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| Search Results for => Parotid <= Result Items 1 - 20 |
| Case ID: 13880 Sample Image  Click to View  |  ::  - TF Case ::  - Thumbnails ::  - Topic
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| Diagnosis | Infantile hemangioma, Parotid | |
| History | The patient is a healthy 2 month old baby girl with a rapidly enlarging neck mass. The mass was not noted on initial newborn exam at birth. She was an appropriate for gestational age baby delivered via cesarean section at 37 weeks after failure to progress with induction, in a mother with preeclampsia. | |
| Findings | Multiplanar, bilateral gray scale and limited Doppler ultrasound of the neck reveals a 3.1 x 2.3 cm heterogeneous, hypervascular, predominantly isoechoic mass in the left Parotid gland. Subsequent magnetic resonance imaging with and without contrast demonstrates a lobular mass centered in left Parotid gland, with extension into the left infratemporal fossa and parapharyngeal space along the lateral border of the left internal jugular vein. There is additional insinuation of the mass between the left sternocleidomastoid muscle and levator scapularis muscle. Contrast enhancement is intense and homogeneous, and there are numerous prominent flow voids within this mass. | |
| Differential Dx | (1) Infantile hemangioma is the most common infant tumor and most common pediatric tumor of the Parotid gland. (2) Malignant tumors (rhabdomyosarcoma, metastatic tumors, teratoma, primary Parotid cancer, and lymphoproliferative disease), which account for 20% of Parotid neoplasms, should be ruled out if necessary, especially in older children. (3) Benign tumors (Warthin tumor, adenomas, cystic hygroma/lymphangioma, Lipoblastoma, etc.) account for 80% of Parotid neoplasms. (4) Inflammatory or infectious causes (cervical adenitis, abscess, tuberculosis, and sarcoidosis) are unlikely in a healthy two month old infant. (5) Miscellaneous rare causes (developmental cysts or fistulas, congenital fibromatosis of sternocleidomastoid, fibrodysplasia ossificans progressiva) are at the bottom of the differential. | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Steven Ford :: University of Kentucky -  | |
| Reviewer | Steven J Goldstein :: University of Kentucky - Case Accepted: 2011-03-25 10:09:25-04 :: Revised: 2011-03-24 16:53:12.46294-04 :: Submitted: 2011-03-24 16:22:05.451098-04 | |
| Case ID: 13834 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Pleomorphic adenoma of the Parotid gland | |
| History | 66 y.o. woman with swallowing difficulty | |
| Findings | Para-pharyngeal space mass on left ,in continuity with the deep lobe of the Parotid gland. | |
| Differential Dx | • Glomus Tumor • Naso-Pharyngeal carcinoma • Adenopathy • Parotid tumor | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Steven J Goldstein :: University of Kentucky - | |
| Reviewer | Alice Boyd Smith :: Uniformed Services University - Case Accepted: 2011-03-25 10:09:25-04 :: Revised: 2011-03-24 16:53:12.46294-04 :: Submitted: 2011-03-24 16:22:05.451098-04 | |
| Case ID: 13245 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Parotid gland lipoma | |
| History | 59 year old male with Parotid mass. | |
| Findings | T1 hyperintense, T2 hypointense, non-enhancing mass in the left Parotid gland. There is signal drop out on fat saturation images. | |
| Differential Dx | Benign masses in the Parotid gland include Pleomorphic adenoma, Warthin tumor, Lipoma, hemangioma. | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Mariusz A Olszewski :: National Capital Consortium - | |
| Reviewer | Albert V Porambo :: Civilian Medical Center - Case Accepted: 2011-03-25 10:09:25-04 :: Revised: 2011-03-24 16:53:12.46294-04 :: Submitted: 2011-03-24 16:22:05.451098-04 | |
| Case ID: 9215 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
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| Diagnosis | Parotid Tumor (Carcinoma by FNA) | |
| History | The patient is a 56 year old male with a right Parotid mass and paralysis of the marginal mandibular branch of the right facial nerve. | |
| Findings | 2 cm relatively well circumscribed right Parotid mass centered between the superficial and deep lobes. Slightly heterogeneous on T1WI and T2WI. Appears isointense to normal Parotid with mild enhancement post-GAD on T1WI. No particularly aggressive features, ie not invading surrounding normal tissue and spaces. | |
| Differential Dx | -Primary salivary neoplasm (benign vs malignant) -Neurofibroma -Lymphadenopathy | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Karen R Craig :: National Capital Consortium - | |
| Reviewer | William R Carter, M.D. :: National Naval Medical Center Bethesda - Case Accepted: 2011-03-25 10:09:25-04 :: Revised: 2011-03-24 16:53:12.46294-04 :: Submitted: 2011-03-24 16:22:05.451098-04 | |
| Case ID: 4503 Sample Image  Click to View | :: - TF Case :: - Thumbnails :: - Topic
:: | |
| Diagnosis | pleomorphic adenoma of Parotid gland | |
| History | 34 y.o. female with history small bulge on left side of neck. Patient is otherwise without symptoms. | |
| Findings | 1.5 cm x 1.5 cm x 1.5 cm lesion within the left Parotid gland. The lesion demonstrates decreased signal intensity on T1 images in relationship to the Parotid gland. Increased signal intensity is seen on the T2 images. There is no evidence of enhancement after gadolinium administration. | |
| Differential Dx | Pleomorphic adenoma Warthin's tumor Parotid oncocytoma | |
| Discussion | ... (continues ...) | |
| User Group | ||
| Contributor | Thomas C Alewine :: National Capital Consortium - | |
| Reviewer | :: - Case Accepted: 2011-03-25 10:09:25-04 :: Revised: 2011-03-24 16:53:12.46294-04 :: Submitted: 2011-03-24 16:22:05.451098-04 | |
| 5 Search Results for => Parotid <= Result Items 1 - 20 |
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