MANAGEMENT OF BENIGN LYMPHOEPITHELIAL LESIONS OF THE PAROTID-GLAND INHUMAN IMMUNODEFICIENCY VIRUS-POSITIVE PATIENTS

The diagnosis and radiotherapeutic treatment of these HIV-associated b enign lympepithelilial lesions in the parotid gland are discussed. As an example of these lesions, a case is presented involving a 43-year-o ld HIV-infected man with a 2-year history of enlargements in both paro tid glands. After evaluation by computer tomography and cytology, the diagnosis of benign lymphoepithelial lesions was made. Treatment by lo w-dose radiotherapy (15 Gy) caused regression of both lesions. The les ion on the left regressed completely, but the one on the right side re sponded only partially. A second course of high-dose radiotherapy (24 Gy) to the right lesion caused regression to a cosmetically acceptable size.