Lozev Ilia, Ruseva Sonya, Pidakev Ivan, Cardoso José Carlos, Wollina Uwe, Lotti Torello, Maximov Georgi Konstantinov, Terziev Ivan, Tchernev Georgi
Medical Institute of Ministry of Interior Department of General, Vascular and Abdominal Surgery, Sofia, Bulgaria.
"Onkoderma"- Policlinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Open Access Maced J Med Sci. 2018 Jan 13;6(1):134-136. doi: 10.3889/oamjms.2018.014. eCollection 2018 Jan 25.
Neoplasms of the major and minor salivary glands are morphologically and a clinically diverse group of neoplasms which lead the clinician to diagnostic and management challenges. This article aims to report a case of mucoepidermoid carcinoma in 83 - year - old woman who presented in the dermatology clinic with a tumour mass in the left auricular area. The patient complained of pain and abnormal bleeding of the mass. The lesion was examined, and surgical treatment was performed. A tumour was extirpated, and partial resection of both the parotid gland and the sternocleidomastoid muscle was done. Lymphatic dissection was performed. Post recovery was uneventful with no functional defects and abnormalities. The pathohistological result confirmed the diagnosis of mucoepidermoid carcinoma of the parotid gland with massive infiltration of the skin and the subcutaneous tissue. Lymph nodules with total metastasis of mucoepidermoid carcinoma and capsular invasion were additionally presented. Postoperative radiation therapy was planned.
大唾液腺和小唾液腺肿瘤在形态学和临床上是一组多样化的肿瘤，给临床医生带来了诊断和管理方面的挑战。本文旨在报告一例83岁女性黏液表皮样癌病例，该患者因左耳廓区域出现肿瘤肿块而就诊于皮肤科门诊。患者主诉肿块疼痛及异常出血。对病变进行了检查并实施了手术治疗。切除了肿瘤，并对腮腺和胸锁乳突肌进行了部分切除。进行了淋巴结清扫。术后恢复顺利，无功能缺陷及异常情况。病理组织学结果证实为腮腺黏液表皮样癌，伴有皮肤和皮下组织的大量浸润。此外还发现了伴有黏液表皮样癌完全转移和包膜侵犯的淋巴结结节。计划进行术后放射治疗。
