Display options
Share it on

J Surg Case Rep. 2012 Jun 01;2012(6):7. doi: 10.1093/jscr/2012.6.7.

Rosai Dorfman Disease presenting as unilateral chronic parotitis.

Journal of surgical case reports

Jk Byrd, Lj Overton, Ta Goldin, Ej Lentsch

Affiliations

  1. Medical University of South Carolina, Charleston, USA.

PMID: 24960676 PMCID: PMC3862464 DOI: 10.1093/jscr/2012.6.7

Abstract

We report a 48-year-old man who presents with a 20-month history of left parotid enlargement despite treatment with antibiotics and steroids. He presented with a non-painful palpable mass in his left parotid without facial weakness or otologic symptoms. Fine needle aspiration was inconclusive, and an attempted excisional biopsy was aborted due to involvement of the facial nerve and suspicion of lymphoma. Subsequently, he underwent a total parotidectomy with facial nerve preservation. The specimen yielded results that were consistent with Rosai-Dorfman disease. Of note in our patient is the lack of cervical lymphadenopathy, which classically presents with this condition. Head and neck extranodal involvement, while not unusual for Rosai-Dorfman, is rarely seen in the parotid. Previous reports of this disease found in the parotid indicate an underlying autoimmune process, which was not found in this patient.

© JSCR.

References

  1. AJR Am J Roentgenol. 2008 Dec;191(6):W299-306 - PubMed
  2. Arch Pathol Lab Med. 2001 Oct;125(10):1348-50 - PubMed
  3. Semin Diagn Pathol. 1990 Feb;7(1):19-73 - PubMed
  4. Arch Pathol. 1969 Jan;87(1):63-70 - PubMed
  5. Am J Clin Pathol. 1984 Nov;82(5):515-25 - PubMed
  6. J Laryngol Otol. 1997 Nov;111(11):1091-3 - PubMed
  7. Arch Otolaryngol. 1978 Dec;104(12):687-93 - PubMed

Publication Types