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Benign Lymphoepithelial Lesions-HIV
Carmen C. Cho, MBBS, FRCR; H. Y. Yuen, MBChB, FRCR; Anil T. Ahuja, MD, FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Benign lymphoepithelial lesions (BLEL)-HIV
              • Benign lymphoepithelial (BLE) cysts
            • Synonyms

              • AIDS-related parotid cysts (ARPC)
                • Avoid ARPC synonym
                  • Patient need only be HIV(+) to manifest BLEL
                  • May not have full-blown AIDS with BLEL
            • Definitions

              • Multifocal mixed cystic and solid intraparotid masses found in HIV-infected patients
              • 3-tiered classification
                • Cystic lesions: BLE cysts
                • Mixed solid and cystic lesions: BLEL
                • Solid lesions: Persistent, generalized parotid gland lymphadenopathy

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Arutyunyan S et al: Benign lymphoepithelial lesion of the parotid gland in the setting of HAART. J Int Assoc Provid AIDS Care. 16(2):120-24, 2017
                                        2. Kabenge C et al: Diagnostic ultrasound patterns of parotid glands in human immunodeficiency virus-positive patients in Mulago, Uganda. Dentomaxillofac Radiol. 39(7):389-99, 2010
                                        3. Berg EE et al: Office-based sclerotherapy for benign parotid lymphoepithelial cysts in the HIV-positive patient. Laryngoscope. 119(5):868-70, 2009
                                        4. Wu L et al: Lymphoepithelial cyst of the parotid gland: its possible histopathogenesis based on clinicopathologic analysis of 64 cases. Hum Pathol. 40(5):683-92, 2009
                                        5. Dave SP et al: The benign lymphoepithelial cyst and a classification system for lymphocytic parotid gland enlargement in the pediatric HIV population. Laryngoscope. 117(1):106-13, 2007
                                        6. Marsot-Dupuch K et al: Head and neck lesions in the immunocompromised host. Eur Radiol. 14 Suppl 3:E155-67, 2004
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Benign lymphoepithelial lesions (BLEL)-HIV
                                                    • Benign lymphoepithelial (BLE) cysts
                                                  • Synonyms

                                                    • AIDS-related parotid cysts (ARPC)
                                                      • Avoid ARPC synonym
                                                        • Patient need only be HIV(+) to manifest BLEL
                                                        • May not have full-blown AIDS with BLEL
                                                  • Definitions

                                                    • Multifocal mixed cystic and solid intraparotid masses found in HIV-infected patients
                                                    • 3-tiered classification
                                                      • Cystic lesions: BLE cysts
                                                      • Mixed solid and cystic lesions: BLEL
                                                      • Solid lesions: Persistent, generalized parotid gland lymphadenopathy

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Arutyunyan S et al: Benign lymphoepithelial lesion of the parotid gland in the setting of HAART. J Int Assoc Provid AIDS Care. 16(2):120-24, 2017
                                                                              2. Kabenge C et al: Diagnostic ultrasound patterns of parotid glands in human immunodeficiency virus-positive patients in Mulago, Uganda. Dentomaxillofac Radiol. 39(7):389-99, 2010
                                                                              3. Berg EE et al: Office-based sclerotherapy for benign parotid lymphoepithelial cysts in the HIV-positive patient. Laryngoscope. 119(5):868-70, 2009
                                                                              4. Wu L et al: Lymphoepithelial cyst of the parotid gland: its possible histopathogenesis based on clinicopathologic analysis of 64 cases. Hum Pathol. 40(5):683-92, 2009
                                                                              5. Dave SP et al: The benign lymphoepithelial cyst and a classification system for lymphocytic parotid gland enlargement in the pediatric HIV population. Laryngoscope. 117(1):106-13, 2007
                                                                              6. Marsot-Dupuch K et al: Head and neck lesions in the immunocompromised host. Eur Radiol. 14 Suppl 3:E155-67, 2004