Cavernous hemangioma of the parotid gland in adults

Parotid hemangiomas are rare in adults. Whereas both capillary and cavernous hemangiomas are seen in children, only cavernous hemangiomas have thus far been reported in adults. Clinically, cavernous hemangiomas usually present as slowly growing, soft or firm, movable, painless parotid masses. Severe...

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Bibliographic Details
Published in:HNO 2005-10, Vol.53 (10), p.879-883
Main Authors: Tisch, M, Kraft, K, Danz, B, Maier, H
Format: Article
Language:ger
Subjects:
Adult
Hemangioma, Cavernous - diagnosis
Hemangioma, Cavernous - surgery
Humans
Male
Middle Aged
Parotid Neoplasms - diagnosis
Parotid Neoplasms - surgery
Preoperative Care - methods
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Summary:Parotid hemangiomas are rare in adults. Whereas both capillary and cavernous hemangiomas are seen in children, only cavernous hemangiomas have thus far been reported in adults. Clinically, cavernous hemangiomas usually present as slowly growing, soft or firm, movable, painless parotid masses. Severe pain and swelling can occur, however, depending on the size of the hemangioma or in particular in the presence of acute hemorrhage or thrombosis. CT and MRI are the diagnostic tools of choice. Prior to surgery, magnetic resonance angiography or intra-arterial digital subtraction angiography should be performed to investigate the vascular supply of the tumor. Surgical excision is the treatment of choice for small lesions. Large cavernous hemangiomas usually require superficial or total parotidectomy. Especially in the case of extended lesions, the facial nerve may be difficult to identify and should be monitored intraoperatively.
ISSN:0017-6192
1433-0458
DOI:10.1007/s00106-004-1147-4