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Parotid mass: an unusual presentation of gastroesophageal malignancy

Published online by Cambridge University Press:  03 February 2011

H Mohyuddin ,
A Mahrous ,
V Sharma  and
P Gluckman
H Mohyuddin
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Medway Maritime Hospital, Gillingham, UK
A Mahrous*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Medway Maritime Hospital, Gillingham, UK
V Sharma
Affiliation:
Department of Pathology, Darenth Valley Hospital, Dartford, UK
P Gluckman
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Medway Maritime Hospital, Gillingham, UK
*
Address for correspondence: Mr Ali Mahrous, ENT department, Medway Maritime Hospital, Windmill Road, Gillingham ME7 5NY, UK Fax: + 44 (0)1634 82 5055 E-mail: alikhalaf@doctors.org.uk
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Abstract

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.

Keywords

Parotid GlandEsophageal NeoplasmsNeoplasm MetastasisDiagnosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 5 , May 2011 , pp. 546 - 548
Copyright
Copyright © JLO (1984) Limited 2011

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