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Tuberculosis of the parotid gland

Published online by Cambridge University Press:  29 June 2007

Yusufhan Süoǧlu*
Affiliation:
Department of Otorhinolaryngology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey.
Burak Erdamar
Affiliation:
Department of Otorhinolaryngology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey.
İsmail Çölhan
Affiliation:
Department of Otorhinolaryngology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey.
O. Sami Katircioǧlu
Affiliation:
Department of Otorhinolaryngology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey.
Uǧur Çevikbas
Affiliation:
Department of Pathology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey.
*
Address for correspondence: Dr Yusufhan S¨oǧlu, Tepegöz sok. Tamiş çik., 49/12 Göztepe-81060, İstanbul, Turkey. Fax: (90) 212 5335764

Abstract

The presentation of tuberculosis as an isolated parotid lump is rare. In this paper, six cases with tuberculous parotitis are reported which were evaluated as a benign parotid neoplasm in 216 specimens pre-operatively. All but one of them had no previous history of tuberculosis and all had a parotid lump as a sole symptom for at least one year. The diagnosis of tuberculosis was made, after superficial parotidectomy, by histopathology. Parenchymal involvement and intraparotid lymph node involvement with tuberculosis were seen in five and three patients, respectively. Two of the patients had lymph node involvement outside the parotid area. One of six patients had a coincidental Warthin tumour. A surgical approach is not only therapeutic but also diagnostic when other diagnostic tools fail.

Type
Pathology in Focus
Copyright
Copyright © JLO (1984) Limited 1998

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References

Allava, M., Guida, R. A., Remo, T. (1988) Mycobacterial cervical lymphadenitis: A persistent diagnostic problem. Laryngoscope 98: 855857.Google Scholar
Appling, D., Miller, R. H. (1981) Mycobacterial cervical lymphadenopathy; 1981 update. Laryngoscope 91: 12591266.Google Scholar
Ataman, M., Sözeri, B., Özçelik, T., Gedikoǧlu, G. (1992) Tuberculosis of the parotid salivary gland. Auris Nasus Larynx 19: 271273.CrossRefGoogle ScholarPubMed
Betts, R. F., Reese, R. E. (1986) Lower respiratory tract infections. In A Practical Approach to Infectious Diseases. 2nd Edition. (Reese, R. E., Douglas, R. G., eds.), Little, Brown and Co., Boston/Toronto, pp 239240.Google Scholar
Bhat, N. A., Stansbie, J. M. (1996) Tuberculous parotitis: a case report. Journal of Laryngology and Otology 110: 976977.Google Scholar
Cantrell, R., Jensen, J., Reid, D. (1975) Diagnosis and management of tuberculous cervical adenitis. Archives of Otolaryngology – Head and Neck Surgery 101: 5357.CrossRefGoogle ScholarPubMed
Chaudhary, S. (1997) Tuberculosis of the salivary glands. In Color Atlas and Text of the Salivary Glands. (Norman, J. E., McGurk, M., eds.), Mosby-Wolfe, London, pp 337339.Google Scholar
Dandabat, M. C., Misha, B. M., Dash, S. B., Kar, P. K. (1990) Peripheral lymph node tuberculosis: a review of 80 cases. British Journal of Surgery 77: 911912.CrossRefGoogle Scholar
Donohue, W., Bolden, T. (1961) Tuberculosis of salivary glands. Oral Surgery 14: 576588.CrossRefGoogle ScholarPubMed
Güney, E., Şeşen, T., Yalçin, Ş., Konakçi, G. (1987) Baş-Boyun bölgesi adenit tüberkülozlari. Türk Otolaryngoloji Arşivi 25: 166174.Google Scholar
Kanhkama, M., Özsahinoǧlu, C., Akan, E. (1987) Mikrobak-teriyel servikal lenfadenitler. Türk Otolaryngoloji Arşivi 25: 175190.Google Scholar
Kuruvilla, A., Saha, N. K., Barton, R. P. E, Zardawi, I. M. (1981) Tuberculosis of intraparotid lymph nodes. Journal of Laryngology and Otology 95: 11651167.Google Scholar
Lau, S. K., Wei, W. I., Hsu, C., Engzell, U. C. G (1990) Efficacy of fine needle aspiration cytology in the diagnosis of tuberculous cervical lymphadenopathy. Journal of Laryngology and Otology 104: 2427.CrossRefGoogle ScholarPubMed
O'Connel, J. E., George, M. K., Speculand, B., Pahor, A. L. (1993) Mycobacterial infection of parotid gland: an unusual case of parotid swelling. Journal of Laryngology and Otology 107: 561564.Google Scholar
Pransky, S. M., Reisman, B. K., Kearns, D. B., Seid, A. B., Collins, D. C., Krous, H. F. (1990) Cervicofacial mycobacterial adenitis in children: endemic to San Diego. Laryngoscope 100: 920925.CrossRefGoogle ScholarPubMed
Rivington, R. N. (1979) Tuberculous cervical lymphadenitis. Canadian Medical Association 121: 1572.Google Scholar
Shaha, A., Webber, C., Marti, J. (1986) Fine-needle aspiration in the diagnosis of cervical lymphadenopathy. American Journal of Surgery 152: 420423.Google Scholar
Singh, B., Maharaj, T. J. (1992) Tuberculosis of the parotid gland: clinically indistinguishable from a neoplasm. Journal of Laryngology and Otology 106: 929931.CrossRefGoogle ScholarPubMed
Stanley, R. B., Fernandez, J. A., Peppard, S. B. (1983) Cervical mycobacterial infections presenting as major salivary gland disease. Laryngoscope 93: 12711275.Google Scholar
Talmi, Y. P., Shem-Tov, Y., Gal, R., Finkelstein, Y., Zohar, Y. (1990) Tuberculosis of a periglandular lymph node presenting as a parotid tumor. Journal of Otolaryngology 19: 7375.Google Scholar
Thaller, S. R., Gross, J. R., Pilch, B. Z., Goodman, M. L. (1987) Laryngeal tuberculosis as manifested in the decades 1963–1983. Laryngoscope 97: 848850.Google Scholar
Üneri, C., Tutkun, A., Sehitoǧlu, M. A. (1990) Tükrük bezlerinin primer tüberkülozu. Haydarpaşa Numune Has-tanesi 30: 230233.Google Scholar
Üstüner, T. E., Şenöz, O., Koçer, U. (1991) Primary tuberculosis of the parotid gland. Plastic and Reconstructive Surgery 88: 884885.Google Scholar
Waldman, R. H. (1982) Tuberculosis and atypical mycobac-teria. Otolaryngologic Clinics of North America 15: 581596.Google Scholar
Wong, M. L., Jafek, B. W. (1974) Cervical mycobacterial disease. Trans American Academia of Ophthalmology and Otology 78: 7587.Google Scholar