Case Report
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Year 2022, Volume: 32 Issue: 3, 62 - 67, 28.09.2022
https://doi.org/10.26650/Tr-ENT.2022.1119617

Abstract

References

  • 1. Borsetto D, Iocca O, De Virgilio A, Boscolo-Rizzo P, Phillips V, Nicolai P, et al. Elective neck dissection in primary parotid carcinomas: A systematic review and meta-analysis. J Oral Pathol Med 2021;50(2):136-44. google scholar
  • 2. Schmincke A. Uber lymphoepitheliale geschwulste. Beitr Path Anat. 1921;78:161-70. google scholar
  • 3. Jang SJ, Paik SS, Lee WM, Park YW, Jang KJ, Tae K, et al. Lymphoepithelial carcinoma of the submandibular gland--a case report. J Korean Med Sci 1997;12(3):252-5. google scholar
  • 4. Kim YJ, Hong HS, Jeong SH, Lee EH, Jung MJ. Lymphoepithelial carcinoma of the salivary glands. Medicine (Baltimore) 2017;96(7):e6115. doi: 10.1097/MD.0000000000006115 google scholar
  • 5. Tang CG, Schmidtknecht TM, Tang GY, Schloegel LJ, Rasgon B. Lymphoepithelial carcinoma: a case of a rare parotid gland tumor. Perm J 2012;16(3):60. google scholar
  • 6. Wenig BM. Lymphoepithelial-like carcinomas of the head and neck. Semin Diagn Pathol 2015;32(1):74-86. google scholar
  • 7. Gandolfi MM, Slattery W. Parotid gland tumors and the facial nerve. Otolaryngol Clin North Am 2016;49(2):425-34. google scholar
  • 8. Thielker J, Wahdan A, Buentzel J, Kaftan H, Boeger D, Mueller AH, et al. Long-Term Facial Nerve Outcome in Primary Parotid Cancer Surgery: A Population-Based Analysis. Laryngoscope 2021;131(12):2694-700. google scholar
  • 9. Stodulski D, Mikaszewski B, Majewska H, Kuczkowski J. Parotid salivary duct carcinoma: a single institution’s 20-year experience. Eur Arch Otorhinolaryngol 2019;276(7):2031-8. google scholar
  • 10. Wu S, Liu G, Chen R, Guan Y. Role of ultrasound in the assessment of benignity and malignancy of parotid masses. Dentomaxillofac Radiol 2012;41(2):131-5. google scholar 11. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. J Oral Maxillofac Surg 2010;68(9):2146-53. google scholar

Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery

Year 2022, Volume: 32 Issue: 3, 62 - 67, 28.09.2022
https://doi.org/10.26650/Tr-ENT.2022.1119617

Abstract

Parotid lymphoepithelial carcinoma is extremely rare, and makes up only 0.4% of cases among the anaplastic variant of salivary gland carcinoma. We present a 63-year-old man who had progressive enlarging right neck swelling for one year. He sought treatment in another centre and underwent superficial parotidectomy, following an ultrasound assessment of the mass that was suggestive of a benign parotid tumour. There was no fine needle aspiration cytology or other radiological imaging performed prior to the surgery. However, the surgeon encountered difficulty intraoperatively and abandoned the surgery. The incisional biopsy of the tumour was reported as lymphoepithelial carcinoma. He then presented to us with the progression of the residual parotid malignant tumour. CT and MRI showed a locally aggressive parotid tumour that had infiltrated the subcutaneous tissue, external auditory canal, facial nerve, and multiple ipsilateral metastatic cervical lymph nodes. Subsequently, the patient underwent total parotidectomy with facial nerve sacrifice, lateral temporal bone resection and ipsilateral modified radical neck dissection. The surgical site defect was reconstructed with anterolateral thigh myocutaneous free flap. Concurrent static facial reanimation with fascia lata sling was performed. The patient received adjuvant chemoradiation following the surgery. The extent of the local infiltration by the tumour and the resulting surgery could have been reduced if the tumour had been properly assessed and excised at the initial stage. A complete preoperative assessment of a parotid mass is essential to avoid misdiagnosis, unexpected intraoperative finding and delay in definitive treatment.

References

  • 1. Borsetto D, Iocca O, De Virgilio A, Boscolo-Rizzo P, Phillips V, Nicolai P, et al. Elective neck dissection in primary parotid carcinomas: A systematic review and meta-analysis. J Oral Pathol Med 2021;50(2):136-44. google scholar
  • 2. Schmincke A. Uber lymphoepitheliale geschwulste. Beitr Path Anat. 1921;78:161-70. google scholar
  • 3. Jang SJ, Paik SS, Lee WM, Park YW, Jang KJ, Tae K, et al. Lymphoepithelial carcinoma of the submandibular gland--a case report. J Korean Med Sci 1997;12(3):252-5. google scholar
  • 4. Kim YJ, Hong HS, Jeong SH, Lee EH, Jung MJ. Lymphoepithelial carcinoma of the salivary glands. Medicine (Baltimore) 2017;96(7):e6115. doi: 10.1097/MD.0000000000006115 google scholar
  • 5. Tang CG, Schmidtknecht TM, Tang GY, Schloegel LJ, Rasgon B. Lymphoepithelial carcinoma: a case of a rare parotid gland tumor. Perm J 2012;16(3):60. google scholar
  • 6. Wenig BM. Lymphoepithelial-like carcinomas of the head and neck. Semin Diagn Pathol 2015;32(1):74-86. google scholar
  • 7. Gandolfi MM, Slattery W. Parotid gland tumors and the facial nerve. Otolaryngol Clin North Am 2016;49(2):425-34. google scholar
  • 8. Thielker J, Wahdan A, Buentzel J, Kaftan H, Boeger D, Mueller AH, et al. Long-Term Facial Nerve Outcome in Primary Parotid Cancer Surgery: A Population-Based Analysis. Laryngoscope 2021;131(12):2694-700. google scholar
  • 9. Stodulski D, Mikaszewski B, Majewska H, Kuczkowski J. Parotid salivary duct carcinoma: a single institution’s 20-year experience. Eur Arch Otorhinolaryngol 2019;276(7):2031-8. google scholar
  • 10. Wu S, Liu G, Chen R, Guan Y. Role of ultrasound in the assessment of benignity and malignancy of parotid masses. Dentomaxillofac Radiol 2012;41(2):131-5. google scholar 11. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. J Oral Maxillofac Surg 2010;68(9):2146-53. google scholar
There are 10 citations in total.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Case Report
Authors

Thilaga Rajendran 0000-0002-1772-3358

Sai Guan Lum 0000-0002-7397-9315

Arman Zaharil Mat Saad 0000-0002-4003-6783

Suria Hayati Binti Md Pauzi 0000-0001-5845-0061

Mohd Razif Mohamad Yunus 0000-0002-8563-9000

Publication Date September 28, 2022
Submission Date June 8, 2022
Published in Issue Year 2022 Volume: 32 Issue: 3

Cite

APA Rajendran, T., Lum, S. G., Mat Saad, A. Z., Binti Md Pauzi, S. H., et al. (2022). Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery. The Turkish Journal of Ear Nose and Throat, 32(3), 62-67. https://doi.org/10.26650/Tr-ENT.2022.1119617
AMA Rajendran T, Lum SG, Mat Saad AZ, Binti Md Pauzi SH, Mohamad Yunus MR. Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery. Tr-ENT. September 2022;32(3):62-67. doi:10.26650/Tr-ENT.2022.1119617
Chicago Rajendran, Thilaga, Sai Guan Lum, Arman Zaharil Mat Saad, Suria Hayati Binti Md Pauzi, and Mohd Razif Mohamad Yunus. “Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery”. The Turkish Journal of Ear Nose and Throat 32, no. 3 (September 2022): 62-67. https://doi.org/10.26650/Tr-ENT.2022.1119617.
EndNote Rajendran T, Lum SG, Mat Saad AZ, Binti Md Pauzi SH, Mohamad Yunus MR (September 1, 2022) Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery. The Turkish Journal of Ear Nose and Throat 32 3 62–67.
IEEE T. Rajendran, S. G. Lum, A. Z. Mat Saad, S. H. Binti Md Pauzi, and M. R. Mohamad Yunus, “Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery”, Tr-ENT, vol. 32, no. 3, pp. 62–67, 2022, doi: 10.26650/Tr-ENT.2022.1119617.
ISNAD Rajendran, Thilaga et al. “Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery”. The Turkish Journal of Ear Nose and Throat 32/3 (September 2022), 62-67. https://doi.org/10.26650/Tr-ENT.2022.1119617.
JAMA Rajendran T, Lum SG, Mat Saad AZ, Binti Md Pauzi SH, Mohamad Yunus MR. Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery. Tr-ENT. 2022;32:62–67.
MLA Rajendran, Thilaga et al. “Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery”. The Turkish Journal of Ear Nose and Throat, vol. 32, no. 3, 2022, pp. 62-67, doi:10.26650/Tr-ENT.2022.1119617.
Vancouver Rajendran T, Lum SG, Mat Saad AZ, Binti Md Pauzi SH, Mohamad Yunus MR. Primary Lymphoepithelial Carcinoma of Parotid Gland: Inadequate Preoperative Assessment Resulting in Extensive Surgery. Tr-ENT. 2022;32(3):62-7.