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Volume 13 Issue 2 (February) 2024

Case Reports

Asymptomatic Renal Cell Carcinoma Case Presenting As A Parotid Malignancy: A Rare Occurrence
Dr. Shubham Mittal, Dr. Poonam Sehar, Dr. Simrandeep Singh, Dr. Romi Kant Grover, Dr. Pardeep Garg

Background: Metastasis to the parotid gland rarely occurs and usually proceeds from skin cancers of the head and neck, such as melanoma and squamous cell carcinoma. When the primary cancer originates in sites below the clavicle, metastases to the head and neck are uncommon. Parotid localization from renal cell carcinoma is an extremely rare finding. .Here we present a case of Renal cell carcinoma initially presented to us with parotid mass. Case presentation: In this case report we would like to present a case of a 60-year-old female patient presenting with a parotid swelling. Upon resection and immunohistochemical staining, the tumourturned out to be clear cell metastatic renal cell carcinoma. PET-CT revealed a metabolic active mass lesion in upper lobe of left kidney suggestive of primary renal malignancy. Metabolic active soft tissue density lesion at post-operative region of right parotid gland, suggestive of residual disease. Patient underwent cytoreductive left nephrectomy and was started on tab sorafenib 200mg twice a day. Conclusion: Our case presentation conclude that parotid metastasis can occur in primary renal cell carcinoma which is rare presentation .Diagnosis of such cases need careful examination and Histopathology with Immunohistochemistry as well as Radiological imaging.

 
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