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Large Parotid Gland Lipoblastoma in a Teenager

BACKGROUND: Lipoblastomas are rare benign neoplasms that arise from fetal white fat cells. They are typically found in children under the age of 3 and have been reported in the mediastinum, extremities, and infrequently in the head and neck. We present a rare case of a lipoblastoma arising from the...

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Autores principales: Jandali, Danny, Heilingoetter, Ashley, Ghai, Ritu, Jeffe, Jill, Al-Khudari, Samer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854657/
https://www.ncbi.nlm.nih.gov/pubmed/29594083
http://dx.doi.org/10.3389/fped.2018.00050
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author Jandali, Danny
Heilingoetter, Ashley
Ghai, Ritu
Jeffe, Jill
Al-Khudari, Samer
author_facet Jandali, Danny
Heilingoetter, Ashley
Ghai, Ritu
Jeffe, Jill
Al-Khudari, Samer
author_sort Jandali, Danny
collection PubMed
description BACKGROUND: Lipoblastomas are rare benign neoplasms that arise from fetal white fat cells. They are typically found in children under the age of 3 and have been reported in the mediastinum, extremities, and infrequently in the head and neck. We present a rare case of a lipoblastoma arising from the parotid gland and the first known report of a parotid lipoblastoma in a teenager. CASE PRESENTATION: A 15-year-old male presented with a painless, slowly enlarging parotid mass and left facial swelling. A fine needle aspiration was non-diagnostic and initial MRI showed a 3.8 cm × 5.0 cm × 4.0 cm fatty lesion involving the superficial and deep lobes of the left parotid gland and masticator space with widening of the stylo-mandibular tunnel and thinning of the adjacent mandibular condyle. The patient was taken to the operating room, and the mass was excised under general anesthesia via a transcervical parotid approach with facial nerve monitoring. The most superficial aspect of the parotid bed was spared and with upper and lower divisions of the facial nerve preserved. The tumor, which primarily involved the deep lobe of the parotid, was entirely excised. Final pathology revealed a 5.2 cm lipoblastoma. The patient did well post-operatively with full function of the facial nerve and 20 months of follow up without evidence of recurrence. CONCLUSION: This is the first reported case of a lipoblastoma of the parotid gland in a teenager. Although a rare tumor, it should be considered in the differential diagnosis of a parotid mass in this population.
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spelling pubmed-58546572018-03-28 Large Parotid Gland Lipoblastoma in a Teenager Jandali, Danny Heilingoetter, Ashley Ghai, Ritu Jeffe, Jill Al-Khudari, Samer Front Pediatr Pediatrics BACKGROUND: Lipoblastomas are rare benign neoplasms that arise from fetal white fat cells. They are typically found in children under the age of 3 and have been reported in the mediastinum, extremities, and infrequently in the head and neck. We present a rare case of a lipoblastoma arising from the parotid gland and the first known report of a parotid lipoblastoma in a teenager. CASE PRESENTATION: A 15-year-old male presented with a painless, slowly enlarging parotid mass and left facial swelling. A fine needle aspiration was non-diagnostic and initial MRI showed a 3.8 cm × 5.0 cm × 4.0 cm fatty lesion involving the superficial and deep lobes of the left parotid gland and masticator space with widening of the stylo-mandibular tunnel and thinning of the adjacent mandibular condyle. The patient was taken to the operating room, and the mass was excised under general anesthesia via a transcervical parotid approach with facial nerve monitoring. The most superficial aspect of the parotid bed was spared and with upper and lower divisions of the facial nerve preserved. The tumor, which primarily involved the deep lobe of the parotid, was entirely excised. Final pathology revealed a 5.2 cm lipoblastoma. The patient did well post-operatively with full function of the facial nerve and 20 months of follow up without evidence of recurrence. CONCLUSION: This is the first reported case of a lipoblastoma of the parotid gland in a teenager. Although a rare tumor, it should be considered in the differential diagnosis of a parotid mass in this population. Frontiers Media S.A. 2018-03-09 /pmc/articles/PMC5854657/ /pubmed/29594083 http://dx.doi.org/10.3389/fped.2018.00050 Text en Copyright © 2018 Jandali, Heilingoetter, Ghai, Jeffe and Al-Khudari. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Jandali, Danny
Heilingoetter, Ashley
Ghai, Ritu
Jeffe, Jill
Al-Khudari, Samer
Large Parotid Gland Lipoblastoma in a Teenager
title Large Parotid Gland Lipoblastoma in a Teenager
title_full Large Parotid Gland Lipoblastoma in a Teenager
title_fullStr Large Parotid Gland Lipoblastoma in a Teenager
title_full_unstemmed Large Parotid Gland Lipoblastoma in a Teenager
title_short Large Parotid Gland Lipoblastoma in a Teenager
title_sort large parotid gland lipoblastoma in a teenager
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854657/
https://www.ncbi.nlm.nih.gov/pubmed/29594083
http://dx.doi.org/10.3389/fped.2018.00050
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