Nagi Kezevino, Sekar Raghul, Ganesan Sivaraman, Alexander Arun, Saxena Sunil Kumar
Department of Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605006 India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):6170-6173. doi: 10.1007/s12070-021-02848-7. Epub 2021 Sep 8.
Mucoepidermoid carcinoma is the most common salivary gland malignancy and about one third occurs in the parotid gland. The peak incidence is commonly seen between the third and fifth decades of life. It routinely presents as a fixed, painless mass below the ear. However, its presentation as a giant mass is exceedingly rare. Here, we report a case of a recurrent giant exophytic mucoepidermoid carcinoma in a young male. He underwent Revision Total Parotidectomy with Modified Radical neck dissection with Sural nerve grafting and an Anterolateral thigh flap reconstruction followed by Adjuvant radiotherapy. The rarity of the clinical presentation and the management challenges faced in a young male are being discussed in this case report.
黏液表皮样癌是最常见的涎腺恶性肿瘤，约三分之一发生于腮腺。发病高峰常见于30至50岁之间。通常表现为耳下固定、无痛性肿块。然而，以巨大肿块形式出现极为罕见。在此，我们报告一例年轻男性复发性巨大外生性黏液表皮样癌病例。他接受了翻修性全腮腺切除术、改良根治性颈清扫术、腓肠神经移植及股前外侧皮瓣重建术，随后进行了辅助放疗。本病例报告讨论了该临床表现的罕见性以及年轻男性所面临的治疗挑战。
