Atypical Cystic Parotid Gland Acinic Cell Carcinoma in a Child.docVIP

Advances in Computed Tomography, 2013, 2, 52-54 /10.4236/act.2013.22010 Published Online June 2013 (/journal/act) Atypical Cystic Parotid Gland Acinic Cell Carcinoma in a Child Noah N. Chasen, Peter Kalina Department of Radiology, Mayo Clinic, Rochester, USA Email: chasen.noah@ Received December 1, 2012; revised January 5, 2013; accepted January 15, 2013 Copyright ? 2013 Noah N. Chasen, Peter Kalina. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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 per- haps a wrestling injury. However, it progressed rapidly overall several weeks. CT revealed a well-circumscribed, cystic, 3.9 × 2.8 × 3.2 cm mass centered in the deep lobe of the left parotid gland, also involving the superficial lobe and ex- tending 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. Re- sults: 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 malig- nant; most being mucoepidermoid. Acinic cell carcinoma of the parotid gland in children is extremely rare, especially in those under age 16, with onl