Boulaich M, Oujilal A, Benbouzid A, Lazrak A, Benchaqroun L, Jazouli N, Kzadri M
Service d'ORL et de Chirurgie cervico-faciale, Hôpital des spécialités, CHU Ibn Sina, Rabat, Maroc.
Ann Otolaryngol Chir Cervicofac. 1994;111(7):415-9.
Secondary malignant tumors of the parotid gland are uncommon. They arise from primary tumors located in the head and neck or from distant primary tumors. The formers are dominated by squamous cell carcinomas and melanomas, the latters by kidney and bronchic cancers. Distinction between malignant primary tumors and metastasis of other primary tumors to the parotid gland is very important to appreciate, because the result of this will change therapeutic procedure and the evaluation of prognosis. The rarity of this metastatic site is illustrated by this series of 9 cases. These observations raised discussion about the site of the primary tumor, the localization in the parenchyma or in the lymph nodes, and the histological differential diagnosis.
腮腺继发性恶性肿瘤并不常见。它们源于头颈部的原发性肿瘤或远处的原发性肿瘤。前者以鳞状细胞癌和黑色素瘤为主，后者以肾癌和支气管癌为主。鉴别原发性恶性肿瘤与其他原发性肿瘤转移至腮腺非常重要，因为这将改变治疗方案和预后评估。这组9例病例说明了该转移部位的罕见性。这些观察引发了关于原发性肿瘤部位、在实质或淋巴结中的定位以及组织学鉴别诊断的讨论。
