurilemmomas. A study of four diverse cases. Archives of Otolaryngology 90(6): 742–755.CrossRefGoogle ScholarPubMed
Som, P. M., Biller, H. F., Lawson, W., Sacher, M., Lanzieri, C. F. (1984) Parapharyngeal space masses: an updated protocol based upon 104 cases. Radiology 153: 149–156.CrossRefGoogle ScholarPubMed
Sullivan, M. J., Babyak, J. W., Kartush, J. M. (1987) Intraparotid facial nerve neurofibroma. Laryngoscope 97: 219–223.CrossRefGoogle ScholarPubMed
Thawley, S. E., Panje, W. R. (1979) Schwannoma. In Tumours of the Head and Neck. Clinical and Pathological Consideration. 2nd Edition. (Batsakis, J. G., ed.). Williams and Wilkins, Baltimore, pp 313–331.Google Scholar
White, W., Shiu, M. H., Rosenblum, M. K., Erlandson, R. A., Woodruff, J. M. (1990) Cellular schwannoma. Cancer 66: 1266–1275.3.0.CO;2-E>CrossRefGoogle ScholarPubMed