title: Colonic metastasis in mucoepidermoid carcinoma of the parotid: a rare occurrence.
abstract: We present a case of intermediate-grade mucoepidermoid carcinoma of the parotid with late local recurrence and colonic metastasis. A 69-year-old man who had undergone right total conservative parotidectomy followed by adjuvant radiotherapy for intermediate-grade mucoepidermoid carcinoma 10 years prior, presented with a recurrent swelling in the postoperative site and cardiac failure. On evaluation, he was found to have severe anaemia with positive stool occult blood. Colonoscopic evaluation revealed a globular submucosal bulge with erosion 40 cm from the anal verge, the biopsy of which was consistent with mucoepidermoid carcinoma. The presentation, diagnostic details and management of this rare case are discussed.
authors.affiliation: Department of Radiotherapy, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
authors.forename: Jenifer
authors.initials: J
authors.lastname: Jeba
authors.affiliation: Department of General Pathology, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
authors.forename: Mayur
authors.initials: M
authors.lastname: Suryawanshi
authors.affiliation: Department of General Surgery Unit 1, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
authors.forename: Pranay
authors.initials: P
authors.lastname: Gaikwad
authors.affiliation: Department of Radiotherapy, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
authors.forename: Selvamani
authors.initials: S
authors.lastname: Backianathan
mesh_terms: D000368:Aged; D000740:Anemia / Q000150:complications; D018277:Carcinoma, Mucoepidermoid / Q000473:pathology* / Q000556:secondary / Q000628:therapy; D003110:Colonic Neoplasms / Q000473:pathology / Q000556:secondary*; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local; D010306:Parotid Gland / Q000473:pathology; D010307:Parotid Neoplasms / Q000473:pathology*; D049268:Positron-Emission Tomography
references.citation: Oral Oncol. 2005 Jan;41(1):3-10
references.pmid: 15598579
references.citation: J Clin Oncol. 2006 Jun 10;24(17):2673-8
references.pmid: 16763282
references.citation: Crit Rev Oncol Hematol. 2010 May;74(2):134-48
references.pmid: 19939701
references.citation: Otolaryngol Head Neck Surg. 2013 Sep;149(3):402-8
references.pmid: 23695589
references.citation: J Cancer Res Ther. 2010 Jul-Sep;6(3):350-2
references.pmid: 21119274
references.citation: Laryngoscope. 2008 Feb;118(2):258-62
references.pmid: 18030166
references.citation: Crit Rev Oncol Hematol. 2003 Feb;45(2):215-25
references.pmid: 12604131
references.citation: J Med Assoc Thai. 2004 Aug;87(8):988-91
references.pmid: 15471307
references.citation: ORL J Otorhinolaryngol Relat Spec. 2001 Jul-Aug;63(4):233-42
references.pmid: 11408820
references.citation: Cancer. 2012 Aug 15;118(16):3928-36
references.pmid: 22180391
references.citation: Clin Respir J. 2016 Jul;10 (4):524-9
references.pmid: 25532419
references.citation: Jpn J Clin Oncol. 2008 Jun;38(6):414-8
references.pmid: 18573852
references.citation: Ann Surg. 1945 Nov;122(5):820-44
references.pmid: 17858687
references.citation: Acta Otolaryngol. 2006 Apr;126(4):340-5
references.pmid: 16608783
references.citation: Arch Otolaryngol Head Neck Surg. 2004 Jul;130(7):849-56
references.pmid: 15262762