Abstract
To describe the clinical and radiological aspects of Kuttner's tumor, emphasizing the discussion of the differential diagnosis of cervical pathologies. RM, 29 years old, male, complaining of pain and increase in volume of the left submandibular region 1 month ago, with reports of previous similar episodes. For diagnostic cervical ultrasonography was performed which revealed left submandibular gland with increased dimensions, lobulated, diffusely heterogeneous echotexture associated with images consistent with calculations in the region proximal to the duct of Wharton. A biopsy revealed lymphocytic infiltration periductal glandular, ductal ectasia and irregular sclerosis. Chronic sclerosing Sialoadenitis (Kuttner tumor). Chronic sclerosing sialadenitis, also called Kuttner tumor, is a unusual salivary gland chronic inflammatory fibrosing. It mainly affects the submandibular, with the highest incidence between 30 and 70 years, regardless of sex, predominantly unilateral. Clinically increase and hardening of the gland with or without pain, recurrent. This sialolithiasis ductal associated with the end portion by 30 to 85% of cases. The main differential diagnoses are Kimura disease, lymphoma, sarcoidosis and Sjogren's Syndrome. Definitive diagnosis is by histopathology. The prognosis is favorable and there are no reports of malignant transformation.
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