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首页> 外文期刊>Journal of Surgical Case Reports >Rosai Dorfman Disease presenting as unilateral chronic parotitis
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Rosai Dorfman Disease presenting as unilateral chronic parotitis

机译：罗萨伊·多夫曼病表现为单侧慢性腮腺炎

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We report a 48-year-old man who presents with a 20-month history of left parotid enlargement despite treatment with antibiotics and steroids. He presented with a non-painful palpable mass in his left parotid without facial weakness or otologic symptoms. Fine needle aspiration was inconclusive, and an attempted excisional biopsy was aborted due to involvement of the facial nerve and suspicion of lymphoma. Subsequently, he underwent a total parotidectomy with facial nerve preservation. The specimen yielded results that were consistent with Rosai-Dorfman disease. Of note in our patient is the lack of cervical lymphadenopathy, which classically presents with this condition. Head and neck extranodal involvement, while not unusual for Rosai-Dorfman, is rarely seen in the parotid. Previous reports of this disease found in the parotid indicate an underlying autoimmune process, which was not found in this patient.
机译：我们报道了一名48岁的男性患者，尽管接受了抗生素和类固醇治疗，但仍出现了20个月的左腮腺肿大史。他的左腮腺呈现无痛可触及的肿块，没有面部无力或耳科症状。细针抽吸尚无定论，由于面神经受累和怀疑有淋巴瘤，未进行切除活检。随后，他接受了保留面神经的全腮腺切除术。标本产生的结果与Rosai-Dorfman病相符。在我们的患者中值得注意的是缺乏宫颈淋巴结病，这通常表现为这种情况。头部和颈部的结外受累虽然对Rosai-Dorfman并不罕见，但在腮腺中很少见到。腮腺中发现的该疾病的先前报道表明潜在的自身免疫过程，在该患者中未发现。

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