Parotid hemangioma

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Author(s)
Sureyya Burcu Gorkem *, MD, Shweta Bhatt, MD and Vikram S Dogra, MD
Research Assistant (SBG)*, Assistant Professor (SB) and Professor (VSD), Radiology
Erciyes University* Kayseri/Turkey, University of Rochester, Rochester NY
Images

Figure Legends : 

Figure 1. (A) Gray scale ultrasound image demonstrates heterogeneous predominantly hypoechoic enlarged right parotid gland , compared to the left parotid gland.
(B) Color Doppler image shows hypervascularity of the right parotid gland

Figure 2. (A) T1-weighted magnetic resonance image reveals a well defined mass in the right parotid gland with intermediate signal intensity
(B) Fat suppressed T2-weighted MR image shows a high signal intensity mass with flow voids .
(C) On gadolinium enhanced T1-weighted MR image the mass shows evidence of intense enhancement

Case Description

Clinical History: 

19 months-old girl with a painless swelling of her right cheek

Diagnosis: 

Parotid hemangioma

Discussion: 

Hemangiomas, one of the most common childhood neoplasms are benign self involuting tumors of endothelial cells that line the blood vessels. They are of three types: capillary, cavernous and mixed [1]. Capillary hemangiomas of infancy are bright red, protuberant, and compressible lesions that are sometimes described as

References / Suggested Reading: 

1. Vazquez E, Enriquez G, Castellote A, Lucaya J, Creixell S, Aso C, Regas J . US, CT, and MR imaging of neck lesions in children Radiographics. 1995 Jan;15(1):105-22
2. Khanna G, Sato Y, Smith RJ, Bauman NM, Nerad J. Causes of facial swelling in pediatric patients: correlation of clinical and radiologic findings Radiographics. 2006 Jan-Feb;26(1):157-71
3. Baker LL, Dillon WP, Hieshima GB, Dowd CF, Frieden IJ. Hemangiomas and vascular malformations of the head and neck: MR characterization AJNR Am J Neuroradiol. 1993 Mar-Apr;14(2):307-14.

Citation:

Parotid hemangioma, Sureyya Burcu Gorkem *, MD, Shweta Bhatt, MD and Vikram S Dogra, MD, Imaging Science Today, 2009, 260.