Pathologie (Fach) / ORL (Lektion)
Epidemiology: F > MPeak incidence: 40-60 years
Accounts for 85% of benign salivary gland tumors.
Etiology: Ionizing radiation, environmental/occupational exposure (eg, rubber manufacturing, cosmetologists, nickel compound exposure)
Location: mostly the parotid gland (∼80% of cases)
Symptoms: Gradual and painless unilateral swelling of the parotid gland- Robust, movable tumor
Diagnostics:- Ultrasound: diagnostic method of choice in salivary gland tumors- MRI: sharply limited, lobulated hyperintense mass- Histology: → Mixed cellular constitution with myoepithelial cells and chondroid tissue→ Cytokeratin is expressed immunohistochemically
Complications: Recurs if incompletely excised; rarely malignant degeneration (∼5% of cases).
Treatment: Superficial parotidectomy
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