Primary squamous cell carcinoma of Stensen's duct in a patient with HIV: the role of magnetic resonance imaging and fine-needle aspiration.

Abstract

BACKGROUND:

Primary malignant tumors involving Stensen's duct are rare neoplasms, with less than 30 cases reported. We report a case of primary squamous cell carcinoma (SCC) involving Stensen's duct in a patient infected with human immunodeficiency virus (HIV) and describe the role of fine-needle aspiration (FNA) and MRI in the diagnosis of this rare entity.

METHODS:

A 47-year-old man with HIV presented with intermittent parotid swelling and pain unresponsive to conservative treatment. He subsequently developed a mass emanating from Stensen's duct, and an MRI and ultrasound-guided FNA revealed carcinoma of Stensen's duct. Total parotidectomy with postoperative external beam radiation therapy was performed.

RESULTS:

The patient remains disease free 31 months after treatment.

CONCLUSIONS:

Primary SCC of Stensen's duct is a rare entity that may mimic benign obstructive parotid disease. FNA and MRI are useful in the diagnosis and assessment of disease extent.

• Authors: Theresa B Kim, Harvey Z Klein, Christine M Glastonbury, David W Eisele
• Journal: Head & neck (Head Neck) Vol. 31 Issue 2 Pg. 278-82 (Feb 2009) ISSN: 1097-0347 [Electronic] United States
• PMID: 18642319 (Publication Type: Case Reports, Journal Article)

Topics

• Biopsy, Fine-Needle
• Carcinoma, Squamous Cell (pathology, therapy, virology)
• HIV Infections (pathology)
• Humans
• Magnetic Resonance Imaging
• Male
• Middle Aged
• Salivary Ducts
• Salivary Gland Neoplasms (pathology, therapy, virology)