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Case report
Reminder of an important clinical lesson: breast cancer metastasis to the parotid gland
  1. Amisha Jakharia-Shah1,
  2. Hugh Wheatley2 and
  3. Matthew Beesley3
  1. 1 Bristol Medical School, University of Bristol, Bristol, UK
  2. 2 ENT Department, Gloucestershire Royal Hospital, Gloucester, UK
  3. 3 Pathology Department, Gloucestershire Royal Hospital, Gloucester, UK
  1. Correspondence to Amisha Jakharia-Shah; aj14785{at}my.bristol.ac.uk

Abstract

A 59-year-old woman presented to an otolaryngology clinic with an 8-week history of a painless lump over her left parotid gland. Her medical history included an invasive ductal carcinoma (33 mm) and a ductal carcinoma in situ (70 mm) of the right breast, for which she had a mastectomy and various adjuvant therapies. The primary tumour presented 8 years prior to the metachronous metastasis. This patient was a non-smoker and had no significant family history. Post-superficial parotidectomy pathology revealed the parotid gland tumour to be oestrogen receptor-positive and HER2 receptor-positive, thus ruling out the initial differential diagnosis of a pleomorphic adenoma. A consequential total parotidectomy with a posterolateral neck dissection was performed with sparing of the facial nerve. The patient recovered well having only encountered a self-resolving salivary fistula. She portrayed no signs of facial nerve palsy and subsequent imaging scans showed no abnormalities.

  • Cancer intervention
  • Ear, nose and throat/otolaryngology
  • Breast cancer
  • Head and neck cancer
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Footnotes

  • Contributors AJ-S acquired and analysed the data. AJ-S contributed to the writing and review of the final manuscript. HW investigated and treated the patient and reviewed the final manuscript. MB reported the resection, thus contributing to the pathological diagnosis of the tumour.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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