嗜酸性淋巴肉芽肿是一种原因未明的良性病变,临床较少见,好发于全身浅表淋巴结及四肢软组织,发生在头颈部约占半数以上,其中以腮腺发病率最高。 患者,男,41岁,主因右侧腮腺区无痛性、弥漫性肿大3年,于1997年5月30日入院。查体:全身检查未见异常。右腮腺区皮肤粗糙,有色素沉着。局部隆起。可触及约6×3×2cm大小肿块,与周围组织界限欠清楚,中等硬度,轻微活动,与皮肤无粘连,无压痛,腮腺导管口无红肿,无脓性分泌物溢出。临床诊断:右腮腺肿物经抗炎治疗1周未见明显疗效。局麻下行保留面神经右腮腺浅叶及肿物摘除术,术中见肿物位于腮腺浅叶内,与周围组织界限不清,深叶腺体组织正常。病理检查:肉眼可见肿物实性,呈灰黄 Eosinophilic lymphogranuloma is an unexplained benign disease, clinically rare, occurs in the superficial lymph nodes and limbs soft tissue occurs in the head and neck account for about half of the most paroxysmal incidence. Patients, male, 41 years old, mainly due to the right parotid gland area painless, diffuse swelling for 3 years, on May 30, 1997 admitted. Physical examination: no abnormalities in the whole body examination. Parotid gland area rough skin, pigmentation. Local uplift. Can reach about 6 × 3 × 2cm size of the tumor, with less clear boundaries with the surrounding tissue, moderate hardness, slight activity, no adhesion with the skin, no tenderness, parotid duct mouth no swelling, no purulent discharge overflow. Clinical diagnosis: right parotid tumor anti-inflammatory treatment for 1 week no significant effect. Local anesthesia to preserve the right parotid gland lobes and tumor removal surgery, surgery see the tumor located in the parotid shin within the boundaries with the surrounding tissue unclear, deep glandular tissue normal. Pathological examination: visible mass of the naked eye, was gray