Sclerosing polycystic adenosis of the parotid gland: diagnosis and management.
OBJECTIVE
To describe diagnostic and therapeutic management of a rare parotid lesion: sclerosing polycystic adenosis.


METHODS
We report a case of persistent right intraparotid tumefaction.


RESULTS
A 68-year-old man was referred with a right parotid nodule of 2 years' evolution. Cytology diagnosed pleomorphic adenoma, verified on MRI. Conservative subtotal parotidectomy diagnosed sclerosing polycystic adenosis. Over 1 year's regular follow-up, there were no signs of local recurrence.


CONCLUSIONS
Sclerosing polycystic adenosis of the parotid gland is a rare and recently described entity presenting several analogies to the much more frequent cystic mastitis. Although benign and well-delimited, it requires complete exeresis of the parotid, due to a non-negligible risk of recurrence.
Perottino
F
F
Escartons Hospital, Briançon, France.
Barnoud
R
R
Ambrun
A
A
Poupart
M
M
Pignat
J-C
JC
Merrot
O
O
D008949:Adenoma, Pleomorphic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010306:Parotid Gland / Q000473:pathology / Q000601:surgery; D010307:Parotid Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D012598:Sclerosis