Giant Congenital Sialolipoma of Parotid Gland with Parapharyngeal Extension

Document Type : Case Report

Authors

1 Department of Otorhinolaryngology, Dokuz Eylül University School of Medicine, Izmir, Turkey.

2 Department of Radiology, Dokuz Eylül University School of Medicine, Izmir, Turkey.

3 Department of Pathology, Dokuz Eylül University School of Medicine, Izmir, Turkey.

Abstract

Introduction:
Sialolipoma is an extremely rare salivary gland tumor characterized by a well circumscribed mass composed of glandular tissue and mature adipose elements. Herein our aim was to present the fifth case of congenital sialolipoma, which was firstly followed up as a parotid gland hemangioma, and underline the fact that sialolipomas should be kept in mind in the differential diagnosis of congenital parotid gland masses.
 
Case Report:
A 10-month old male presented with a left-sided huge neck mass which progressed after birth. Radiologic examination revealed a tumor originating from the parotid gland filling the parapharyngeal space. Histopathologic examination of an incisional biopsy was consistent with sialolipoma. A total parotidectomy with preservation of the facial nerve was performed at the age of 1 year. The postoperative recovery was uneventful with normal facial nerve function. There was no recurrence at the 24-month follow-up.
 
Conclusion:
Although it is a very rare benign tumor, congenital sialolipoma should be kept in mind in the differential diagnosis of congenital parotid mass.

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Main Subjects

References

1. Nagao T, Sugano I, Ishida Y, Asoh A, Munakata S, Yamazaki K, et al. Sialolipoma: a report of seven cases of a new variant of salivary gland lipoma. Histopathology 2011; 38: 30–6.
2. Hornigold R, Morgan PR, Pearce A, Gleeson MJ. Congenital sialolipoma of the parotid gland first reported case and review of the literature. Int J Pediatr Otorhinolaryngol 2005;69:429–34.
3. Mazlumoglu MR, Altas E, Oner F, Ucuncu H, Calik M. Congenital Sialolipoma in an Infant. J Craniofac Surg 2015;26:696–7.
4. Kidambi T, Been MJ, Maddalozzo J. Congenital sialolipoma of the parotid gland: presentation, diagnosis, and management. Am J Otolaryngol 2012;33:279–81.
5. Bansal B, Ramavat AS, Gupta S, Singh S, Sharma A, Gupta K, et al. Congenital sialolipoma of parotid gland: a report of rare and recently described entity with review of literature. Pediatr Dev Pathol 2007;10:244–6.
6. Sato K, Gotoh C, Uchida H, Kawashima H, Yoshida M, Kitano Y, et al. Sialolipoma of the submandibular gland in a child. J Pediatr Surg 2011; 46:408–10.
7. Huerta EL, Rivera DQ, Rocha FT, Tapia JL, Robertson JR, Cepeda LAG. Sialolipoma of minor salivary glands: presentation of five cases and review of the literature with an epidemiological analyze. Indian J Otolaryngol Head Neck Surg 2015;67(Suppl1):105–9.
8. Doğan S, Can IH, Unlü I, Süngü N, Gönültaş MA, Samim EE. Sialolipoma of the parotid gland. J Craniofac Surg 2009;20:847–8.
9. Agaimy A. Fat-containing salivary gland tumors: a Review. Head Neck Pathol 2013;7 Suppl 1:90–6.
10. Kadivar M, Shahzadi SZ, Javadi M. Sialolipoma of the parotid gland with diffuse sebaceous differentiation in a female child. Pediatr Dev Pathol 2007;10:138–41.
Iranian Journal of Otorhinolaryngology
Volume 31, Issue 2
March and April 2019
Pages 119-122

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