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My Left Side Of Face Keeps Swelling Near My Ear.
Question: My left side of face keeps swelling near my ear. I am worried sick that it is something sinister. It is really painful and keeps coming and going for the last 12 months. I had an ultrasound scan 12 months ago and my GP was happy with it but I am really concerned I may have cancer or something nasty. Please can you look at the report and advise asap. Thanks Alison
Ultrasound Scan Report:
Bilateral tiny intraparotid cystic foci seen. Large hypoechoic left parotid cystic area ? parotid dcut as seen in MRI brain scan done in 2018. No obvious blood flow on colour doppler.
Normal appearances of both submandibular salivary glands and thyroid gland. Tiny <5 mm SAD reactive neck nodes seen, however there are no pathological size significant lymph nodes or discrete soft tissue neck masses.
Conclusion:
1. No cause for patients symptoms identified.
2. Bilateral tiny intraparotid cystic foci seen predominently on left likely benign. ? cause
May I say I have no other symptoms at all other than a sore painful neck near my ear
Ultrasound Scan Report:
Bilateral tiny intraparotid cystic foci seen. Large hypoechoic left parotid cystic area ? parotid dcut as seen in MRI brain scan done in 2018. No obvious blood flow on colour doppler.
Normal appearances of both submandibular salivary glands and thyroid gland. Tiny <5 mm SAD reactive neck nodes seen, however there are no pathological size significant lymph nodes or discrete soft tissue neck masses.
Conclusion:
1. No cause for patients symptoms identified.
2. Bilateral tiny intraparotid cystic foci seen predominently on left likely benign. ? cause
May I say I have no other symptoms at all other than a sore painful neck near my ear
Brief Answer:
Hi,
Detailed Answer:
Hi,
Thanks for your query
In my opinion, Your problem needs further investigations.
Bilateral cysts of parotid glands may have multiple reasons, mostly being benign, but malignancy can not be ruled out. Some of the common etiology may be--warthin tumor, benign lympho-epithelial lesions, hydatid cysts, polycystic disease of parotid glands, branchial cleft cyst or parotid cystic teratoma etc. etc. Absence of blood flow in left parotid duct on MRI as well as accompanied by large cystic left parotid area, may be due to blockage of left parotid duct & calculus may be a common presence, which may cause this.
Hence, CT scan of the area, FNAC are further requirements as well as Biopsy of the susceptible area may be also needed to reach at a definitive diagnosis & treatment accordingly.
Regards,
Hi,
Detailed Answer:
Hi,
Thanks for your query
In my opinion, Your problem needs further investigations.
Bilateral cysts of parotid glands may have multiple reasons, mostly being benign, but malignancy can not be ruled out. Some of the common etiology may be--warthin tumor, benign lympho-epithelial lesions, hydatid cysts, polycystic disease of parotid glands, branchial cleft cyst or parotid cystic teratoma etc. etc. Absence of blood flow in left parotid duct on MRI as well as accompanied by large cystic left parotid area, may be due to blockage of left parotid duct & calculus may be a common presence, which may cause this.
Hence, CT scan of the area, FNAC are further requirements as well as Biopsy of the susceptible area may be also needed to reach at a definitive diagnosis & treatment accordingly.
Regards,
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Above answer was peer-reviewed by :
Dr. Dr.Raju.A.T
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