A man in his 60s presented with a 1-year history of a palpable painless mass over the right parotid area. No facial pain, local tenderness, or facial palsy was noted. Physical examination revealed a 2.5 x 2.5-cm, freely movable, elastic, nontender mass over the right parotid area. A head and neck fat-suppressed, postcontrast T1-weighted image demonstrated a 1.7-cm multilocular peripherally enhancing mass in the anterior superficial lobe of the right parotid gland (Figure, A, arrowhead). On clinical and radiological grounds, the most likely diagnosis was thought to be pleomorphic adenoma or War-thin tumor. Right superficial parotidectomy was performed, and the entire lesion was surgically removed without complications. There was no recurrence at the 5-month follow-up.
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机译:一名60多岁的男子在右腮腺区域出现1年可触及的无痛肿块病史。没有发现面部疼痛,局部压痛或面神经麻痹。体格检查发现在右腮腺区域有一个2.5 x 2.5厘米,可自由移动,有弹性的非嫩块。头颈部脂肪抑制的,对比鲜明的T1加权图像显示出右腮腺前表浅叶中有一个1.7厘米的多眼外围增强肿块(图A)。从临床和放射学的角度来看,最可能的诊断被认为是多形性腺瘤或薄型肿瘤。进行了右浅腮腺切除术,并通过外科手术切除了整个病变而没有并发症。在5个月的随访中没有复发。
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