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Parotid adenoidcystic carcinoma with carotid space spread

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Right parotid swelling

Patient Data

Age: 25 years
Gender: Female

Large mass within the superficial and deep lobes of the right parotid gland widening the stylomandibular tunnel. It demonstrates heterogenous signal with cystic/necrotic areas. 

Right parotidectomy and mastoidectomy has been performed. There is recurrent tumor within the right carotid space and jugular chain nodes. The carotid space disease is longitudinally extensive suggesting it may represent perineural spread. 

Case Discussion

Pathologically confirmed right parotid adenoidcystic carcinoma with post operative recurrence within the carotid space. 

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