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首页> 外文期刊>Tumori. >An unusual cause of a parotid mass in an immunocompetent host: classic Kaposi's sarcoma.
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An unusual cause of a parotid mass in an immunocompetent host: classic Kaposi's sarcoma.

机译：具有免疫功能的宿主的腮腺肿块的不寻常原因是：经典的卡波济氏肉瘤。

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Kaposi's sarcoma (KS) is a virally driven vascular tumor that usually has a multifocal origin, with multiple vascular nodules in the skin and other organs, particularly the gastrointestinal tract. Four variants of KS have been described: HIV-related, African, iatrogenic and classic. Primary classic KS of the head and neck is rare in any case, but KS arising in intraparotid lymph nodes, especially with no cutaneous involvement, is exceptionally rare. We report the case of an immunocompetent 71-year-old man who presented with a three-month history of a slowly progressive swelling in the right parotid region. After parotidectomy and histopathological diagnosis of lymph node localization of KS, a thorough dermatological examination did not reveal any skin lesions, and chest and abdominal computed tomography scans, esophagogastroduodenoscopy, and fecal occult blood test were all negative for visceral and other lymph node localizations. We here discuss the peculiarity of the presentation, the differential diagnosis, and the management strategy of such a rare disease.
机译：卡波西氏肉瘤（KS）是一种病毒驱动的血管瘤，通常具有多灶性起源，在皮肤和其他器官，尤其是胃肠道中有多个血管结节。已经描述了KS的四个变体：与HIV相关的，非洲的，医源性的和经典的。在任何情况下，头颈部原发性经典KS均很少见，但腮腺内淋巴结中出现的KS尤其罕见，尤其是无皮肤受累时。我们报告了一个有免疫能力的71岁男子的病例，该男子在右腮腺区域出现了三个月的缓慢进行性肿胀病史。腮腺切除术和组织病理学诊断为KS淋巴结定位后，彻底的皮肤病学检查未发现任何皮肤病变，胸部和腹部CT扫描，食管胃十二指肠镜检查和粪便潜血试验均对内脏和其他淋巴结定位均阴性。我们在这里讨论这种特殊疾病的表现，鉴别诊断和治疗策略的特殊性。

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