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4 results

  • Necrobiotic xanthogranuloma of the parotid gland

  • A Zainal, M Y Razif, M Makhashen, M Swaminathan, A Mazita
  • Journal:
    The Journal of Laryngology & Otology / Volume 124 / Issue 5 / May 2010
    Published online by Cambridge University Press:
    14 October 2009, pp. 569-571
    Print publication:
    May 2010
  • Objectives:

    To highlight the first reported case of necrobiotic xanthogranuloma of the parotid gland. We also review the clinical presentations and treatments for this rare condition.

    Method:

    Case report and review of necrobiotic xanthogranuloma.

    Results:

    A 48-year-old man presented with a right parotid mass. Fine needle aspiration cytology was suggestive of Warthin's tumour, for which the patient underwent a subtotal parotidectomy. The final histopathological diagnosis was necrobiotic xanthogranuloma.

    Conclusions:

    Necrobiotic xanthogranuloma may clinically mimic commoner tumours such as Warthin's tumour. Once diagnosed, the clinician should be wary of extracutaneous manifestations and paraproteinaemias. Because of the variability of presentation, there is no consensus on the best treatment for necrobiotic xanthogranuloma, which may include surgery, chemotherapy, interferon, plasmapheresis and radiation therapy.

  • Alcohol sclerotherapy of human immunodeficiency virus related parotid lymphoepithelial cysts

  • E Meyer, D E Lubbe, J J Fagan
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue 4 / April 2009
    Published online by Cambridge University Press:
    01 July 2008, pp. 422-425
    Print publication:
    April 2009
  • Objective:

    The aim of the study was to determine the effectiveness of alcohol sclerotherapy in patients with human immunodeficiency virus related salivary gland disease.

    Study design:

    Prospective study investigating the effectiveness of alcohol as a sclerosing agent.

    Setting:

    Tertiary referral hospital.

    Patients:

    Eleven human immunodeficiency virus positive patients with benign lymphoepithelial cysts were included in the study, from July 2005 to September 2006.

    Interventions:

    Alcohol sclerotherapy was performed under local anaesthesia, with alcohol infiltrated into the benign lymphoepithelial cysts.

    Results:

    Alcohol injection sclerotherapy proved to be an effective, simple, cheap, ambulatory procedure for patients who did not qualify for antiretroviral treatment.

  • Lipomas of the head and neck: presentation variability and diagnostic work-up

  • Mohamed H Abd El-Monem, Alaa H Gaafar, Emad A Magdy
  • Journal:
    The Journal of Laryngology & Otology / Volume 120 / Issue 1 / January 2006
    Published online by Cambridge University Press:
    25 November 2005, pp. 47-55
    Print publication:
    January 2006

  • Introduction: Head and neck lipomas have seldom drawn attention in the literature, except in isolated case reports.

    Aims: This study aimed to assess the presentation variability of head and neck lipomas as well as the relative importance and efficiency of pre-operative diagnostic methods used.

    Materials and methods: A retrospective review was undertaken of medical records and imaging studies of 24 patients with histopathologically proven head and neck lipomas, over a three-year period.

    Results: The 24 patients had 26 lipomas. Men predominated (62.5 per cent). The posterior subcutaneous neck was the most common site. Three patients had deep lipomas affecting the hypopharynx, larynx and parotid gland; all were correctly diagnosed pre-operatively. Computed tomography (CT) scan with specific radiodensity recording was the preferred pre-operative investigation.

    Conclusions: Lipomas should be considered in the differential diagnosis of soft-tissue head and neck masses even in rare locations. A CT or magnetic resonance imaging scan can correctly diagnose a lipoma pre-operatively, thereby allowing better treatment planning.