A Case of Pleomorphic Adenoma Metastasising to Contralateral Supraclavicular Lymph Node

*Corresponding author: Esmail Abdulahi Ahmed*, Kamil Akdag, Onur Üstün, Ayça Başkadem Yılmazer, Pınar Özay Nayır, Zeynep Aydodu and Yavuz Uyar

Abstract

Introduction

Pleomorphic adenomas are the most common benign parotid tumours in all populations. Management always consists of a curative superficial parotidectomy. However, rare cases described, in which these histological benign tumors metastasize to distant sites. We present an example of a recurrent parotid pleomorphic adenoma with a contralateral supraclavicular lymph node metastasis after several surgical interventions.

Case report

In this case, we reported reported a case of 29-years male with extensive metastasis in submandibular, submental and also very rarely seen contralateral supraclavicular lymph node metastasis. Parotidectomy with preservation of facial nerve and radiotherapy was given to the patient since the lesions were very aggressive.

Conclusion

The patient had several surgical interventions, so it is essential to do meticulous resection in the first surgery to prevent local recurrence and distant metastasis.

Keywords

Pleomorphic adenoma; Metastasizing pleomorphic adenoma; Salivary gland benign neoplasia.