Histiocytic necrotizing lymphadenitis (Kikuchi-Fujimoto disease, KFD) is a benign self-limiting lesion that can self-heal when no severe symptoms are present. KFD resembles tuberculous lymphadenitis and malignant lymphoma. Thus, early differential diagnosis will minimize unnecessary evaluation and treatment. Histological examination of a lymph node biopsy or fine needle aspiration could be a reliable method for KFD diagnosis. This study reports a case of histiocytic necrotizing lymphadenitis of the right cervical lymph node in a 52-year-old female patient. According to the fine needle aspiration biopsy result, the patient was diagnosed with Kikuchi-Fujimoto disease and treated with prednisolone (15 mg/day). After treatment, there was no recurrence or adverse event.
Pleomorphic adenoma (PA) is the most common benign salivary gland tumor. Being pleomorphic, its histologic characteristics can be considerably varied, showing epithelial (ductal and non-ductal) cells and mesenchyme-like tissues (chondroid, myxoid, and osseous). Here, we present a rare case of a 76-year-old female presenting with a 2.0 cm PA with an epidermoid cyst of minor salivary glands on the soft palate.
Carcinoma ex pleomorphic adenoma (Ca ex PA) is an uncommon malignant tumor. It is an aggressive salivary carcinoma, arising from a primary or recurrent benign pleomorphic adenoma (PA). The most common clinical presentation of Ca ex PA is a firm mass in the parotid gland. Here we report a case of Ca ex PA, arising from a recurrent benign PA in the right parotid gland, in a 70-year old female patient. The lesion was first diagnosed as a PA and a superficial parotidectomy was performed. Re-operation was performed for recurrent PA. The second recurrence was diagnosed as Ca ex PA.
Pilomatricoma is the second most common benign dermal-subcutaneous tumor of the head and neck region, after epidermoid cyst, originating from the outer sheath cells of the hair follicle. It can be easily treated with surgical excision. However, it is a relatively unknown skin lesion to maxillofacial surgeons. Therefore, we report a case of pilomatricoma occuring inferolateral area of the parotid gland in a 54-year-old man; with a review of the relevant literature.