gms | German Medical Science

81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

12.05. - 16.05.2010, Wiesbaden

Acinic cell carcinoma of the parotid gland in a child

Meeting Abstract

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  • corresponding author presenting/speaker Antje Halbach - Städtisches Klinikum, HNO-Klinik, Dessau, Germany
  • Thomas Adamiak - Städtisches Klinikum, HNO-Klinik, Dessau, Germany
  • Jürgen Knolle - Städtisches Klinikum, HNO-Klinik, Dessau, Germany
  • Stephan Knipping - Städtisches Klinikum, HNO-Klinik, Dessau, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno104

DOI: 10.3205/10hno104, URN: urn:nbn:de:0183-10hno1046

Veröffentlicht: 6. Juli 2010

© 2010 Halbach et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Salivary gland tumors account for about 5% of all tumors of the head and neck region. The peak incidence is in the 5th–7th decade of life. Most salivary gland tumors of the parotid gland are benign. Children are affected rarely, but in most cases there are malignant tumors.

Method: A fifteen-years old boy was presented with a mass in the right parotid gland. After tumor excision the histological examination showes an epithelial salivary gland tumor without histological malignancy. After one year follow up, a mass at the right parotid gland without clinical malignancy was observed. Therefore, we performed a lateral parotidectomy.

Results: The histological examination showed the microcystic variant of an acinic cell carcinoma of the parotid gland. Therefore, a total parotidectomy was carried out with complete facial nerve preservation and selective neck dissection. Because of negative staging no further adjuvant therapy was required. The patient is up to now free of recurrence.

Conclusion: Malignant parotid gland tumors in children, especially acinic cell carcinoma provide an absolute rarity. In the present case only the immunocytochemical workup could provide the definitive diagnosis. Therapy of choice is complete surgical resection as well as frequent observation. Adjuvant therapy is to discuss in cases with metastasis.