Isolated late metastasis from testicular seminoma presenting as a parotid gland mass: Case report and review of the literature

Künzel J, Agaimy A, Krause S, Vieth M, Alexiou C (2023)

Publication Language: English

Publication Type: Journal article

Publication year: 2023

Journal

Current Oncology Multimed Inc.

Book Volume: 20

Pages Range: e354-e358

Journal Issue: 4

DOI: 10.3747/co.20.1489

Abstract

Parotid metastases from non-head-and-neck cancers are rare and may represent a diagnostic and therapeutic challenge. A late metastasis to the parotid gland from a seminoma is an unusual manifestation of disease. A 45-year-old man with a history of testicular seminoma 5 years earlier presented with a rapidly progressing parotid mass. Ultrasonography and computed tomography showed a space-occupying lesion at the angle of the right jaw. The mass was infiltrating into the parotid gland and into the parapharyngeal space. A primary parotid neoplasm was suspected, and panendoscopy combined with open biopsy was performed. Histology examination confirmed a seminoma metastatic to the parotid gland, and comparison with the primary tumour showed identical histology. The patient received chemotherapy for recurrent seminoma in accordance with the pei (cisplatin, etoposide, ifosfamide) protocol. After 4 courses of chemotherapy, salvage radical parotidectomy with removal of all suspicious residual tumour tissue was performed. This case illustrates the difficulties that may be encountered in the differential diagnosis of parotid gland masses and underlines the necessity for a detailed clinical history and for strong interdisciplinary collaboration between oncologists and pathologists to correctly diagnose cases with such unusual presentations. © 2013 Multimed Inc.

Authors with CRIS profile

Abbas Agaimy Lehrstuhl für Allgemeine Pathologie und Pathologische Anatomie Stefan Krause Department of Medicine 5 – Haematology and Oncology Michael Vieth
Christoph Alexiou Professur für Nanomedizin

Involved external institutions

Klinikum Bayreuth DE Germany (DE)

How to cite

APA:

Künzel, J., Agaimy, A., Krause, S., Vieth, M., & Alexiou, C. (2013). Isolated late metastasis from testicular seminoma presenting as a parotid gland mass: Case report and review of the literature. Current Oncology, 20(4), e354-e358. https://doi.org/10.3747/co.20.1489

MLA:

Künzel, Jonas, et al. "Isolated late metastasis from testicular seminoma presenting as a parotid gland mass: Case report and review of the literature." Current Oncology 20.4 (2013): e354-e358.

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