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Benign Lymphoepithelial Cysts (Ectopic Salivary Gland Tissue) in Lymph Nodes

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Abstract

CYSTIC changes in a cervical lymph node containing ectopic salivary gland tissue are rarely seen by the pathologist and are highly confusing to the surgeon; this is the report of two such cases.

Case Reports

Case 1. A 42-year-old woman, a school teacher, had been treated at the Cleveland Clinic for several years for an anxiety tension state and mucous colitis. On July 22, 1958, during a routine physical examination a 0.5-cm. firm, solitary nodule was palpated in the right lobe of the thyroid gland. In the right digastric triangle adjacent to the right submaxillary salivary gland a 2.0-cm. firm mass believed to be a lymph node was felt. The results of the remainder of the physical examination and of the laboratory and roentgen studies were within normal limits.

On July 30, 1958, a lobectomy of the right side of the thyroid was performed. There was no lymphadenopathy in the vicinity of the thyroid gland. The nodule in the thyroid was diagnosed as papillary carcinoma. In view of this diagnosis, it was considered advisable to start desiccated thyroid therapy immediately. During this treatment, from August through January, the submaxillary node remained unchanged. On January 26, 1959, the node was excised. The patient has continued the thyroid therapy for the papillary carcinoma and has done well to the date of this writing.

The gross excised specimen was soft, ovoid, and reddish-tan, measuring 1.1 cm. in its greatest dimension. A thin fibrous capsule was noted. The cut surface was moist, tan, and . . .


 

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