Abstract

Adenoids cystic carcinomas (CAKs) represent 2-4% of parotid tumors and 12% of malignant tumors. These are slow growing tumors that are characterized by their ability to infiltrate the nerve sheaths. We collected three cases of CAK of the parotid gland diagnosed and treated between 2012 and 2018. These were 03 women who consulted in front of the appearance of a swelling of the parotid compartment associated with a facial paralysis in a case. The lymph node areas were free. All patients underwent exploration including ultrasound, CT in one case, and MRI in one patient. Treatment consisted of a total parotidectomy associated with lymph node dissection in all cases and additional radiotherapy. The evolution was favorable in two cases. The adenoid cystic carcinoma of the parotid is a rare tumor, characterized by a very slow evolution, a local aggressiveness, a strongly recurrent character locally and a high metastatic capacity at a distance.

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