Management of benign lymphoepithelial lesions of the parotid gland in human immunodeficiency virus-positive patients.
The diagnosis and radiotherapeutic treatment of these HIV-associated benign lymphoepithelial lesions in the parotid gland are discussed. As an example of these lesions, a case is presented involving a 43-year-old HIV-infected man with a 2-year history of enlargements in both parotid glands. After evaluation by computer tomography and cytology, the diagnosis of benign lymphoepithelial lesions was made. Treatment by low-dose radiotherapy (15 Gy) caused regression of both lesions. The lesion on the left regressed completely, but the one on the right side responded only partially. A second course of high-dose radiotherapy (24 Gy) to the right lesion caused regression to a cosmetically acceptable size.
Kooper
D P
DP
Department of Otolaryngology/Head and Neck Surgery, University Hospital Vrije Universiteit, Amsterdam, The Netherlands.
Leemans
C R
CR
Hulshof
M C
MC
Claessen
F A
FA
Snow
G B
GB
D000328:Adult; D003560:Cysts / Q000150:complications / Q000000981:diagnostic imaging* / Q000532:radiotherapy*; D004307:Dose-Response Relationship, Radiation; D004848:Epithelium; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D008221:Lymphoid Tissue / Q000000981:diagnostic imaging*; D008297:Male; D010307:Parotid Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000532:radiotherapy*; D014057:Tomography, X-Ray Computed