Anais Brasileiros de Dermatologia (Jun 2016)

The prognostic importance of parotid involvement by head and neck squamous cell carcinoma - Case report

  • Bruna Melhoranse Gouveia,
  • Maria Helena de Magalhães Barbosa,
  • Leonardo Hoehl Carneiro,
  • Luzia Abrao El Hadj,
  • Nurimar Conceição Fernandes

DOI
https://doi.org/10.1590/abd1806-4841.20163995
Journal volume & issue
Vol. 91, no. 3
pp. 351 – 353

Abstract

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Abstract Squamous cell carcinoma (SCC) is the second-most common malignant cutaneous cancer, with 60% occurring in the head and neck region. Metastases are uncommon and imply a more conservative prognosis. This report describes a case of parotid-invasive, facial squamous cell carcinoma, highlighting the importance of its prognostic and therapeutic management. The patient is an 81-year-old female, exhibiting extensive tumoral lesions in the pre-auricular region, affecting the parotid parenchyma and implying the metastatic involvement of the intra-parotid lymph node. Parotid involvement caused by SCC in specificity tumors is discussed herein. Parotid invasion is currently recognized as an isolated variable. It affects survival rates and determines certain changes in case management, such as the broadening of resection areas and adjuvant radiotherapy.