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Malignant mixed tumour of the parotid gland in a preterm neonate with cytomegalovirus infection
  1. Riham Suleiman1,
  2. Tuka Darwish1,
  3. Hadeel Shamma2 and
  4. Mhd Firas Safadi3
  1. 1Department of Obstetrics and Gynaecology, Maternity University Hospital, Damascus, Syrian Arab Republic
  2. 2Department of Pathology, Klinikum Chemnitz gGmbH, Chemnitz, Sachsen, Germany
  3. 3General, Visceral and Proctological Surgery, Diakonmed Diakoniekrankenhaus Chemnitzer Land gGmbH, Hartmannsdorf, Saxony, Germany
  1. Correspondence to Dr Mhd Firas Safadi; doctor.safadi{at}


A young pregnant woman presented to the emergency department with acute lower abdominal pain. The ultrasound examination showed not only a viable fetus with a gestational age of 24 weeks but also a heteroechoic mass of about 7×7 cm involving parts of the face. The patient was found to be in active labour with rapid progression, and she gave birth to a dead female neonate. The autopsy showed a large malignant mixed tumour of the left parotid gland and revealed infection with cytomegalovirus. To our knowledge, this is the first reported case of a malignant mixed tumour of salivary glands in fetuses.

  • Oncology
  • Ear, nose and throat/otolaryngology
  • Paediatrics
  • Abortion
  • Obstetrics and gynaecology

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  • Contributors RS and TK were involved in patient care, collected the clinical data, obtained the images and patient’s consent and wrote the first draft. HS controlled the pathological aspects, reviewed the manuscript, and wrote the image captions. MFS and HS amended the table of cases, checked the accuracy of references and enhanced the manuscript. All authors reviewed and approved the final manuscript before submission.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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