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Carcinoma ex-pleomorphic adenoma of parotid gland presenting as a gigantic cervicofacial mass
  1. Bhupendra Mehra,
  2. Soumya Ghoshal,
  3. Siddharth P Dubhashi and
  4. Ateet Fulmali
  1. General Surgery, All India Institute of Medical Sciences Nagpur, Nagpur, Maharashtra, India
  1. Correspondence to Dr Soumya Ghoshal; ghoshalsoumya3{at}gmail.com

Abstract

When neglected for a long time, salivary gland pleomorphic adenoma (PA) can attain a considerable size, increasing the patient’s morbidity along with the risk of malignant transformation. Very few case reports are available describing PA of the parotid glands presenting as a large cervicofacial mass. We report a case of epithelial myoepithelial carcinoma —a rare subtype of carcinoma ex-PA (Ca-Ex-PA) of non-luminal differentiation, that developed over a long period in a primary PA of the parotid gland and presented as a giant cervicofacial mass.

  • Head and neck cancer
  • Head and neck surgery

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: BM, SG, AF and SPD. The following authors gave final approval of the manuscript: BM and SPD.

  • 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.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.