Sir: We have read with great interest the reports mentioning parotid hemangiomas published recently.Parotid hemangiomas are very rare in adulthood with around 50 reported cases, to our knowledge,4 unpublished observation. This might be among the reasons why hemangioma can be misdiagnosed preoperatively with more frequent parotid tumors such as Warthin tumor or pleomorphic adenoma besides complications such as hemorrhage or thrombosis.1 Because facial palsy or bleeding may follow fine-needle aspiration biopsy, a precise clinical or imaging diagnosis is important.2'3 However, the diagnosis of hemangioma can be made only by microscopic analysis, which also allows to rule out a malignant tumor or other vascular lesions. Treatment options remain surgical, depending on tumor size, as reported in the most recent cases.1"3 Here, we report new immunohistochemical characteristics of potential clinical relevance in such a parotid tumor type.
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