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Oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report

INTRODUCTION: Oncocytic carcinoma is a rare proliferation of cytomorphologically malignant oncocytes mainly found in glandular tissue, accounting for 0.5% of all epithelial salivary gland malignancies and 0.18% of all epithelial salivary gland tumors. CASE PRESENTATION: We report a case of oncocytic...

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Autores principales: Gallego, Lorena, García-Consuegra, Luis, Fuente, Eduardo, Calvo, Nicolás, Junquera, Luis
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3031237/
https://www.ncbi.nlm.nih.gov/pubmed/21241488
http://dx.doi.org/10.1186/1752-1947-5-11
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author Gallego, Lorena
García-Consuegra, Luis
Fuente, Eduardo
Calvo, Nicolás
Junquera, Luis
author_facet Gallego, Lorena
García-Consuegra, Luis
Fuente, Eduardo
Calvo, Nicolás
Junquera, Luis
author_sort Gallego, Lorena
collection PubMed
description INTRODUCTION: Oncocytic carcinoma is a rare proliferation of cytomorphologically malignant oncocytes mainly found in glandular tissue, accounting for 0.5% of all epithelial salivary gland malignancies and 0.18% of all epithelial salivary gland tumors. CASE PRESENTATION: We report a case of oncocytic carcinoma arising in the parotid gland of a 65-year-old Caucasian man. Our patient initially underwent left superficial parotidectomy, including the removal of the mass. A close follow-up was made, and four years after first surgery cervical lymph node metastases were confirmed. Therefore, a complete parotidectomy and radical neck dissections were performed. There were no complications and no sign of recurrence after six months of follow-up. CONCLUSION: Oncocytic carcinoma is an extremely rare malignancy in the salivary glands. Prophylactic neck dissection may be indicated for tumors larger than 2 cm in diameter (our patient's tumor was 2.5 cm at its greatest diameter). The clinical course of our patient, with the appearance of cervical lymph node metastases after four years of follow-up, supports this approach. Further investigation of the prognosis and correct treatment of patients with oncocytic carcinoma are required as more cases are reported.
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spelling pubmed-30312372011-02-01 Oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report Gallego, Lorena García-Consuegra, Luis Fuente, Eduardo Calvo, Nicolás Junquera, Luis J Med Case Reports Case Report INTRODUCTION: Oncocytic carcinoma is a rare proliferation of cytomorphologically malignant oncocytes mainly found in glandular tissue, accounting for 0.5% of all epithelial salivary gland malignancies and 0.18% of all epithelial salivary gland tumors. CASE PRESENTATION: We report a case of oncocytic carcinoma arising in the parotid gland of a 65-year-old Caucasian man. Our patient initially underwent left superficial parotidectomy, including the removal of the mass. A close follow-up was made, and four years after first surgery cervical lymph node metastases were confirmed. Therefore, a complete parotidectomy and radical neck dissections were performed. There were no complications and no sign of recurrence after six months of follow-up. CONCLUSION: Oncocytic carcinoma is an extremely rare malignancy in the salivary glands. Prophylactic neck dissection may be indicated for tumors larger than 2 cm in diameter (our patient's tumor was 2.5 cm at its greatest diameter). The clinical course of our patient, with the appearance of cervical lymph node metastases after four years of follow-up, supports this approach. Further investigation of the prognosis and correct treatment of patients with oncocytic carcinoma are required as more cases are reported. BioMed Central 2011-01-17 /pmc/articles/PMC3031237/ /pubmed/21241488 http://dx.doi.org/10.1186/1752-1947-5-11 Text en Copyright ©2011 Gallego et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gallego, Lorena
García-Consuegra, Luis
Fuente, Eduardo
Calvo, Nicolás
Junquera, Luis
Oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report
title Oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report
title_full Oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report
title_fullStr Oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report
title_full_unstemmed Oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report
title_short Oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report
title_sort oncocytic carcinoma of the parotid gland with late cervical lymph node metastases: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3031237/
https://www.ncbi.nlm.nih.gov/pubmed/21241488
http://dx.doi.org/10.1186/1752-1947-5-11
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