Kaposi’s Sarcoma of an Intra-Parotid Lymph Node in a HIV-Negative Patient

Background. Kaposi’s sarcoma (KS) as one of the defining tumours of AIDS, was described as multiple slowly progressing pigmented skin plagues and as vaso-formative lesion in microscopic finding. Several forms of the disease have been suggested, such as mucocutaneous and lymph nodal. KS is rarely seen in the major salivary glands. Furthermore, KS of parotid tissue or intra-parotid lymph node is extremely rare in HIV-negative patients. Case Report. We report a case of a right parotid mass as an early sign of KS infection in a 57-year-old patient. The problems related to the diagnosis, the management strategy of such a rare condition and prognosis are also discussed. Complete surgical excision is suggested, followed by adjuvant radiotherapy and management of any other suspicious lesions confirmed by clinical and histo-pathological examination. Conclusions. KS is a rare tumour of the parotid gland but practitioners need to be reminded of rare cases in their differential diagnosis.