耳下腺リンパ節結核の1例 A case of tuberculosis of the intraparotid lymph nodes
Tuberculosis of the parotid gland is an uncommon disease. Differential diagnosis of tuberculosis from tumors or inflammatory disease is clinically difficult and requires histopathological examination.<BR>We report a case of tuberculosis of the intraparotid lymph nodes. The patient was a 36-year-old woman who had swelling of the right parotid gland for 1 week. Physical examination showed an elastic soft mass, measuring approximately 18×18 mm, in the right parotid gland. She complained of tenderness of the mass.<BR>Magnetic resonance imaging and ultrasonography showed a tumorous lesion in the right parotid gland. Extirpation of the tumor was performed. The histopathological diagnosis was tuberculous lymphadenitis.<BR>The patient was treated with rifampicin, isoniazid, ethambutol hydrochloride, and pyrazinamide for 8 months. There has been no evidence of recurrence for 8 months.
日本口腔外科学会雑誌 50(6), 400-403, 2004-06-20
Japanese Society of Oral and Maxillofacial Surgeons