NEUROENDOCRINE CARCINOMA AFFECTING THE PAROTID GLAND: CASE REPORT WITH IMMUNOHISTOCHEMICAL STUDY.

Autor: Teixeira, Lucas Ribeiro, Cavalcanti, Graziela Vieira, Nelem-Colturato, Carla Bento, Ribeiro-Silva, Alfredo, De Freitas, Luiz Carlos Conti, Motta, Ana Carolina Fragoso
Zdroj: Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Sep2022, Vol. 134 Issue 3, pe137-e137, 1p
Abstrakt: Salivary gland neuroendocrine carcinoma (sgNEC) is a rare malignant neoplasm characterized by rapid tumor growth, commonly affecting older male patients and frequently observed on the parotid gland. These tumors can be classified as primary or metastatic sgNEC. A 57-year-old White woman sought medical care for facial swelling and odynophagia. On clinical examination, a painful large nodule located on the right parotid gland was noted, as well as regional lymphadenopathy. Imaginologic analysis revealed a large and irregular mass infiltrating the parotid gland. Core needle biopsy was performed, and the histopathologic analysis revealed features of poorly differentiated sgNEC. Immunohistochemistry showed strong immunopositivity for anti-synaptophysin and chromogranin. Mindbomb 1 labeling index was approximately 30%. The antineoplastic treatment consisted of chemotherapy and adjuvant radiotherapy, and there was no tumor recurrence after 36 months of follow-up. Although rare, sgNEC must be considered in differential diagnosis of parotid gland swellings. [ABSTRACT FROM AUTHOR]
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