A 61-year-old woman had a three-year history of periodic swelling of the right parotid gland associated with a dull aching pain and xerostomia but no fever or facial nerve dysfunction. The swelling was responsive to 4 mg/ day of methylprednisolone. There were no ophthalmic or arthritic complaints. The parotid sialogram showed punctate sialectasis (Fig 1). The medical history is pertinent in that the patient had a right radical mastectomy with axillary node dissection five years before for adenocarcinoma of the right breast. She has been observed, with no evidence of recurrence.
Physical examination disclosed a diffusely enlarged left parotid gland without a discrete mass. There was no neck or axillary adenopathy. The left breast was normal, and the pelvic examination revealed no abnormality.
A needle aspirate of the left parotid gland indicated increased numbers of lymphocytes. We believed her response to steroids, her history of xerostomia, and the results of
FECHNER RE. Resident's Page. Arch Otolaryngol. 1981;107(3):194–197. doi:10.1001/archotol.1981.00790390060018
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