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Resident's Page
ROBERT E. FECHNER, MD
Arch Otolaryngol. 1981;107(3):194-197.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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A 61-year-old woman had a three-year history of periodic swelling of the right parotid gland associated with a dull aching pain and xerostomia but no fever or facial nerve dysfunction. The swelling was responsive to 4 mg/ day of methylprednisolone. There were no ophthalmic or arthritic complaints. The parotid sialogram showed punctate sialectasis (Fig 1). The medical history is pertinent in that the patient had a right radical mastectomy with axillary node dissection five years before for adenocarcinoma of the right breast. She has been observed, with no evidence of recurrence.
Physical examination disclosed a diffusely enlarged left parotid gland without a discrete mass. There was no neck or axillary adenopathy. The left breast was normal, and the pelvic examination revealed no abnormality.
A needle aspirate of the left parotid gland indicated increased numbers of lymphocytes. We believed her response to steroids, her history of xerostomia, and the results of
. . . [Full Text PDF of this Article]
Author Affiliations
University of Virginia School of Medicine, Charlottesville
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