Pleomorphic adenoma of the parotid gland concomitant with tuberculosis infection: A case report and review of the literature.

Autor:	Chiboub D; Department of Otorhinolaryngology, Head and Neck Surgery, Habib Thameur Hospital, Tunis, Tunisia., Romdhane N; Department of Otorhinolaryngology, Head and Neck Surgery, Habib Thameur Hospital, Tunis, Tunisia., Jameleddine E; Department of Otorhinolaryngology, Head and Neck Surgery, Habib Thameur Hospital, Tunis, Tunisia., Rejeb E; Department of Otorhinolaryngology, Head and Neck Surgery, Habib Thameur Hospital, Tunis, Tunisia., Khanchel F; Department of Pathology, Habib Thameur Hospital, Tunis, Tunisia., Jouini R; Department of Pathology, Habib Thameur Hospital, Tunis, Tunisia., Zoghlami I; Department of Otorhinolaryngology, Head and Neck Surgery, Habib Thameur Hospital, Tunis, Tunisia., Nefzaoui S; Department of Otorhinolaryngology, Head and Neck Surgery, Habib Thameur Hospital, Tunis, Tunisia., Hariga I; Department of Otorhinolaryngology, Head and Neck Surgery, Habib Thameur Hospital, Tunis, Tunisia., Mbarek C; Department of Otorhinolaryngology, Head and Neck Surgery, Habib Thameur Hospital, Tunis, Tunisia.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2024 Mar 04; Vol. 12, pp. 2050313X241236153. Date of Electronic Publication: 2024 Mar 04 (Print Publication: 2024).
DOI:	10.1177/2050313X241236153
Abstrakt:	Tuberculosis of the salivary glands and particularly of the parotid gland is a localization that remains rare even in endemic countries. The association of intra parotid tuberculosis with a benign tumor has been found only in rare cases in literature. A 50-year-old woman with a history of normal pressure hydrocephalus treated surgically, non-smoker, presented with a right parotid swelling progressively increasing in size for 3 years. Clinical examination revealed a 4 cm long, firm, mobile, painless parotid swelling without inflammatory signs and without accessory lymphadenopathy. The oropharyngeal examination was without abnormalities. Ultrasound showed a mass of 31 × 27 mm suggesting a pleomorphic adenoma. MRI confirmed the suspicion of a pleomorphic adenoma of both lobes. The patient underwent a conservative total parotidectomy. The extemporaneous examination was in favor of a pleomorphic adenoma while the final pathology showed the coexistence of active tuberculosis lesions. The patient was put on long-term antituberculosis treatment with good clinical evolution. The clinical presentation of parotid tuberculosis is nonspecific mimicking any other tumor and the diagnosis can only be made by histological examination. Therapeutic management is based on long-term antituberculosis treatment. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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