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Updated: May 10, 2026

Ultrasonographic Evaluation of Salivary Glands for Sjogren's Syndrome: Diagnostic and Monitoring Insights
Published on: October 13, 2023
Varix of the retromandibular vein within the parotid gland: case study
G N Wali1, T A R Mawby, F Sheerin
1Department of ENT, John Radcliffe Hospital, Oxford, UK.
Objective:
To report a case of varix of the retromandibular vein within the parotid gland.
Methods:
Case report, and discussion of the appropriate selection and use of radiological investigation techniques.
Results:
A 64-year-old lady who presented with unilateral tinnitus underwent a magnetic resonance imaging scan to exclude a vestibular schwannoma. The magnetic resonance scout images revealed an incidental finding of a hyperechoic mass within the parotid gland. The mass was most consistent with a pleomorphic adenoma. Ultrasound-guided fine needle aspiration cytology was arranged; the ultrasound identified the mass as a varix of the retromandibular vein and fine needle aspiration cytology was not performed.
Conclusion:
A varix of the retromandibular vein is a very rare cause of a parotid mass. Appropriate radiological investigations can prevent unnecessary invasive investigations or procedures.
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