ABSTRACT
Oncocytic papillary cystadenoma is a rare, benign tumor highly uncommon in the larynx. Although controversy exists regarding its true nature it is considered a phenomenon of metaplasia. We present the case of a 57-year-old patient with synchronous, bilateral oncocytic papillary cystadenoma of the ventricles and we discuss the current literature.
ABSTRACT
We present a case of a 79-year-old male patient, who was diagnosed with a primary squamous cell carcinoma of the left parotid region that was fungating through the skin and infiltrating the sternocleidomastoid muscle. Clinically and radiologically, the patient was staged as T3 N2b M0. He underwent a near-total parotidectomy with facial nerve preservation in conjunction with a modified radical neck dissection and wide excision of the involved skin to remove all the disease in a monobloc fashion. A regional cutaneous flap, the anterior cervical flap was used for reconstruction of a large surgical defect.
Subject(s)
Carcinoma, Squamous Cell/surgery , Head and Neck Neoplasms/surgery , Parotid Neoplasms/surgery , Skin Neoplasms/surgery , Surgical Flaps , Aged , Biopsy, Fine-Needle , Carcinoma, Squamous Cell/pathology , Facial Nerve/surgery , Head and Neck Neoplasms/pathology , Humans , Male , Neck Dissection , Neck Muscles/pathology , Neck Muscles/surgery , Neoplasm Staging , Parotid Neoplasms/pathology , Skin Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
Adenoid cystic carcinoma of the parotid gland is relatively rare. According to a retrospective study of the medical records and histopathology files of 514 cases of parotid tumors operated at our hospital over a period of 18 years, adenoid cystic carcinoma represented only 2.3% of all parotid gland neoplasms, a total of 12 cases. In our records we retrieved only one documented case of adenoid cystic carcinoma that originated in the parotid gland subsequent to superficial parotidectomy for a benign lesion (pleomorphic adenoma). An even more exceptional presentation of adenoid cystic carcinoma is as a bilobed tumor extending from the post auricular to the temporal and zygomatic region. The management of this case is presented along with a brief review of the literature concerning the evaluation and management of this rare entity.
Subject(s)
Carcinoma, Adenoid Cystic/pathology , Parotid Gland/pathology , Parotid Neoplasms/pathology , Carcinoma, Adenoid Cystic/surgery , Humans , Male , Middle Aged , Parotid Gland/surgery , Parotid Neoplasms/surgeryABSTRACT
The synchronous occurrence of two histologically different and morphologically distinct tumours in a single parotid gland is an exceptionally rare and probably coincidental event. We have recently experienced such a case initially suspected of being a recurrent pleomorphic adenoma. Superficial parotidectomy, however, revealed two separate masses. Postoperative histopathological examination diagnosed the presence of a pleomorphic adenoma with a concurrent primary parotid gland Hodgkin's lymphoma arising from an intraglandular lymph node. The management of this case is presented along with a brief review of the literature concerning the evaluation and management of this rare entity.