title: Cavernous hemangioma of the parotid gland in adults.
abstract: Hemangiomas account for 0.4-0.6% of all tumors of the parotid gland and most of them occur in children, nevertheless in adults hemangiomas are very rare. We report the case of a 62 year old woman with a mass in the parotid right tail associated with fluctuating swelling episodes unrelated to meals and with a slowly progressive growth. The provisional diagnosis was a pleomorphic adenoma, so a right superficial parotidectomy was performed. During surgery, the macroscopic appearance makes suspect a vascular lesion. The histopathological result was a cavernous hemangioma. The classic clinical presentation of a parotid hemangioma is an intraglandular mass associated or not with skin lesions characterized by reddish macules and/or papules, and a vibration or pulsation when palpating the parotid region. In imaging tests, phleboliths could be observed which are very suggestive of a hemangioma or a vascular malformation. In the absence of these signs, the diagnosis could be difficult, particularly in an adult due to its low prevalence, with about 50 cases reported worldwide. However a hemangioma should be considered in the differential diagnosis of parotid tumors in adults. Key words:Cavernous hemangioma, parotid gland, superficial parotidectomy, pleomorphic adenoma.
authors: M.D, ENT Resident. Otolaryngology Head and Neck Surgery Department. Río Hortega University Hospital.Valladolid, Spain.
authors: Hugo
authors: H
authors: Lara-Sánchez
authors: M.D, Oral and Maxillofacial Surgeon. Oral and Maxillofacial Surgery Department. Río Hortega University Hospital. Valladolid, Spain.
authors: Beatriz
authors: B
authors: Peral-Cagigal
authors: M.D, Pathology Physician. Pathology Department. Río Hortega University Hospital. Valladolid, Spain.
authors: Beatriz
authors: B
authors: Madrigal-Rubiales
authors: Chief of Oral and Maxillofacial Surgery. Oral and Maxillofacial Surgery Department. Río Hortega University Hospital. Valladolid, Spain.
authors: Alberto
authors: A
authors: Verrier-Hernández