%0 Journal Article
%T Atypical Cystic Parotid Gland Acinic Cell Carcinoma in a Child
%A Noah N. Chasen
%A Peter Kalina
%J Advances in Computed Tomography
%P 52-54
%@ 2169-2483
%D 2013
%I Scientific Research Publishing
%R 10.4236/act.2013.22010
%X <b><span>Purpose: </span></b><span>To describe the extremely rare occurrence of acinic cell carcinoma of the parotid in a young child.</span><span> </span><b><span>Materials &amp; Methods: </span></b><span>A 14-year-old boy presented with a left sided facial mass. It was initially thought to be a bug bite or perhaps a wrestling injury. However, it progressed rapidly overall several weeks. CT revealed a well-circumscribed, cystic, 3.9 กม 2.8 กม 3.2 cmmass centered in the deep lobe of the left parotid gland, also involving the superficial lobe and extending medially through the stylomandibular tunnel with a component extending to the stylomastoid foramen. There was no solid enhancing portion. There were several enlarged level II lymph nodes suspicious for nodal metastases.</span><b><span> </span><span>Results: </span></b><span>The mass was biopsied and pathology was consistent with acinic cell carcinoma. Complete left parotidectomy and left selective neck dissection was performed, confirming the diagnosis. <b>Conclusions:</b> Salivary gland neoplasms are rare in children. Less than 5% of salivary gland tumors occur in children. Salivary gland neoplasms account for less than 8% of pediatric head and neck tumors. Approximately 1/3 of salivary gland tumors arising in childhood are malignant; most being mucoepidermoid. Acinic cell carcinoma of the parotid gland in children is extremely rare, especially in those under age 16, with only a few available case reports. This case was also unusual in that the lesion was predominantly cystic.</span>
%K Acinic Cell Carcinoma
%K Parotid Gland
%K Salivary Gland Tumors
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=33195