title: [Metastasis of cutaneous squamous cell carcinoma of the face into the parotid area]].
abstract: Presence of planocellular skin carcinoma always implies the possibility of disease spreading into regional lymph nodes. The average occurrence of metastasis of this face carcinoma is about 5% (from 0.5% to 19.5%). This paper presents seven patients with lymphogenic metastasis of planocellular carcinoma of face skin into parotid region. All patients were treated surgically, and in three patients with extracapsular spreading of metastasis radiation therapy was applied. The choice of the extent of surgery was made on the basis of clinical status. In three patients with small solitary metastases superficial parotidectomy was performed as the only treatment method, and during the three-year follow up the disease did not recur. in other four patients radical procedure with total parotidectomy and elective neck dissection was done due to greater number and size of parotid gland lymph nodes. During the second year of treatment of these patients, disease dissemination and lethal outcome were recorded. The importance of surgical treatment of the primary tumor is emphasized, as well as obligatory pathohistologic examination of the tissue (determination of the depth of invasion, edges), and frequent follow-up of patients at risk with the aim of early detection of recurrence and occult metastases.
authors.affiliation: Opća bolnica Zadar, Primljeno 3. svibnja 2000.
authors.forename: M
authors.initials: M
authors.lastname: Kovacić
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery; D005153:Facial Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D010307:Parotid Neoplasms / Q000556:secondary* / Q000601:surgery; D012878:Skin Neoplasms / Q000473:pathology*