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조영증강 전산화단층촬영검사에서 보이지 않는 이하선의 다형선종
허재형(Jae Hyung Heo),김다미(Da Mi Kim),구본석(Bon Seok Koo),장재원(Jae Won Chang) 대한두경부종양학회 2016 대한두경부 종양학회지 Vol.32 No.2
Pleomorphic adenomas is the most common tumor of parotid gland and usually located and confined in superficial lobe of parotid gland. Computed tomography (CT) is commonly used to initially evaluate salivary gland lesion, but contrast-enhanced CT may sometimes fail to reveal lesions in spite of a high clinical suspicion. For this reason, ultrasonography (US) can be used as the first-line image work-up in some cases of parotid gland benign tumors. We experienced a case of a 60-year-old woman without underlying disease presenting a palpable parotid mass in which the initial CT examination was reported as ‘no obvious mass detected’. However, the lesion was revealed in US and histologically confirmed as pleomorphic adenoma. The patient underwent superficial parotidectomy through modified facelift incision. To the best of our knowledge, this is the first report of invisible major salivary gland tumor on CT in the Korean literature.