[Parotid tuberculosis].
Two rare cases of parotid gland tuberculosis are presented, which confirms the rising incidence of tuberculosis in Spain. Preoperative diagnosis is difficult, as the disease may be mistaken for a neoplastic process, and complementary tests, fine needle aspiration biopsy, CAT, analyses and chest X-rays are frequently nonspecific, particularly in the absence of a history of lung tuberculosis. As the diagnosis is histopathological, surgery in the form of a parotidectomy with preservation of the facial nerve is the treatment of choice, followed by 9 months of tuberculostatic medication. Only in cases in which the preoperative evidence (antecedents, chest X-rays) suggests the specific origin of the disease may antituberculosis treatment be given. Positive patient response is diagnostic.
Comeche Cerverón
C
C
Servicio de ORL, Hospital General Universitario, Valencia.
Barona de Guzmán
R
R
Martínez Leandro
E
E
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D015744:Giant Cells, Langhans / Q000648:ultrastructure; D006801:Humans; D008875:Middle Aged; D010306:Parotid Gland / Q000503:physiopathology* / Q000648:ultrastructure; D013902:Radiography, Thoracic; D012469:Salivary Glands / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000175:diagnosis* / Q000503:physiopathology*
Tuberculosis parotídea.