耳下腺部リンパ上皮性嚢胞の1例

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  • A case of lymphoepithelial cyst in the parotid gland.

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We describe our experience with a case of lymphoepithelial cyst in the parotid gland accompanied by pleomorphic adenoma in the oral palate. A 44-year-old man presented with a mass in the oral palate. At presentation, we detected a soft elastic mass on the left side of the hard palate. Magnetic resonance imaging showed a mass in the oral palate. We also identified a high-density area with a clearly demarcated border in the parotid gland. The oral palate tumor was removed by biopsy. Rather than remove the high density area in the parotid gland, we decided to observe its progress. However, the patient complained that the swelling in his cheek felt as if it was growing. Thus, the tumor was removed. The lesion was located deep in the parotid gland and was filled with a yellowish fluid. Histologically, the tumor in the oral palate was a pleomorphic adenoma, and the lesion in the parotid gland was a lymphoepithelial cyst. Although the relation between the tumor in the oral palate and the lesion in the parotid gland is unknown, this case was rare because the lymphoepithelial cyst originated in the parotid gland, and two different diseases concurrently affected different salivary glands.

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