Medical Case Details:
Hello, an 11-year-old patient of mine was recently diagnosed with a lymphoepithelial cyst on the parotid gland, 2.3 cm. For the moment, the ENT doctor has suggested antibiotics and multivitamins. No big change since one week. Do you suggest surgery?I am looking forward to getting your answers soon. Thank you.
Discussions
Dr. Azeem Iyas Basha
General Practitioner
Good Day Madam,
Kindly do an FNAC of the Cyst for Cytological interpretation.
If possible kindly sent Blood reports to me for further evaluation
General Practitioner
Good Day Madam,
Kindly do an FNAC of the Cyst for Cytological interpretation.
If possible kindly sent Blood reports to me for further evaluation
23.Aug, 01:30pm
Dr. Arshad Hussain Shah
Medical Oncologist
First of all in this case of lymphoepithelial cyst of parotid gland , we have to rule out HIV and any autoimmune disease . As many cases are associated with HIV . Once we rule out HIV and autoimmune disease , Next comes whether it is symptomatic or asymptomatic . In case of asymptomatic lymphoepithelial cyst , some times close observation ( wait and watch is recommended ) But if it symptomatic , then there are many options available for treatment eg 1. Needle aspiration and drainage ( it can be repeated ) 2. Sclerotherapy 3. radiotherapy and the most reliable and old method of treatment is complete surgical excision . After treatment it has excellent prognosis . The rate is recurrence is very low . There is no role of antibiotics unless it is infected
Medical Oncologist
First of all in this case of lymphoepithelial cyst of parotid gland , we have to rule out HIV and any autoimmune disease . As many cases are associated with HIV . Once we rule out HIV and autoimmune disease , Next comes whether it is symptomatic or asymptomatic . In case of asymptomatic lymphoepithelial cyst , some times close observation ( wait and watch is recommended ) But if it symptomatic , then there are many options available for treatment eg 1. Needle aspiration and drainage ( it can be repeated ) 2. Sclerotherapy 3. radiotherapy and the most reliable and old method of treatment is complete surgical excision . After treatment it has excellent prognosis . The rate is recurrence is very low . There is no role of antibiotics unless it is infected
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02.Sep, 11:06am
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