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Research ArticleHead and NeckF

Oncocytoma: The Vanishing Parotid Mass

N.D. Patel, A. van Zante, D.W. Eisele, H.R. Harnsberger and C.M. Glastonbury
American Journal of Neuroradiology October 2011, 32 (9) 1703-1706; DOI: https://doi.org/10.3174/ajnr.A2569
N.D. Patel
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A. van Zante
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D.W. Eisele
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H.R. Harnsberger
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C.M. Glastonbury
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    Fig 1.

    Case 1, 62-year-old female with 2-year history of firm, painless left parotid mass. A, Axial T1-weighted MR image shows a well-demarcated mass within the superficial lobe of the left parotid gland (white arrow) that is T1 hypointense. B, Axial T2-weighted MR image with fat saturation shows the mass (white arrow) to be isointense to the native parotid gland. C, Axial T1-weighted postgadolinium sequences illustrates the mass (white arrow) as isointense to the native parotid gland.

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    Fig 2.

    Case 5, 55-year-old woman with painless “lump” behind her left ear. A, Axial T1-weighted MR image shows a well-demarcated mass within the superficial and deep lobe of the left parotid gland (white arrow) that is T1 hypointense. B, Axial T2-weighted MR image with fat saturation illustrates the mass (white arrow) to be isointense to the native parotid gland. C, Axial T1-weighted postgadolinium sequence shows the mass (white arrow) as isointense to the native parotid gland.

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    Fig 3.

    Case 7, 75-year-old man with history of squamous cell carcinoma of the larynx status postradiation found to have an enlarging mass in the left parotid gland on surveillance imaging. A, Axial T1-weighted MR image shows a well-demarcated mass within the superficial lobe of the left parotid gland (white arrow) that is T1 hypointense. B, Axial T2-weighted MR image with fat saturation shows the mass to be hyperintense but heterogeneous to the native parotid gland. C, Axial T1-weighted postgadolinium sequence shows the mass (white arrow) to demonstrate heterogeneous enhancement to the native parotid gland.

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    Fig 4.

    Typical histologic features of a parotid gland oncocytoma including eosinophilic cells with finely granular cytoplasm and uniform, round, centrally placed nuclei (hematoxylin-eosin stain, original magnification, ×400).

Tables

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  • Presentation and MR imaging features of parotid gland oncocytomas

    Patient No.Age/SexPresentationIntraparotid LocationSize (cm)Tumor MarginT1WIT2 FS WIT1 FS +C WI
    162/FPainless massSuperficial2.0 SmoothHypointenseIsointenseIsointense
    266/FPainless massSuperficial and deep3.4LobularHypointenseIsointenseIsointense
    346/FRight ear painSuperficial and deep1.3LobularHypointenseIsointenseIsointense
    436/MPainless massSuperficial3.0SmoothHypointenseIsointenseIsointense
    555/FPainless massSuperficial and deep2.6SmoothHypointenseIsointenseIsointense
    654/FPainless massSuperficial2.5SmoothHypointenseIsointenseIsointense
    775/MPainless massSuperficial2.5LobularHypointenseHyperintenseHeterogeneous enhancement
    883/FPainless massSuperficial3.3LobularHypointenseIsointenseIsointense
    974/MPainless massSuperficial3.0SmoothHypointenseIsointenseIsointense
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American Journal of Neuroradiology: 32 (9)
American Journal of Neuroradiology
Vol. 32, Issue 9
1 Oct 2011
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Cite this article
N.D. Patel, A. van Zante, D.W. Eisele, H.R. Harnsberger, C.M. Glastonbury
Oncocytoma: The Vanishing Parotid Mass
American Journal of Neuroradiology Oct 2011, 32 (9) 1703-1706; DOI: 10.3174/ajnr.A2569

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Oncocytoma: The Vanishing Parotid Mass
N.D. Patel, A. van Zante, D.W. Eisele, H.R. Harnsberger, C.M. Glastonbury
American Journal of Neuroradiology Oct 2011, 32 (9) 1703-1706; DOI: 10.3174/ajnr.A2569
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