Sonographic Appearance of a Congenital Parotid Gland Hemangiolymphangioma Simulating Malignancy in an Infant

T. Thomas Zacharia, Asha Ittoop, James Joseph Perumpillichira, Govind Chavhan

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Congenital hemangiolymphangioma, also called mixed angioma, is a benign tumor that very rarely occurs in the parotid gland. We present a rare case of hemangiolymphangioma of the parotid gland in a 4-month-old boy whose clinical and radiologic presentation simulated malignancy. Gray-scale and color Doppler sonography revealed an enlarged left parotid gland and inhomogeneous hypoechoic and hyperechoic areas scattered throughout the gland. Mild internal vascularity was noted on color Doppler sonographic examination. CT revealed a predominantly fatty mass involving the superficial lobe of the parotid gland. The results of fine-needle aspiration cytology were inconclusive, and total parotidectomy was performed. Histopathologic examination of surgical specimens confirmed a diagnosis of hemangiolymphangioma. The patient recovered well and was free of recurrence at the 6-month follow-up visit. To our knowledge, this case report is the first to describe the findings of congenital hemangiolymphangioma of the parotid gland on sonography and CT. This rare diagnosis should be considered in neonates and infants presenting with a rapidly growing parotid gland tumor suggesting malignancy. Histopathologic examination is necessary to confirm the diagnosis.

Original languageEnglish
Pages (from-to)493-496
Number of pages4
JournalJournal of Clinical Ultrasound
Volume31
Issue number9
DOIs
Publication statusPublished - 01-11-2003
Externally publishedYes

Fingerprint

salivary glands
Parotid Gland
Neoplasms
examination
tumors
cytology
Doppler Color Ultrasonography
color
glands
gray scale
Hemangioma
Fine Needle Biopsy
needles
lobes
Cell Biology
Ultrasonography
Color
Newborn Infant
Recurrence
vacuum

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

Cite this

Zacharia, T. Thomas ; Ittoop, Asha ; Perumpillichira, James Joseph ; Chavhan, Govind. / Sonographic Appearance of a Congenital Parotid Gland Hemangiolymphangioma Simulating Malignancy in an Infant. In: Journal of Clinical Ultrasound. 2003 ; Vol. 31, No. 9. pp. 493-496.
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Sonographic Appearance of a Congenital Parotid Gland Hemangiolymphangioma Simulating Malignancy in an Infant. / Zacharia, T. Thomas; Ittoop, Asha; Perumpillichira, James Joseph; Chavhan, Govind.

In: Journal of Clinical Ultrasound, Vol. 31, No. 9, 01.11.2003, p. 493-496.

Research output: Contribution to journalArticle

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