Sebaceous lymphadenoma requiring superficial parotidectomy

Area of Science:

• Oncology
• Head and Neck Surgery
• Pathology

Background:

• Sebaceous lymphadenoma is a rare benign salivary gland tumor.
• Neck masses can present diagnostic challenges, requiring thorough investigation.

Observation:

• An 82-year-old woman presented with a 2-year history of a painless, enlarging right neck mass.
• Imaging revealed a 5.0 cm cluster of nodes inferior to the right parotid gland.

Findings:

• Fine-needle aspiration suggested a lymphoproliferative disorder.
• Incisional biopsy confirmed the diagnosis of sebaceous lymphadenoma.
• Superficial parotidectomy with neck dissection (levels II-V) was performed, preserving the facial nerve.

Implications:

• This case highlights the importance of considering rare diagnoses in neck masses.
• Surgical management achieved a favorable outcome with no evidence of disease recurrence.
• Accurate diagnosis and tailored surgical intervention are crucial for managing parotid gland tumors and associated lymphadenopathy.