Sjögren’s Syndrome
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Here we have a patient with Sjögren's disease
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who is being evaluated for a possible mass.
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As we scroll downward, we look at the lacrimal glands.
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We note that they are relatively small in size,
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that might be an indication of Sicca syndrome.
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And as we continue downward,
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we come to the parotid gland.
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It's a little bit off-centered on the right side,
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and we notice all these tiny little calcifications
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that are seen within the gland.
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We see cystic areas as well as solid nodular areas.
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These would be our benign lymphoepithelial lesions
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that can occur in Sjögren's syndrome.
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And you see that the gland has calcifications throughout it,
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often all the way out to the periphery,
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which would be unusual for it to be within the ductal system.
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Right? The duct itself is not dilated,
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it inserts appropriately.
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On the contralateral side, the duct looks good,
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and on the left side, we have a cyst here
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as well as the calcifications,
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as well as some nodularity,
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benign lymphoepithelial lesions of Sjögren's syndrome.
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These can also be seen in patients who are HIV positive,
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and they too have a higher risk of
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lymphoma in their head and neck.
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
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