Giant lipoma arising from the deep lobe of the parotid gland: Case report

Year 2015, Volume: 5 Issue: 1, 15 - 19, 07.09.2015

Mümtaz Taner Torun Yusuf Yalçın Ümit Tuncel

https://doi.org/10.5505/sakaryamj.2015.08108

Abstract

Lipomas in the head and neck region are uncommon. Rarely, they can develop in the parotid gland with reported incidence ranges from 0,6 to 4,4% among parotid tumors. The deep lobe of parotid gland lipoma is even rarer clinical entity. They are mostly a painless, asymptomatic and slow growing swelling. Because of their rarity, they are not often considered in the differential diagnosis of parotid tumors. Therefore, surgical management of lipomas in the parotid gland is controversial.In this article we described a case of giant lipoma arising from the deep lobe of the parotid gland and also extended to the parapharyngeal space.

Keywords

Lipoma, parotid gland, deep lobe, parapharyngeal space.

Parotis bezi derin lobtan kaynaklanan dev lipom: Olgu sunumu

Abstract

Baş ve boyun bölgesindeki lipomlar göreceli olarak seyrektir.Nadiren parotis bezinden kaynaklanırlar, parotis tümörlerinin % 0,6-4,4 ünü lipomlar oluştururlar. Parotis bezi derin lobu kaynaklı lipomlar daha da nadir görülürler.Çoğunlukla asemptomatik, ağrısız ve yavaş büyüyen şişlik olarak kendini belli eder.Nadir görülmelerinden dolayı parotis tümörlerinin ayırıcı tanısında akla gelmezler bu yüzden de cerrahi tedavisi tartışmalıdır.Bu makalede parotis bezi derin lobtan kaynaklanan ve parafarengeal alana da uzanan dev lipomlu bir olgu sunulmuştur.

Keywords

Lipom, parotis, derin lob, parafarengeal alan.

References

• Wu CW, Chi HP, Chiang FY, Hsu YC, Chan LP, Kuo WR. Giant lipoma arising from deep lobe of the parotid gland. World J Surg Oncol. 2006; Jun 2;4:28.
• El-Monem MH, Gaafar AH, Magdy EA: Lipomas of the head and neck: presentation variability and diagnostic work-up. J Laryngol Otol. 2006; 120(1):47-55.
• Walts AE, Perzik SL: Lipomatous lesions of the parotid area. Arch Otolaryngol 1976; 102(4):230-232.
• Seifert G, Donath K, Scha¨ fer R: Lipomatous pleomorphic adenoma of the parotid gland: classification of lipomatous tissue in salivary glands. Pathol Res Pract. 1999;195: 247– 252,.
• Nagao T, Sugano I, Ishida Y, Asoh A, Munakata S, Yamazaki K, et al. Sialolipoma: a report of seven cases of a new variant of salivary gland lipoma. Histopathology. 2001 Jan;38(1):30-36.
• Chakravarti A, R Dhawan, Shashidhar TB, Shakuntala, Sahni JK. Lipoma of the deep lobe of parotid gland – a case report and review of literature. Indian J. Otolaryngol. Head Neck Surg.(April–June 2008); 60: 194–196.
• Gooskens I, Manni JJ. Lipoma of the deep lobe of the parotid gland: report of 3 cases. ORL J Otorhinolaryngol Relat Spec. 2006;68(5):290-295.
• Ryu JW, Lee MC, Myong NH, Chung M, Park DK, Kim JT, et al. Lipoma of the parotid gland. J Korean Med Sci. 1996 Dec;11(6):522-525.
• Kim DS, Kwon H, You G, Jung SN. Surgical treatment of a giant lipoma in the parotid gland. J Craniofac Surg. 2009 Sep;20(5):1601-1602.
• Doğan S, Can IH, Unlü I, Süngü N, Gönültaş MA, Samim EE. Sialolipoma of the parotid gland. J Craniofac Surg. 2009 May;20(3):847-848.