Cavernous hemangioma of the parotid gland in adults
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Lara Sánchez, Hugo; Peral Cagigal, B.; Madrigal Rubiales, Beatriz; Verrier Hernández, Alberto
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Aquest document és un/a article, creat/da en: 2014
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Hemangiomas account for 0.4-0.6% of all tumors of the parotid gland and most of them occur in children, never
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theless in adults hemangiomas are very rare. We report the case of a 62 year old woman with a mass in the parotid
right tail associated with fluctuating swelling episodes unrelated to meals and with a slowly progressive growth.
The provisional diagnosis was a pleomorphic adenoma, so a right superficial parotidectomy was performed. During
surgery, the macroscopic appearance makes suspect a vascular lesion. The histopathological result was a cavernous
hemangioma. The classic clinical presentation of a parotid hemangioma is an intraglandular mass associated or not
with skin lesions characterized by reddish macules and/or papules, and a vibration or pulsation when palpating the
parotid region. In imaging tests, phleboliths could be observed which are very suggestive of a hemangioma or a
vascular malformation. In the absence of these signs, the diagnosis could be difficult, particularly in an adult due to
its low prevalence, with about 50 cases reported worldwide. However a hemangioma should be considered in the
differential diagnosis of parotid tumors in adults.
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