Metastatic Renal Cell Carcinoma to the Parotid Gland Presenting 19 years after Nephrectomy: Case report and Review of Literature

✍ Scribed by Robert Deeb; Ziying Zhang; Sudha Kini; Tamer Ghanem

• Publisher: John Wiley and Sons
• Year: 2010
• Tongue: English
• Weight: 848 KB
• Volume: 120
• Category: Article
• ISSN: 0023-852X
• DOI: 10.1002/lary.21592

✦ Synopsis

G.M. is a 82 year old male with a history of renal cell carcinoma, status post partial nephrectomy which took place in 1990, who presented with a right parotid mass which had was first noted approximately 1.5 years prior to presentation. The mass had grown rapidly over the previous 6 months. He denied any facial nerve paralysis at the time of presentation.

Interestingly, the patient also had a diagnosis of chronic lymphocytic lymphoma, and FNA performed of the parotid mass showed malignant lymphoma/leukemia. However the specimen was quite bloody and suspicion remained high for a metastatic lesion given the patient's history of renal cell carcinoma.

On 4/7/09 the patient underwent right sided total parotidectomy. Permanent pathologic specimen revealed metastatic renal cell carcinoma, clear cell type.