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Although its incidence is rare, tuberculosis of the parotid gland presents clinical significance in differential diagnosis of parotid tumors. This is a report on four cases of tuberculosis of the parotid gland. Case 1 is a 41-year-old female who presented with a swollen left parotid gland associated with local pain, redness of the overlying skin and swelling of cervical lymph nodes. Case 2 is a 51-year-old female who showed a swollen left parotid gland without pain or swelling of cervical lymph nodes, but with adhesions of the overlying skin. Case 3 is a 56-year-old female who was found to have a swelling of the left parotid gland with mild local pain and without adhesions of the skin or swelling of the cervical lymph nodes. Case 4 is a 16-year-old female who manifested swelling of right parotid gland without pain, adhesions, tenderness or swelling of the regional lymph nodes. In each of the four cases tuberculin test was positive, but chest radiographs were negative. Retrospectively, image examinations indicated some signs of inflammation in every case. The diagnosis was confirmed in each case by histopatholgical examination.
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