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Atheroma of the facial artery mimicking a parotid gland tumor

View Article: PubMed Central - PubMed

ABSTRACT

Introduction:: Atheroma of the facial artery is an extremely rare disease.

Clinical findings/patient concerns:: Herein, we report an extremely rare case of an atheroma arising from the facial artery, mimicking a parotid gland tumor.

Diagnoses:: The preoperative diagnosis was a right-sided parotid gland tumor.

Interventions:: We performed removal of the right parotid gland tumor, via a modified face-lift incision.

Outcomes:: Histological examination of the specimen revealed an atheroma of the facial artery.

Conclusion:: Clinicians should consider atheroma in the differential diagnosis of tumors arising around the parotid gland.

No MeSH data available.


Related in: MedlinePlus

Histological examination of the specimen showed that the vascular lumen is obliterated by an atherosclerotic plaque. The atheroma showed a necrotic area with scattered inflammatory cells and fibrous thickening with calcification. (hematoxylin and eosin stain, ×10).
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Figure 3: Histological examination of the specimen showed that the vascular lumen is obliterated by an atherosclerotic plaque. The atheroma showed a necrotic area with scattered inflammatory cells and fibrous thickening with calcification. (hematoxylin and eosin stain, ×10).

Mentions: On the basis of these observations, the preoperative diagnosis was a right-sided parotid gland tumor in the parotid tail or accessory parotid gland. We performed removal of the right parotid gland tumor, via a modified face-lift incision under general anesthesia. After making an incision, intraoperative exploration revealed a hard, black colored tumor underneath the facial nerve branch in front of the parotid gland (Fig. 2). Operation revealed that the mass originated from the facial artery. After ligation of the facial artery, the mass was completely excised without causing facial nerve damage. Histological examination of the specimen revealed an atheroma with calcification (Fig. 3). The postoperative course was uneventful. At the last follow-up, there has been no recurrence, and the patient remains asymptomatic. This study was approved by the institutional review board of the Chonnam National University Hwansun Hospital. Informed consent was given by the patient.


Atheroma of the facial artery mimicking a parotid gland tumor
Histological examination of the specimen showed that the vascular lumen is obliterated by an atherosclerotic plaque. The atheroma showed a necrotic area with scattered inflammatory cells and fibrous thickening with calcification. (hematoxylin and eosin stain, ×10).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120937&req=5

Figure 3: Histological examination of the specimen showed that the vascular lumen is obliterated by an atherosclerotic plaque. The atheroma showed a necrotic area with scattered inflammatory cells and fibrous thickening with calcification. (hematoxylin and eosin stain, ×10).
Mentions: On the basis of these observations, the preoperative diagnosis was a right-sided parotid gland tumor in the parotid tail or accessory parotid gland. We performed removal of the right parotid gland tumor, via a modified face-lift incision under general anesthesia. After making an incision, intraoperative exploration revealed a hard, black colored tumor underneath the facial nerve branch in front of the parotid gland (Fig. 2). Operation revealed that the mass originated from the facial artery. After ligation of the facial artery, the mass was completely excised without causing facial nerve damage. Histological examination of the specimen revealed an atheroma with calcification (Fig. 3). The postoperative course was uneventful. At the last follow-up, there has been no recurrence, and the patient remains asymptomatic. This study was approved by the institutional review board of the Chonnam National University Hwansun Hospital. Informed consent was given by the patient.

View Article: PubMed Central - PubMed

ABSTRACT

Introduction:: Atheroma of the facial artery is an extremely rare disease.

Clinical findings/patient concerns:: Herein, we report an extremely rare case of an atheroma arising from the facial artery, mimicking a parotid gland tumor.

Diagnoses:: The preoperative diagnosis was a right-sided parotid gland tumor.

Interventions:: We performed removal of the right parotid gland tumor, via a modified face-lift incision.

Outcomes:: Histological examination of the specimen revealed an atheroma of the facial artery.

Conclusion:: Clinicians should consider atheroma in the differential diagnosis of tumors arising around the parotid gland.

No MeSH data available.


Related in: MedlinePlus