Abstract
A variety of neoplastic and non-neoplastic lesions of the parotid gland can present with a predominantly cystic architecture, and although radiologists frequently encounter cystic parotid tumors, other non-neoplastic lesions should also be included in the differential diagnoses of cystic parotid lesions. Non-neoplastic cystic lesions are usually classified as either congenital/acquired cystic lesions or inflammatory/infectious lesions. Adequate knowledge about these rare conditions is essential for appropriate diagnosis and optimal treatment strategy. This review article describes CT and MR imaging features of non-neoplastic cystic lesions of the parotid gland and provides helpful suggestions on the differential diagnoses for cystic parotid lesions.
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Kato H, Kanematsu M, Watanabe H, Mizuta K, Aoki M. Salivary gland tumors of the parotid gland: CT and MR imaging findings with emphasis on intratumoral cystic components. Neuroradiology. 2014;56(9):789–95.
Takita H, Takeshita T, Shimono T, Tanaka H, Iguchi H, Hashimoto S, et al. Cystic lesions of the parotid gland: radiologic-pathologic correlation according to the latest world health organization 2017 classification of head and neck tumours. Jpn J Radiol. 2017;35(11):629–47.
Triglia JM, Nicollas R, Ducroz V, Koltai PJ, Garabedian EN. First branchial cleft anomalies: a study of 39 cases and a review of the literature. Arch Otolaryngol Head Neck Surg. 1998;124(3):291–5.
Adams A, Mankad K, Offiah C, Childs L. Branchial cleft anomalies: a pictorial review of embryological development and spectrum of imaging findings. Insights Imaging. 2016;7(1):69–766.
Van der Goten A, Hermans R, Van Hover P, Crevits I, Baert AL. First branchial complex anomalies: report of 3 cases. Eur Radiol. 1997;7(1):102–5.
Koeller KK, Alamo L, Adair CF, Smirniotopoulos JG (1999) Congenital cystic masses of the neck: radiologic-pathologic correlation. Radiographics. 19(1), 121–146 (quiz 52–3).
Joshi J, Shah S, Agarwal D, Khasgiwal A. Benign lymphoepithelial cyst of parotid gland: review and case report. J Oral Maxillofac Pathol. 2018;22(Suppl 1):S91–S9797.
Arutyunyan S, Uhde M. Benign lymphoepithelial lesion of the parotid gland in the setting of HAART. J Int Assoc Provid AIDS Care. 2017;16(2):120–4.
Abdel Razek AAK, Mukherji S. Imaging of sialadenitis. Neuroradiol J. 2017;30(3):205–15.
Olsen WL, Jeffrey RB Jr, Sooy CD, Lynch MA, Dillon WP. Lesions of the head and neck in patients with AIDS: CT and MR findings. AJR Am J Roentgenol. 1988;151(4):785–90.
Ma Q, Song H. Diagnosis and management of lymphoepithelial lesion of the parotid gland. Rheumatol Int. 2011;31(7):959–62.
Sun Z, Zhang Z, Fu K, Zhao Y, Liu D, Ma X. Diagnostic accuracy of parotid CT for identifying Sjogren's syndrome. Eur J Radiol. 2012;81(10):2702–9.
Vinayachandran D, Sankarapandian S. Salivary duct cyst: histo-pathologic correlation. J Clin Imaging Sci. 2013;3(Suppl 1):3.
Lee AD, Mima T, Morimoto Y, Takigawa Y. Salivary duct cyst of accessory parotid gland in contact with the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(4):e108–e112112.
Chaitanya P, Praveen D, Reddy M. Mucocele on lower lip: a case series. Indian Dermatol Online J. 2017;8(3):205–7.
Gadodia A, Bhalla AS, Sharma R, Thakar A, Parshad R. MR sialography of iatrogenic sialocele: comparison with conventional sialography. Dentomaxillofac Radiol. 2011;40(3):147–53.
Yigit N, Karslioglu Y, Yildizoglu U, Karakoc O. Dermoid cyst of the parotid gland: report of a rare entity with literature review. Head Neck Pathol. 2015;9(2):286–92.
Flores RBJ, Brea AB, Sanabria SAA, Andrus RF, Espinosa MM, Ramos GC, et al. Sialodochitis fibrinosa (kussmaul disease) report of 3 cases and literature review. Medicine (Baltimore). 2016;95(42):e5132.
Baer AN, Okuhama A, Eisele DW, Tversky JR, Gniadek TJ. Eosinophilic sialodochitis: redefinition of 'allergic parotitis' and 'sialodochitis fibrinosa'. Oral Dis. 2017;23(7):840–8.
Marashi S, Hosseini VS, Saliminia A, Yaghooti A. Anaphylactic shock during pulmonary hydatid cyst surgery. Anesth Pain Med. 2014;4(3):e16725.
Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A (2003) Hydatid disease from head to toe. Radiographics. 23(2), 475–94 (quiz 536–7).
Darabi M, Varedi P, Mohebi AR, Mahmoodi S, Varedi P, Nabavizadeh SA, et al. Hydatid cyst of the parotid gland. Oral Maxillofac Surg. 2009;13(1):33–5.
Safioleas M, Giannopoulos A, Manti C, Stamatakos M, Safioleas K, Stavrou E. Hydatid disease of the parotid gland: a rare case report. Parasitol Int. 2007;56(3):247–9.
Gittinger FS, Raible A, Kempf VA. Non-tuberculous mycobacterial infection of the parotid gland in an immunosuppressed adult. J Med Microbiol. 2008;57(Pt 4):536–9.
Kato H, Kanematsu M, Kato Z, Teramoto T, Mizuta K, Aoki M, et al. Necrotic cervical nodes: usefulness of diffusion-weighted MR imaging in the differentiation of suppurative lymphadenitis from malignancy. Eur J Radiol. 2013;82(1):e28–35.
Kim YY, Lee DH, Yoon TM, Lee JK, Lim SC. Parotid abscess at a single institute in Korea. Medicine (Baltimore). 2018;97(30):e11700.
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Kato, H., Kawaguchi, M., Ando, T. et al. CT and MR imaging findings of non-neoplastic cystic lesions of the parotid gland. Jpn J Radiol 37, 627–635 (2019). https://doi.org/10.1007/s11604-019-00858-8
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DOI: https://doi.org/10.1007/s11604-019-00858-8