P Balamanikandaraja, P Jayakumar
Department of Pathology, Srinivasan Medical College and Hospital, Trichy, India.
Department of Surgical Oncology, Srinivasan Medical College and Hospital, Trichy, India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2267-2272. doi: 10.1007/s12070-023-03566-y. Epub 2023 Feb 14.
Mucoepidermoid carcinoma is the commonest primary malignant salivary gland tumor in both children and adults and constitutes around 2.8-16% of all salivary gland tumors. There is a wide age range of 3 to 95 years with a mean age of 47 years. We reported a case of 85 years old female patient, who presented to the department of Surgical Oncology, Srinivasan Medical College and Hospital, Trichy, with history of right parotid swelling for past 25 years, who had undergone Superficial parotidectomy 10 years back, followed by recurrence of tumor with huge increase in size, around 20 cm in greatest dimension. Right Completion Radical Parotidectomy with Modified Radical neck dissection type 1 with Cervical Rotation Flap cover was done and histopathological examination of the surgical specimen confirmed as high grade Mucoepidermoid carcinoma. Following surgery, the patient's outcome is better, uneventful with periodic regular follow-up.
黏液表皮样癌是儿童和成人中最常见的原发性唾液腺恶性肿瘤，约占所有唾液腺肿瘤的2.8%-16%。发病年龄范围广泛，为3至95岁，平均年龄47岁。我们报告了一例85岁女性患者，她因右侧腮腺肿胀25年就诊于特里奇里尼瓦桑医学院和医院外科肿瘤学科室，10年前接受了腮腺浅叶切除术，随后肿瘤复发且大小大幅增加，最大径约20厘米。实施了右侧根治性腮腺全切除术加改良根治性颈部淋巴结清扫术1型并采用颈旋转皮瓣覆盖，手术标本的组织病理学检查确诊为高级别黏液表皮样癌。手术后，患者恢复良好，经过定期规律随访，病情平稳。
