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[MRI and CT of parotid diseases in HIV-positive patients]
Abstract:
We report five cases of HIV patients with parotid pathology during a period of one year. All patients (4 men and 1 woman between the ages of 32 and 47 years) had a MRI or a CT confirmation of the parotid gland lesion. Three patients exhibited parotid gland cysts, one a nonspecific chronic inflammation and one an enlargement of the parotid gland with some benign lymphoepithelial lesions. Two patients underwent ultrasound-guided fine-needle aspiration biopsy. The cytology examination confirmed the benignity of the lesions. Finally, we expose the clinical management of parotid enlargements in HIV-positive patients.
Insights
Five HIV patients experienced parotid gland issues, including cysts and inflammation. Imaging and biopsies confirmed benign lesions, guiding clinical management for these HIV-associated parotid enlargements.
Area of Science:
- Infectious Diseases
- Oncology
- Radiology
Background:
- Human Immunodeficiency Virus (HIV) infection is associated with various opportunistic infections and neoplasms.
- Parotid gland pathology can manifest in HIV-positive individuals, requiring accurate diagnosis and management.
- Understanding the spectrum of parotid lesions in HIV patients is crucial for appropriate clinical care.
Purpose of the Study:
- To describe the clinical presentation and imaging findings of parotid gland pathology in HIV-positive patients.
- To report the histopathological confirmation of benign lesions in HIV-infected individuals.
- To outline the clinical management strategies for parotid enlargements in this patient cohort.
Main Methods:
- Retrospective case series of five HIV patients with parotid pathology over one year.
- Utilized Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) for parotid gland lesion assessment.
- Performed ultrasound-guided fine-needle aspiration biopsy (FNAB) for cytological examination.
Main Results:
- Five HIV patients (4 males, 1 female; ages 32-47) presented with parotid pathology.
- Imaging revealed parotid cysts (3 cases), chronic inflammation (1 case), and benign lymphoepithelial lesions (1 case).
- Cytology confirmed the benign nature of the lesions in all biopsied cases.
Conclusions:
- Parotid gland pathology, often benign, is observed in HIV-positive individuals.
- A combination of advanced imaging and FNAB is effective in diagnosing these conditions.
- Tailored clinical management is essential for addressing parotid enlargements in the context of HIV infection.