The Journal of Laryngology & Otology

Table of Contents - October 1999 - Volume 113, Issue 10  

Clinical Records

The changing faces of a parotid mass

S. S. Hehara1 c1, J. Dugara1 and J. Sharpa1

a1 Department of Otorhinolaryngology – Head and Neck Surgery, Derbyshire Royal Infirmary, Derby, UK.

Abstract

The development of a neurofibroma in the temporal and parotid regions of the facial nerve is rare. We report a case occurring in a 32-year-old male, where the initial presentation was a parotid mass. Cytologically this was initially thought to be a pleomorphic adenoma. However, the diagnosis was then changed to a schwannoma and finally a neurofibroma after complete excision of the lesion. The case illustrates how fine needle aspiration cytology under ultrasound guidance, and even histological examination of an incision biopsy can sometimes fail to give the correct diagnosis. In this case magnetic resonance imaging was used to help plan definitive surgery.

(Accepted May 18 1999)

Key words

Correspondence:

c1 Address for correspondence: Mr S. S. Hehar, Department of Otorhinolaryngology-HNS, Derbyshire Royal Infirmary, London Road, Derby.

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