Archives of gynecology and obstetrics · 2011
Contralateral metastasis of parotid gland in advanced breast cancer with peripheral facial paralysis.
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Sellinger Maike, Neubauer Klaus, William Marina, Hemmerlein Bernhard, Friedrich Michael, Salehin Darius
Аннотация
PURPOSE: Malignant tumors of the parotid gland are very rare. Until now there have only been a few reported cases of patients with distant metastasis of breast cancer in the parotid gland. This case shows the rarity of the disease.
METHODS: This case is about a 74-year-old woman with an invasive lobular carcinoma of the left breast. The initial diagnosis was made four years ago. The operation which was done was a quadrantectomy and axillary lymph node dissection. It was followed by radiotherapy of the breast. The recommended chemotherapy was declined by the patient.
RESULTS: Three years after the initial diagnosis of lobular invasive breast cancer a nodular change in the cicatrice of the mastectomy occurred. The patient also had a contralateral peripheral facial paralysis, caused by a distant metastasis in the right parotid gland.
CONCLUSIONS: When there is a tumor in the parotid gland and a histological classified adenocarcinoma is found, the differential diagnosis of breast cancer metastasis should be considered.
METHODS: This case is about a 74-year-old woman with an invasive lobular carcinoma of the left breast. The initial diagnosis was made four years ago. The operation which was done was a quadrantectomy and axillary lymph node dissection. It was followed by radiotherapy of the breast. The recommended chemotherapy was declined by the patient.
RESULTS: Three years after the initial diagnosis of lobular invasive breast cancer a nodular change in the cicatrice of the mastectomy occurred. The patient also had a contralateral peripheral facial paralysis, caused by a distant metastasis in the right parotid gland.
CONCLUSIONS: When there is a tumor in the parotid gland and a histological classified adenocarcinoma is found, the differential diagnosis of breast cancer metastasis should be considered.