Imaging features of myopericytoma arising from the parotid gland: Report of 2 cases and literature review

Medicine (Baltimore). 2021 Apr 9;100(14):e25471. doi: 10.1097/MD.0000000000025471.

Abstract

Rationale: Myopericytoma of the parotid gland is a rare condition of which preoperative definitive diagnosis is relatively challenging. The purpose of this case report is to highlight the radiologic features of myopericytoma of parotid gland.

Patient concerns: A 62-year-old man presented with a history of a walnut-size mass in left parotid gland when yawned for half-month, and a 48-year-old woman complaint about a grape-size, painless mass behind the right ear for a month.

Diagnoses: Radiological examinations suggested that both lesions were cyst-solid mixed lesions with relatively smoothed margins, with or without significant enhancement while the lesion without enhancement had a hemorrhage. Then a diagnosis of benign tumor arising from the parotid gland was made. Final diagnosis of myopericytoma was confirmed by histopathological and immunohistochemical examinations after surgical resection.

Interventions: Both patients underwent excision of the tumor and the superficial parotidectomy with facial nerve preservation.

Outcomes: Both patients recovered without any intraoperative or postoperative complication and had no signs of recurrence during a 17-month and 5-year follow-up.

Lessons: Parotid gland myopericytoma is an exceedingly rare tumor which diagnosis can be challenging, and this is the first published report specifying the magnetic resonance features of the disease.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Female
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Myopericytoma / diagnostic imaging*
  • Myopericytoma / pathology
  • Myopericytoma / surgery
  • Parotid Neoplasms / diagnostic imaging*
  • Parotid Neoplasms / pathology
  • Parotid Neoplasms / surgery
  • Tomography, X-Ray Computed*