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 ACT  Vol.2 No.2 , June 2013
Atypical Cystic Parotid Gland Acinic Cell Carcinoma in a Child
Abstract: Purpose: To describe the extremely rare occurrence of acinic cell carcinoma of the parotid in a young child. Materials & Methods: A 14-year-old boy presented with a left sided facial mass. It was initially thought to be a bug bite or perhaps a wrestling injury. However, it progressed rapidly overall several weeks. CT revealed a well-circumscribed, cystic, 3.9 × 2.8 × 3.2 cmmass centered in the deep lobe of the left parotid gland, also involving the superficial lobe and extending medially through the stylomandibular tunnel with a component extending to the stylomastoid foramen. There was no solid enhancing portion. There were several enlarged level II lymph nodes suspicious for nodal metastases. Results: The mass was biopsied and pathology was consistent with acinic cell carcinoma. Complete left parotidectomy and left selective neck dissection was performed, confirming the diagnosis. Conclusions: Salivary gland neoplasms are rare in children. Less than 5% of salivary gland tumors occur in children. Salivary gland neoplasms account for less than 8% of pediatric head and neck tumors. Approximately 1/3 of salivary gland tumors arising in childhood are malignant; most being mucoepidermoid. Acinic cell carcinoma of the parotid gland in children is extremely rare, especially in those under age 16, with only a few available case reports. This case was also unusual in that the lesion was predominantly cystic.
Cite this paper: Chasen, N. and Kalina, P. (2013) Atypical Cystic Parotid Gland Acinic Cell Carcinoma in a Child. Advances in Computed Tomography, 2, 52-54. doi: 10.4236/act.2013.22010.
References

[1]   I. Sultan, C. Rodriguez-Galindo, S. Al-Sharabati, M. Guzzo, M. Casanova and A. Ferrari, “Salivary Gland Carcinomas in Children and Adolescents: A Population-Based Study, with Comparison to Adult Cases,” Head &Neck, Vol. 33, No. 10, 2011, pp. 1476-1481.

[2]   P. Michail, I. Karavokyros, E. Pikoulis, A. Arvelakis, G. Charminis, O. Michail and D. Theodoros, “Acinic Cell Carcinoma of the Parotid Gland in Children: A Case Report and Literature Review,” West Indian Medical Journal, Vol. 57, No. 1, 2008, pp. 70-72.

[3]   F. M. Tucci, P. M. Bianchi, S. Bottero, P. Partipilo and V. Pierro, “Acinic Cell Carcinoma of the Parotid Gland in Childhood,” International Journal of Pediatric Otorhinolaryngology, Vol. 27, No. 2, 1993, pp. 187-191. doi:10.1016/0165-5876(93)90135-P

[4]   S.-I. Suh, H. Y. Seol, T.-K. Kim, N. J. Lee, J. H. Kim, K. Ah Kim, J.-S. Woo and J. H. Lee, “Acinic Cell Caricinoma of the Head and Neck Radiologic and Pathologic Correlation,” Journal of Computed Assisted Tomography, Vol. 29, No. 1, 2005, pp. 121-126. doi:10.1097/01.rct.0000150141.14113.ab

[5]   C. Rainea, K. Salibab, A. J. Chippindaleb and N. R. McLeana, “Radiological Imaging in Primary Parotid Malignancy,” The British Association of Plastic Surgeons, Vol. 56, No. 7, 2003, pp. 637-643. doi:10.1016/S0007-1226(03)00358-8

[6]   H. H. Alphs, D. Eisele and W. Westra, “The Role of Fine Needle Aspiration in the Evaluation of Parotid Masses,” Current Opinion in Otolaryngology & Head and Neck Surgery, Vol. 14, No. 2, 2006, pp. 62-66. doi:10.1097/01.moo.0000193184.38310.0a

[7]   J. M. Levin, D. W. Robinson and F. Lin, “Acinic Cell Carcinoma Collective Review Including Bilateral Cases,” Archives of Surgery, Vol. 110, No. 1, 1975, pp. 64-68. doi:10.1001/archsurg.1975.01360070064011

[8]   M. T. Andreoli, S. M. Andreoli, M. G. Shrime and A. K. Devaiah, “Radiotherapy in Parotid Acinic Cell Carcinoma. Does It Have an Impact on Survival,” Archives of Otolaryngology—Head and Neck Surgery, Vol. 138, No. 5, 2012, pp. 463-466.

 
 
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