Parotid lymphoepithelial cysts in human immunodeficiency virus: a review

Abstract

Human immunodeficiency virus testing is recommended for patients with benign lymphoepithelial cysts, as this can often be the first indication of human immunodeficiency virus infection. Benign lymphoepithelial cysts are important diagnostic and prognostic indicators in human immunodeficiency virus infection.

Unusual Occurrence of Tongue Sensorial Disorder after Conservative Surgical Treatment of Lymphoepithelial Cyst

“…As noted in the present case, the LCs usually appear solitary in the oral cavity, but there are reports of intraosseous bilateral LCs in jaw and palatine tonsils, and multiple cysts in the parotid gland region in patients affected by HIV, which is one of the signs of the virus infection [ 9 – 11 ]. Our group previously reported an unusual case of multiple LCs located in sublingual region in a patient without systemic involvement [ 15 ].…”

“…The mouth floor is the most affected site, followed by the lateral and ventral margin of the tongue [ 1 , 3 – 5 , 7 , 8 ]. Some cysts may also occur in the soft and hard palate, retromolar area, palatoglossus arch, palatine tonsil, jaw, and parotid gland, which may indicate, in this last case, an early infection by HIV [ 4 , 5 , 9 – 11 ].…”

Benign Lymphoepithelial Lesion of the Parotid Gland in the Setting of HAART

“…Several studies demonstrated that CT findings of single and/or multiple parotid cysts and cervical adenopathy were sufficient for BLL diagnosis. 8 Parotid BLLs need to be distinguished clinically and pathologically from the lymphoepithelial sialadenitis of Sjögren syndrome, Warthin tumor, and Hodgkin lymphoma. This was particularly important for the first case given the patient's prior history of Hodgkin lymphoma.…”

“…Reports in the literature suggest that these lesions typically appear as prominent round hypoechoic areas, ranging from 0.5 to 5 cm in diameter, with well circumscribed margins, internal septations, and posterior acoustic enhancement. 8,9 Multiple computed tomography (CT) images of the neck from the thoracic inlet to the skull base were obtained for further investigation to include surveillance for reoccurrence of her Hodgkin lymphoma. Computed tomography demonstrated peripherally enhancing cystic structure within the right parotid gland measuring 1.2 cm in diameter (Figure 2A).…”

“…7 Parotid BLL rarely involves the facial nerve and can cause gross facial deformities. 8 These lesions occur in both adults and children, equally affecting males and females. 8 The association of BLL with HIV was first reported in 1985.…”