Benign lymphoepithelial lesions

Case contributed by Dr Bruno Di Muzio

Presentation

HIV positive, with a history of painless slow-growing swelling in both parotid glands.

Patient Data

Age: 40 years
Gender: Female

CT Salivar glands

CT

Enlarged parotid glands with multiple scattered small cystic lesions, some of them confluent, slightly more prominent on the right. A few parotid gross calcifications are also noted. There is dilatation of the salivary duct on the right, but no definitive obstructive cause/calculus seem.  

Case Discussion

Clinical history and CT findings are compatible with benign lymphoepithelial lesions in HIV patients. 

Benign lymphoepithelial lesions are mixed solid and cystic lesions which enlarge the parotid glands, and are usually associated with cervical lymph node enlargement, and nasopharyngeal lymphofollicular hyperplasia.

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