Eyelid-parotid metastasis: do we screen for coexisting masses? A case series

To report three cases illustrating that it is not unusual for a primary eyelid tumour to metastasise to the parotid gland and vice versa. Two patients with malignant parotid tumours underwent radical parotidectomy and presented subsequently with eyelid lesions. Biopsy showed that both eyelid lesions...

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Bibliographic Details
Published inJournal of laryngology and otology Vol. 129; no. 11; pp. 1140 - 1142
Main Authors Mukherjee, C, Sadiq, A, Mehta, P, Ahluwalia, H
Format Journal Article
LanguageEnglish
Published Cambridge, UK Cambridge University Press 01.11.2015
Subjects
Adult
Aged
Antibodies
Antigens
Biopsy
Breast cancer
Breast Neoplasms - secondary
Breast Neoplasms - therapy
Carcinoma, Squamous Cell - secondary
Carcinoma, Squamous Cell - therapy
Chemoradiotherapy - methods
Clinical Records
Diagnosis, Differential
Exocrine glands
Eyelid Neoplasms - secondary
Eyelid Neoplasms - therapy
Female
Histology
Humans
Lymphatic system
Magnetic resonance imaging
Male
Melanoma
Metastasis
Middle Aged
Neoplasm Staging
Parotid Neoplasms - pathology
Parotid Neoplasms - therapy
Radiation therapy
Reconstructive Surgical Procedures
Skin cancer
Surgical Procedures, Operative
Tumors
Parotid Neoplasms
Histopathology
Metastasis
Immunocytochemistry
Eyelids
Tumors
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Summary:To report three cases illustrating that it is not unusual for a primary eyelid tumour to metastasise to the parotid gland and vice versa. Two patients with malignant parotid tumours underwent radical parotidectomy and presented subsequently with eyelid lesions. Biopsy showed that both eyelid lesions were histologically similar to the primary parotid tumour. A third patient was noted to have ipsilateral upper eyelid and parotid gland tumours. Histology and immunocytochemistry were used to differentiate the primary tumour and the metastasis. These cases illustrate that tumours involving eyelids and parotid glands can present simultaneously or sequentially, and either of these structures could be the focus of primary or metastatic tumour. The important message for oculoplastic and parotid surgeons is to routinely assess both the periocular and parotid area when patients present with a mass in either structure.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215115002443