Parotid lymphoma in west Scotland: two-year 'snapshot' of diagnosis, management and core issues.

Objectives: To establish whether there is a requirement for a network policy on management of suspected intraparotid lymphoma, and to answer the question, 'Can lymphoma of the parotid region be adequately diagnosed, typed and treated on the basis of a core biopsy, within the West of Scotland?'

Method: We identified 22 patients from the West of Scotland Managed Clinical Network database who had been diagnosed between 2003 and 2005 with lymphoma of the parotid region (nodal or extranodal). These 22 cases were reviewed, assessing specifically their investigation and diagnosis (compared with the World Health Organization classification of parotid lymphoma).

Results: Three of the 22 patients underwent core biopsy to diagnose and type their lymphoma.

Childhood epistaxis and nasal colonization with Staphylococcus aureus.

Objective: Epistaxis is very common in children but its cause remains unknown. We postulate that nasal colonization with Staphylococcus aureus leads to inflammation, crusting, and ultimately new vessel formation.

Study Design: A prospective case-control study.

Chronic facial pain following injection of sodium tetradecyl sulphate into an intraparotid haemolymphangioma.

Objective: We report a rare case of chronic facial pain following sclerotherapy for intraparotid haemolymphangioma, thereby highlighting an important clinical consideration when advising this treatment option as an alternative to surgery in the head and neck.

Method: Case report, with a review of relevant literature.

Results: Sclerotherapy of lymphangiomata is well reported in the literature.