GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info

Salivary duct carcinoma - parotid gland

Case contributed by Henry Knipe
Diagnosis almost certain


Palpable retro-auricular lump.

Patient Data

Age: 65 years
Gender: Female

12 mm hypoechoic solid lesion in the posterior aspect of the parotid gland. Lobulated somewhat irregular margins. No marked vascularity.

Left superficial parotid gland enhancing mass with central hypodensity posterior to the angle of the mandible abutting the retromandibular vein. No enlarged lymph nodes.

Case Discussion

The primary imaging differential diagnosis offered was a Warthin tumor and the results of a pre-operative FNA were of a pleomorphic adenoma. The patient went on to have a parotidectomy, with a salivary duct carcinoma demonstrated on pathology. Post-operative radiotherapy was performed with no recurrence on the initial follow-up.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.