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Case Reports
. 2019 Apr 6;2019(4):rjz109.
doi: 10.1093/jscr/rjz109. eCollection 2019 Apr.

Metastatic acinic cell carcinoma of the parotid gland to the abdominal wall

Alexandros Poutoglidis  1 , Ioannis Pateras  2 , Vasiliki Kokkinou  3 , Petros Tziolas  4
Affiliations
Case Reports

Metastatic acinic cell carcinoma of the parotid gland to the abdominal wall

Alexandros Poutoglidis et al. J Surg Case Rep. .

Abstract

Acinic cell carcinoma (ACC) is a low-grade malignant salivary neoplasm. The parotid gland is the predominant site of origin. ACC has a tendency to recur and metastasize, rarely enough to soft tissue as well as other sites. Medical records of a 56-year-old male with a known history of acinic cell carcinoma of the left parotid gland were reviewed. This report aims to highlight the need for early clinical suspicion of the metastatic tendency of parotid gland ACC in patients' soft tissues, and the vigorous oncologic approach to any suspected metastatic deposits, as this is the standard of practice and only treatment.

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Figures

Figure 1:
Figure 1:
A 1.8 cm × 2 cm lesion (red arrow) revealed in CT scan within the subcutaneous fat.
Figure 2:
Figure 2:
The lesion (green arrow) appears cystic due to its central tumor necrosis (black arrow). Hematoxylin and eosin ×200.
Figure 3:
Figure 3:
The tumor cells are positive for chymotrypsin in immunohistochemistry. Immunostaining ×200.
See this image and copyright information in PMC

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