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Hybrid intercalated duct lesion of the parotid:A case report

World Journal of Clinical Cases 2022年第33期10卷 12358-12364页

作者： Dominykas Stankevicius Donatas Petroska Linas Zaleckas otilija kutanovaite Centre of Oral and Maxillofacial Surgery Institute of DentistryFaculty of MedicineVilnius UniversityVilnius LT-08217Lithuania Department of Pathology Forensic Medicine and PharmacologyInstitute of Biomedical SciencesFaculty of MedicineVilnius UniversityVilnius LT-03101Lithuania Department of Head and Neck Surgery and Oncology National Cancer InstituteVilnius LT-08660Lithuania

BACKGROUND Intercalated duct lesions(IDLs)are considered relatively benign and rare tumors of salivary glands,that were only described *** histopathological appearance may range from ductal hyperplasia to encapsulated adenoma with hybrid patterns of both *** is thought that IDLs may be the precursor for malignant proliferations,therefore their correct diagnosis remains crucial for proper lesion *** is the first reported IDL case arising from the accessory parotid gland(APG),which stands for less frequent but higher malignancy rate tumor developmental *** SUMMARY A 24-years-old male with no accompanying diseases was referred to the hospital with a painless nodule on the right *** physical examination,the stiff,immobile,and painless mass was palpable in the anterior portion of the right parotideomasseteric region,just superior to the parotid *** examination demonstrated 1.5 cm×1.0 cm hypoechogenic mass on the anterior part of the right parotid ***-guided fine needle aspiration cytology,followed by liquid-based fine needle aspiration biopsy were ***,the results were uninformative.A contrast-enhanced magnetic res-onance imaging(MRI)of the parotid was obtained,demonstrating a 1.5 cm×1.0 cm×0.5 cm tumor with high intensity capsule together with low intensity core in the very anterior part of right superficial lobe,situated in the *** MRI features were uncharacteristic to common parotid tumors,therefore surgical resection followed *** histopathological examination,the final diagnosis of hybrid IDL was *** Fine needle aspiration biopsy might not always be diagnostic,and given the malignant potential,the surgical resection of such lesion remains the treatment of choice.

关键词： Intercalated duct lesion Accessory parotid gland Intercalated duct adenoma Intercalated duct hyperplasia Salivary gland Case report

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