Primary parotid gland lymphoma: pitfalls in the use of ultrasound imaging by a great pretender

Mantsopoulos K, Koch M, Fauck V, Schinz K, Schapher M, Constantinidis J, Rösler W, Iro H (2020)

Publication Type: Journal article

Publication year: 2020

Journal

International Journal of Oral and Maxillofacial Surgery Elsevier

DOI: 10.1016/j.ijom.2020.08.008

Abstract

The aim of this study was to highlight several misleading imaging and clinical aspects of parotid gland lymphoma, taking our personal experience and relevant literature reports into consideration. The records of all patients diagnosed with lymphoma in the parotid gland between 2005 and 2017 were examined retrospectively. Sixty-seven patients were included in this study. The mean age was 61.4 years. The most frequent histological entities were marginal zone B-cell lymphoma (31.3%) and follicular lymphoma (28.4%). The tumour was stage I in 35 cases (52.2%), stage II in 13 cases (19.4%), stage III in 11 cases (16.4%), and stage IV in eight cases (11.9%). B symptoms were seen in only three patients (4.5%). The diagnosis was made after parotidectomy in 51 cases (76.1%), by core needle biopsy in 14 cases (20.9%), and by means of open biopsy in the remaining two cases (3.0%). Parotid gland lymphoma represents a diagnostically challenging, multifaceted entity that can easily mimic both benign and malignant conditions. This entity should be included in the differential diagnosis of almost all types of parotid lesion, as it seems to play the role of a great pretender.

Authors with CRIS profile

Konstantinos Mantsopoulos Department of Otorhinolaryngology – Head and Neck Surgery Vanessa Fauck Department of Otorhinolaryngology – Head and Neck Surgery Katharina Schinz Department of Otorhinolaryngology – Head and Neck Surgery Mirco Schapher Department of Otorhinolaryngology – Head and Neck Surgery Wolf Rösler Department of Medicine 5 – Haematology and Oncology Heinrich Iro Lehrstuhl für Hals-, Nasen- und Ohrenheilkunde

Involved external institutions

Aristotle University of Thessaloniki

Greece (GR)

How to cite

APA:

Mantsopoulos, K., Koch, M., Fauck, V., Schinz, K., Schapher, M., Constantinidis, J.,... Iro, H. (2020). Primary parotid gland lymphoma: pitfalls in the use of ultrasound imaging by a great pretender. International Journal of Oral and Maxillofacial Surgery. https://doi.org/10.1016/j.ijom.2020.08.008

MLA:

Mantsopoulos, Konstantinos, et al. "Primary parotid gland lymphoma: pitfalls in the use of ultrasound imaging by a great pretender." International Journal of Oral and Maxillofacial Surgery (2020).

BibTeX: Download