Radical Parotidectomy and Neck Dissection on Carcinoma Parotid Dextra with Lymph Node Bilateral Metastasis: A Case Report
DOI:
https://doi.org/10.35790/ecl.v14i1.63721Keywords:
malignancy of parotid gland; radical parotidectomy; neck dissectionAbstract
Abstract: Malignant salivary gland is a rare gland tumor, with parotid gland as the most common site. Parotidectomy for parotid gland malignancy includes management of primary salivary cancer, metastatic lymph nodes, and direct extension from surrounding structures or cutaneous malignancies. We reported a 66-year-old male referred to the hospital because of a lump at the bottom of the right ear three months ago. The lump got more significant day by day and suddenly it felt progressively enlarged. The patient complained of pain in the lump. The tumor size was 10x4 cm, immobile, fixed to underlying tissue, and had the same color as the surrounding skin. Ultrasonography showed lymphadenopathy at the right side of neck with multiple malignant node metastasis. Therefore, a radical parotidectomy was performed on this patient. The histopathological examination obtained squamous cell carcinoma identified as keratinized. After the surgery, the patient complained of right facial weakness. The patient then underwent medical rehabilitation for further treatment of his facial weakness. In conclusion, the malignancy of the parotid gland was uncommon, hosting the majority of all salivary gland tumors are benign. Successful management depends on prompt diagnosis, accurate histopathological evaluation, and a comprehensive multidisciplinary approach to develop optimal treatment plans.
Keywords: malignancy of parotid gland; radical parotidectomy; neck dissection
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