Parotid hematoma - post FNA

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Left facial swelling. Parotid FNA a few days ago.

Patient Data

Age: 75 years
ct

Large 70 HU mass in the superficial left parotid lobe; no involvement of the deep parotid. Mild adjacent fat stranding.

Normal appearance of the right parotid and both submandibular glands. No enlarged cervical lymph nodes.

Case Discussion

Bleeding after FNA is an uncommon complication (<2%). Whether this patient was at higher risk (e.g. anticoagulant therapy) is not known.

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