Parotid mass: an unusual presentation of gastroesophageal malignancy.

OBJECTIVE

To report an extremely rare case of gastroesophageal carcinoma presenting initially with salivary gland metastasis.

METHOD: Case report and English language literature review concerning metastasis of adenocarcinoma of the gastroesophageal junction, with emphasis on clinical presentation.

RESULTS

A 66-year-old man presented to the ENT rapid-access clinic with a right-sided neck swelling located in the tail of the right parotid gland. Fine needle aspiration cytology suggested adenocarcinoma. An urgent Oesophago-Gastro-Duodenoscopy (OGD) and biopsy confirmed the presence of the primary tumour at the gastroesophageal junction.

CONCLUSION

To our best knowledge, this is the first report in the English language literature of a parotid mass as the presenting feature of gastroesophageal carcinoma.