title: Cutaneous squamous cell carcinoma metastatic to the parotid gland in a transplant patient.
abstract: Parotid metastases from cutaneous neoplasms are rare and have a relatively good prognosis if limited to the lymph nodes. When extension beyond the lymph nodes occurs, prognosis is grave. It has also been reported that transplant patients have a higher incidence of cutaneous carcinoma, which tends to be more aggressive. We report a case of an aggressive squamous cell carcinoma metastatic to the parotid gland in a liver transplant patient. The literature pertaining to parotid area metastasis and cancer in transplant recipients is reviewed. We conclude that clinicians should have a higher clinical index of suspicion for cutaneous lesions in transplant patients and that cutaneous lesions at risk for metastasis to the parotid should be treated more aggressively.
authors.affiliation: Department of Otolaryngology and Human Communication, MCW Clinic, Froedtert Hospital, Milwaukee, Wisconsin 53226, USA.
authors.forename: T N
authors.initials: TN
authors.lastname: Christiansen
authors.forename: J E
authors.initials: JE
authors.lastname: Freije
authors.forename: M
authors.initials: M
authors.lastname: Neuburg
authors.forename: A
authors.initials: A
authors.lastname: Roza
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery; D006801:Humans; D015994:Incidence; D016031:Liver Transplantation; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010307:Parotid Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000556:secondary*; D011379:Prognosis; D012307:Risk Factors; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery