Parafaringeal Alana Uzanan Rekürren Parotis Bezi Lipomu: Olgu Sunumu

Lipomlar sırt, omuz ve boyunda sık görülen benign yumuşak doku tümörleridir. Parotis bezi lipomu tükrük bezinde seyrek olarak görülen non-epitelyal bir tümördür. Parotis bezi derin lobu kaynaklı lipomlar daha nadir görülürler. Nadir görülmelerinden dolayı parotis tümörlerinin ayırıcı tanısında genellikle düşünülmemektedir; bu yüzden de cerrahi tedavisi tartışmalıdır. Bu yazıda, daha önce farklı zamanlarda dört kez ameliyat edilen, parotis bezi derin lobundankaynaklanan ve parafarengeal alana da uzanan dev lipom olgusu sunulmuştur.

Recurrent Parotid Gland Lipoma Extending Parapharyngeal Region: Case Report

Lipomas are benign soft tissue tumors which are mostly found in the region of back, shoulder and neck. Parotid gland lipoma is a non-epithelial tumor rarely found in salivary gland. Lipomas caused by deep lobe of parotid gland are found much more rarely. Because of the rarity of their occurrence, they are not considered in the differential diagnosis, so surgical treatment of them is controversial. In this study, we present a gland lipoma phenome-na extending to parapharyngeal region which is caused by the deep lobe of parotid gland and was operated four times in different times.

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  • Pal P, Singh B, Sood AS. Unusual parap-haryngeal lipoma. Indian J Otolaryngol Head Neck Surg 2015; 67; 158–60.
  • Yazıcıoğlu AK, Akan H, Çelebi M. Parotid Bezi Lipomu. Tanısal ve Girişimsel Radyoloji 2002; 8: 203-5.
  • Zhong LP, Zhao SF, Chen GF, Ping FY. Ult-rasonographic appearance of lipoma in the oral and maxillofacial region. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 738-40.
  • Ethunandan M, Vura G, T Umar, et al. Li-pomatous lesions of the parotid gland. J Oral Maxillofac Surg 2006; 64: 1583–6.
  • Ulku CH, Uyar Y, Unaldi D. Management of lipomas arising from deep lobe of the parotid gland. Auris Nasus Larynx 2006; 32: 49–53.
  • Özcan M, Tuncel Ü, Ünal A, Arda N, Yalçın F. Parafarengeal kitlelere transservikal-transmandibuler yaklaşım: Dört olgunun su-numu. KBB-Forum 2002; 1: 48-53.
  • Bradley PJ, Guntinas-Lichius O. Salivary gland disorders and diseases: diagnosis and management. Thieme, Stuttgart 2012; 122: 1883-4.
  • Khafif A, Segev Y, Kaplan DM, Gil Z, Fliss DM. Surgical management of parapharyngeal space tumors: a 10-year review. Otolaryngol Head Neck Surg 2005; 132: 401–6.
  • Enzinger FM, Weiss SW. Benign lipomatous tumours. In: Soft Tissue Tumors. St. Louis, MO: CV Mosby; 1995. p.381-430.
  • Mc Daniel RK. Benign mesenchymal neop-lasm: neoplasm of adipose tissue. In: Gnepp EA, ed. Surgical Pathology of the Salivary Glands. Philadelphia; WB. Saundary com-pany; 1991; 503-5.
  • Hosnuter M, Kargi E, Babuccu O, et al. A case of lipoma of the deep lobe of the parotid gland. Kulak Burun Bogaz Ihtis Derg 2003; 10: 167-70.
  • Rodríguez-Ciurana J, Rodado C, Sáez M, Bassas C. Giant parotid pleomorphic adenoma involving the parapharyngeal space: report of a case. J Oral Maxillofac Surg 2000; 58: 1184–7.
  • Stewart MG, Schartz MR, Alfrod BR. Atypi-cal and malignant lipomatous lesions of the head and neck. Arch Otolaryngol Head Neck Surg 1994; 120: 1151-5.
  • Weiner GM, Pahor AL. Deep lobe parotid lipoma: a case report. J Laryngol Otol 1995; 109: 772-3.
  • Po-Han Lee, Jıann-Jy Chen and Yung-An Tsou A. Recurrent sialolipoma of the parotid gland: A case report. Oncology Letters 2014; 7: 1981-3.
  • Eisele DW, Richmon JD. Contemporary eva-luation and management of parapharyngeal space neoplasms. J Laryngol Otol 2013; 127: 550-1.
  • Abie H. Mendelsohn, MD. Transoral robotic assisted resection of the parapharyngeal space. Head and Neck. 2015; 37: 273-80.
Fırat Tıp Dergisi-Cover
  • ISSN: 1300-9818
  • Başlangıç: 2015
  • Yayıncı: Fırat Üniversitesi Tıp Fakültesi