Recurrent Giant Mucoepidermoid Carcinoma of the Parotid: A Case Report and Review of Literature

Mucoepidermoid carcinoma is the most common salivary gland malignancy and about one third occurs in the parotid gland. The peak incidence is commonly seen between the third and fifth decades of life. It routinely presents as a fixed, painless mass below the ear. However, its presentation as a giant...

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Published inIndian journal of otolaryngology, and head, and neck surgery Vol. 74; no. Suppl 3; pp. 6170 - 6173
Main Authors Nagi, Kezevino, Sekar, Raghul, Ganesan, Sivaraman, Alexander, Arun, Saxena, Sunil Kumar
Format Journal Article
LanguageEnglish
Published New Delhi Springer India 01.12.2022
Springer Nature B.V
Subjects
Cancer
Case reports
Clinical Report
Exocrine glands
Head and Neck Surgery
Medicine
Medicine & Public Health
Oral cancer
Otorhinolaryngology
Parotid
MEC
Anterolateral thigh flap
Giant mucoepidermoid
Low grade becoming high grade
Salivary gland malignancy
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Summary:Mucoepidermoid carcinoma is the most common salivary gland malignancy and about one third occurs in the parotid gland. The peak incidence is commonly seen between the third and fifth decades of life. It routinely presents as a fixed, painless mass below the ear. However, its presentation as a giant mass is exceedingly rare. Here, we report a case of a recurrent giant exophytic mucoepidermoid carcinoma in a young male. He underwent Revision Total Parotidectomy with Modified Radical neck dissection with Sural nerve grafting and an Anterolateral thigh flap reconstruction followed by Adjuvant radiotherapy. The rarity of the clinical presentation and the management challenges faced in a young male are being discussed in this case report.
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ISSN:2231-3796
0973-7707
DOI:10.1007/s12070-021-02848-7