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Advanced Stage Stuck Gland Adenocarcinoma: Case Report

DOI: 10.4236/mri.2020.91001, PP. 1-7

Keywords: Parotid Neoplasms, Cancer of the Parotid, Palliative Care, Critical Care

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Abstract:

Parotid gland adenocarcinoma is commonly a tumor of low malignancy and low incidence worldwide. The reported case shows the rapid progression of this tumor in an elderly patient and infrequent effects, such as a presentation of facial edema not commonly described in the medical literature. Patient was admitted to hospital in November 2019 with secretion and partial hearing loss in the right ear and infiltrative and stone lesion with initial skin ulceration in the right cervical region. After 42 days, he returned and was admitted to the intensive care unit with significant swelling of the face, hardened and hyperemic neck, difficulty in speech and inability to open the eye. He presented changes in the mobility of the speech and hearing organs, reduced laryngeal mobility, vocal changes, speech with altered articulation and severe oropharyngeal dysphagia with risk of bronchoaspiration. The patient was diagnosed in September 2019 with a parotid tumor (salivary gland adenocarcinoma T4). The medical team requested computed tomography, computed tomography angiography of the chest and cervical vessels and computed tomography of the neck, in addition to evaluation by the head and neck surgery service and general surgery. After analyzing the results, the medical team suggested a hypothesis of tumor invasion that could result in obstruction of local lymphatic drainage, something unusual in the evolution of this type of tumor. In addition, it was not possible to adhere to radiotherapy treatment due to the extent of the lesion and there was also no confirmation of metastases. The reported case shows us that parotid gland adenocarcinoma, when diagnosed in an advanced stage, can limit the approach to treatment. It was chosen in agreement with the family to proceed with palliative care without invasive measures. Palliative care may be the best option for cases like this, bringing some comfort to the patient and his family.

References

[1]  Moore, L.K., Dalley, A.F. and Agur, A.M.R. (2018) Clinically Oriented Anatomy, Lippincott Williams and Wilkins, Philadelphia, 897.
[2]  Rajasekaran, K., Stubbs, V., Chen, J., Yalamanchi, P., Cannady, S. and Brant, J. (2018) Mucoepidermoid Carcinoma of the Parotid Gland: A National Cancer Database Study. American Journal of Otolaryngology, 39, 321-326.
https://doi.org/10.1016/j.amjoto.2018.03.022
[3]  Reinheimer, A., Vieira, D.S., Cordeiro, M.M. and Rivero, E.R. (2019) Retrospective Study of 124 Cases of Salivary Gland Tumors and Literature Review. Journal Section: Oral Medicine and Pathology, 11, e1025-32.
https://doi.org/10.4317/jced.55685
[4]  Dhaliwal, J., Calafiore, R., Bulsara, K.R. and Onyiuke, H. (2019) Vertebral Metastasis from Primary Parotid Adenocarcinoma. World Neurosurgery, 126, 472-474.
https://doi.org/10.1016/j.wneu.2019.02.229
[5]  Cairo, L., César, T., Priante, A., Cardoso, C. and Nunes, C. (2017) Parotid Tumors: A Retrospective Study of Clinical, Histological and Therapeutic Aspects. Revista Brasileira de Cirurgia de Cabeca Pescoco, 46, 6-10.
http://www.sbccp.org.br/new/wp-content/uploads/2017/08/Rev-SBCCP-46-1-artigo-02.pdf
[6]  Guntinas-Lichius, O., Silver, C.E., Thielker, J., Bernal-Sprekelsen, M., Bradford, C.R. and De Bree, R. (2018) Management of the Facial Nerve in Parotid Cancer: Preservation or Resection and Reconstruction. European Archives of Oto-Rhino-Laryngology, 275, 2615-2626.
https://doi.org/10.1007/s00405-018-5154-6
[7]  Asarkar, A., Takalkar, A., Dhawan, M. and Nathan, C.A.O. (2018) Bone Marrow Metastases in Salivary Duct Carcinoma of the Parotid Gland. BMJ Case Reports CP, 11, 1-4.
https://doi.org/10.1136/bcr-2018-226636
[8]  Koide, Y., Sasaki, E., Masago, K., Fujita, S., Beppu, S. and Nishikawa, D. (2018) Epithelioid Hemangioendothelioma of the Parotid Gland: A Case Report. International Cancer Conference Journal, 8, 39-42.
https://doi.org/10.1007/s13691-018-0351-0
[9]  Schultz, A.M., Thomas, A.B., Henley, J.D. and Badve, S. (2004) Pathologic Quiz Case: A 42-Year-Old Man with Right Facial Swelling and Weakness. Archives of Pathology & Laboratory Medicine, 128, 52-53.
[10]  Chakrabarti, S., Nair, D., Malik, A., Qayyumi, B., Nair, S. and Agrawal, J.P. (2018) Prognostic Factors in Parotid Cancers: Clinicopathological and Treatment Factors Influencing Outcomes. Indian Journal Cancer, 55, 98-104.
https://doi.org/10.4103/ijc.IJC_503_17

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