Parotid mucoepidermoid carcinoma with deposits

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Left preauricular neck swelling.

Patient Data

Age: 77 years.
Gender: Male

An irregular infiltrating soft tissue density lesion originating from left parotid gland and extending medially displacing the left carotid sheath. It has a heterogeneous enhancement in the post I.V contrast phase.

Different sizes cervical lymph nodes are noted in the neck, the largest is located in left anterior triangle superiorly and also in the left supra-clavicular angle.

Well defined variable sizes and shape focal metastatic lesions are seen within both lung fields. Evidence of right sided mild to moderate pleural effusion with possible underlying consolidation /collapse.Evidence of mediastinal lymphadeopathy are seen. Some show calcific foci. Bony osteolysis and deposits of D3 and D5 vertebrae. 

Case Discussion

The case is a histopathologically proven high grade mucoepidermoid parotid carcinoma.

It can cause pulmonary and vertebral osseous deposits.

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Case information

rID: 42354
Case created: 17th Jan 2016
Last edited: 19th Jan 2016
System: Head & Neck
Inclusion in quiz mode: Included

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