Cavernous hemangioma of the parotid gland in adults
- Autores: Hugo Lara Sánchez, Beatriz Peral Cagigal, Beatriz Madrigal Rubiales, Alberto Verrier Hernández
- Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 6, Nº. 5 (diciembre), 2014, págs. 592-594
- Idioma: inglés
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Resumen
Hemangiomas account for 0.4-0.6% of all tumors of the parotid gland and most of them occur in children, never - 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.
