A case report of synchronous bilateral multifocal nodular oncocytic hyperplasia in parotid gland.

Autor: Houas J; University of Sousse Faculty of Medicine of Sousse, ENT department, Farhat Hached University Hospital, Sousse, Tunisia. Electronic address: jihene.haouas@gmail.com., Lazid S; University of Sousse Faculty of Medicine of Sousse, ENT department, Farhat Hached University Hospital, Sousse, Tunisia., Kermani W; University of Sousse Faculty of Medicine of Sousse, ENT department, Farhat Hached University Hospital, Sousse, Tunisia., Bellakhdher M; University of Sousse Faculty of Medicine of Sousse, ENT department, Farhat Hached University Hospital, Sousse, Tunisia., Ghammam M; University of Sousse Faculty of Medicine of Sousse, ENT department, Farhat Hached University Hospital, Sousse, Tunisia., Abdelkefi M; University of Sousse Faculty of Medicine of Sousse, ENT department, Farhat Hached University Hospital, Sousse, Tunisia.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2024 Jun; Vol. 119, pp. 109663. Date of Electronic Publication: 2024 Apr 24.
DOI: 10.1016/j.ijscr.2024.109663
Abstrakt: Introduction and Importance: Multifocal nodular oncocytic hyperplasia (MNOH), alternatively known as Benign Nodular Oncocytosis, was first identified by Schwartz and Feldman in Cancer in 1969. It manifests as numerous nodular growths of oncocytic cells scattered within the salivary gland tissue; Bilateral and multifocal lesions in the parotid gland are rare occurrences. Among these, bilateral multifocal oncocytic lesions are even less common.
Case Presentation: We report a case of 59-year-old woman with no prior medical or surgical history who presented to our ENT department due to a gradual, painless enlargement of both parotid glands that had been ongoing for four months. She underwent bilateral parotidectomy. Histologic exam confirmed the diagnosis of bilateral multifocal nodular oncocytic hyperplasia with a histological variant of clear cells. The postoperative course was unremarkable.
Clinical Discussion: Diagnosis presents challenges due to the rarity of this condition. Precise diagnosis relies on imaging techniques such CT scans and MRI features. There is no consensus on the therapeutic management.
Conclusions: Our case report adds to the scarce literature concerning this condition, emphasizing the importance of careful clinical evaluation, precise diagnosis, and proper management.
Competing Interests: Conflict of interest statement We declare that we have no conflicts of interest related to this article.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE