The Youngest Case of Metachronous Bilateral Acinic Cell Carcinoma of the Parotid Gland: A Case Report and Literature Review

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2022-05-24 DOI:10.1155/2022/8474741
Raid Alhayaza, M. Dababo, S. Velagapudi
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Abstract

Introduction Acinic cell carcinoma (ACC) is a low-grade malignant salivary neoplasm that represents 17% of all salivary gland malignancies. It has a tendency to affect young individuals, especially females. ACC mainly originates in the parotid gland and has a potential for recurrence and metastases. Rarely, ACC can affect both parotid glands in a single individual. A bilateral ACC of the parotid gland could either present as a synchronous or a metachronous tumor. Case Report. Our patient is a 19-year-old female known case of ACC of the right parotid gland. The tumor was resected in December 2017. After 3 years, she presented with a left parotid pain and swelling, which raised the suspicion of a contralateral metachronous tumor of the left parotid gland. In September 30, 2020 we proceeded with ultrasound-guided fine needle aspiration of the left intraparotid lesion, and the results turned out to be consistent with ACC. Here, we report a case of a 19-year-old female presenting with metachronous bilateral ACC of the parotid gland with an interval of 3 years, which is the 6th of its kind in the literature and the youngest amongst them. Conclusion Despite the rareness of metachronous occurrence of bilateral ACC of the parotid gland, it is still encountered in the medical practice. Here, we are highlighting the importance of follow-up with a periodic clinical and radiological examinations, bearing in mind the contralateral nonaffected parotid gland.
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最年轻的双侧异时性腮腺腺泡细胞癌1例报告并文献复习
腺泡细胞癌(ACC)是一种低级别恶性涎腺肿瘤,占所有涎腺恶性肿瘤的17%。它倾向于影响年轻人,尤其是女性。ACC主要起源于腮腺,有复发和转移的可能。罕见的是,ACC可以同时影响一个人的两个腮腺。双侧腮腺ACC可表现为同步或异时性肿瘤。病例报告。我们的病人是一名19岁的女性,已知右腮腺ACC病例。该肿瘤于2017年12月切除。3年后,她出现左侧腮腺疼痛和肿胀,这引起了对侧左腮腺异时性肿瘤的怀疑。我们于2020年9月30日行超声引导下左侧腮腺内病变细针穿刺,结果与ACC一致。在此,我们报告一例19岁女性腮腺异时性双侧ACC,间隔3年,这是文献中第6例,也是其中最年轻的一例。结论腮腺双侧ACC异时性发生虽少见,但在医疗实践中仍会遇到。在这里,我们强调随访的重要性,定期临床和放射检查,记住对侧未受影响的腮腺。
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来源期刊
Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
自引率
0.00%
发文量
20
审稿时长
13 weeks
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