耳下腺リンパ節結核の１例

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  • A case of tuberculosis of the intraparotid lymph nodes

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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.

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