Parotid adenocarcinoma

Case contributed by Dr Domenico Nicoletti

Presentation

Swelling at the right parotid region.

Patient Data

Age: 55 years
Gender: Female
Ultrasound

Neck

A rounded hypoechoic lesion with flow signals in the right parotid gland with associated multiple adenopathies. Useful biopsy.

MRI

Neck

The lesion is located at the upper portion of the parotid gland, extended from the most superficial to the deeper, also affecting the course of the facial nerve. The lesion with enhancement shows well-defined contours and homogeneous structure with modest component necrotic. There are intra-parotid adenopathies and at the lateral cervical level 2.

Pathology

Biopsy's histological report

Case Discussion

The patient was subjected to right parotidectomy and cervical lymph node dissection surgery. Parotid malignant tumors are rare. There are low aggressive tumors (acinar cell carcinoma and mucoepidermoid carcinoma) and more aggressive forms (squamous cell carcinoma and adenoid cystic carcinoma).

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Case information

rID: 53302
Published: 11th May 2017
Last edited: 27th Nov 2019
Inclusion in quiz mode: Excluded

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