Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 16, 2022; 10(8): 2622-2628
Published online Mar 16, 2022. doi: 10.12998/wjcc.v10.i8.2622
Cystic teratoma of the parotid gland: A case report
Hong-Sheng Liu, Qiao-Ying Zhang, Jia-Feng Duan, Gang Li, Jia Zhang, Peng-Feng Sun
Hong-Sheng Liu, Qiao-Ying Zhang, Peng-Feng Sun, Department of Radiology, Xi'an Central Hospital Affiliated to Xi’an Jiaotong University, Xi'an 710003, Shaanxi Province, China
Jia-Feng Duan, Gang Li, Department of Head & Neck Oncology Surgery, the Affiliated Stomatological Hospital of Medical School, Xi'an Jiaotong University, Xi'an 710003, Shaanxi Province, China
Jia Zhang, Department of Pathology, the Affiliated Stomatological Hospital of Medical School, Xi'an Jiaotong University, Xi'an 710003, Shaanxi Province, China
Author contributions: Liu HS and Zhang QY carried out the study, participated in collecting the data, and drafted the manuscript; Zhang J and Sun PF performed the data collection and participated in study design; Li G and Duan JF participated in data interpretation and manuscript revision; all authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: The authors have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016). The manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong-Sheng Liu, MM, Deputy Director, Department of Radiology, Xi'an Central Hospital Affiliated to Xi’an Jiaotong University, Xi'an 710003, Shaanxi Province, China. lhs841209@163.com
Received: October 15, 2021
Peer-review started: October 15, 2021
First decision: November 17, 2021
Revised: December 1, 2021
Accepted: February 10, 2022
Article in press: February 10, 2022
Published online: March 16, 2022
Abstract
BACKGROUND

Teratoma is a common tumor, but rarely occurs in the parotid region. Only nine cases have been reported in the current literature. Although it is generally detected in infancy or childhood, it is commonly asymptomatic. Computed tomography (CT) and magnetic resonance imaging (MRI) have important roles in the diagnosis of teratoma.

CASE SUMMARY

A 36-year-old man developed a lump located below the left auricular lobule 3 years ago. Physical examination revealed a nearly-circular tumor in the left parotid gland region with a defined border, firm texture, and significant movement. Calcification, fat, keratinized substances, and typical fat-liquid levels was observed on CT and MRI. A diagnosis of cystic teratoma of the parotid gland was established preoperatively and confirmed by postoperative pathology. Following surgery, the patient developed temporary facial paralysis. There was no recurrence of teratoma during the 15-mo follow-up period.

CONCLUSION

When an asymptomatic mass in the parotid region is identified, parotid gland teratoma should be included in the differential diagnosis. Imaging examinations are helpful in the diagnosis.

Keywords: Teratoma, Parotid gland cyst, Literature review, Computed tomography, Magnetic resonance imaging, Case report

Core Tip: We report an unusual case of teratoma in the parotid gland and review the related literature. The clinical characteristics and imaging features are described. Sufficient knowledge on teratoma, especially the computed tomography and magnetic resonance imaging characteristics, is essential for correct diagnosis and treatment.