title: Late solitary metastasis of renal cell carcinoma to the submandibular gland.
abstract: Metastatic renal cell carcinoma to the head and neck is rare. Most reported cases of metastases to the head and neck involve the thyroid and parotid glands. Metastasis to other salivary glands is exceedingly rare. This report describes a case of a solitary metastasis of renal cell carcinoma to the submandibular gland 9 years after nephrectomy. To the authors' knowledge, this is the first case successfully diagnosed preoperatively using a combination of fine-needle aspiration and clinical history. The patient subsequently underwent a submandibular gland resection with preservation of the facial nerve branches. For the 3 years since resection of the submandibular gland, the patient has been free of disease.
authors.affiliation: Department of Surgery, Division of Endocrine Surgery, NYU Langone Medical Center, New York, NY 10016, USA.
authors.forename: Sam M
authors.initials: SM
authors.lastname: Serouya
authors.forename: Linda A
authors.initials: LA
authors.lastname: Dultz
authors.forename: Seth J
authors.initials: SJ
authors.lastname: Concors
authors.forename: Beverly
authors.initials: B
authors.lastname: Wang
authors.forename: Kepal N
authors.initials: KN
authors.lastname: Patel
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary*; D003937:Diagnosis, Differential; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D009392:Nephrectomy; D013365:Submandibular Gland Neoplasms / Q000556:secondary*