Abstract
Metastasis to intra-parotid nodes is commonly seen from cutaneous malignancies of the head and neck region, but the nodal metastasis from primaries of the upper aero-digestive tract squamous cell carcinoma, though less common, is a known clinical entity. Intra-parotid nodal metastasis from the latter clinical condition is common when nodal disease is seen in other nodal levels in the neck. It may also develop as a delayed nodal metastasis on the ipsilateral side later during the follow up after completing treatment. Delayed nodal metastasis to the contralateral intra-parotid node though possible, has not been reported till date; in this article we present one such case.
Highlights
Lymph nodes in parotid region are divided into extraglandular and intraglandular [1,2]
Metastatic disease to the parotid gland is uncommon, and when present it usually arises from a primary in the head and neck or less commonly from an infraclavicular primary [3]
Metastatic disease to the parotid nodes is mostly caused by squamous cell carcinoma(SCC, but other histologies like adenocarcinoma, have been described [2]
Summary
Lymph nodes in parotid region are divided into extraglandular and intraglandular [1,2]. Metastatic disease to the parotid nodes is mostly caused by squamous cell carcinoma(SCC, but other histologies like adenocarcinoma, have been described [2]. In this case report we would like to highlight this rare clinical presentation and review the literature on intraparotid nodal metastasis from OSCC. Our patient was a 67 year old female who initially presented with growth in the left side oral cavity for 1 month duration. She had no family history of cancer or history of using any form of tobacco.
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