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1 results

  • Varix of the retromandibular vein within the parotid gland: case study

  • G N Wali, T A R Mawby, F Sheerin, C A Milford
  • Journal:
    The Journal of Laryngology & Otology / Volume 127 / Issue 8 / August 2013
    Published online by Cambridge University Press:
    28 June 2013, pp. 825-827
    Print publication:
    August 2013
  • 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 hyper-echoic 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.