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Forum Name: Lymphoma

Question: Irregular lobulated swelling parotid gland&Enlarged Lymphnod


 Krishna - Sat Sep 20, 2008 12:54 pm

My dad is 67 year old. He has got swelling in the left side of the neck.The CT scan, endoscopy and the blood check-up says nothing abnormal.But an MRI scan report, after 9 months of its appearance says the following,

1. Irregular bordered lobulted mass lesion noted in the tail of right parotid region. Lesion measures 10x7.7x7.3 cm. Areas of necrotic changes noted inside the lesion.
2. Skin and subcutaneous tissues over the mass is hyperintense on T2W1 and STIR with irregularity of skin surface. Features suggest skin infiltration.
3. No e/o infiltration of masseter muscle or mandible
4. Multiple enlarged lymph nodes noted in right level I,II and III groups of neck
5. Carotid sheath structures are slightly displaced medially by the mass lesion. No e/c encasement of carotid vessels by mass lesion
6. Tongue, hard and soft palates, floor of mouth, naso, oro, and hypo phrynx appear normal.
7. Diffuse swelling and T2 hyper intensity noted in the arytenoids on right side. Glottic chink is narrowed. Left hemilarynx is normal
8. Trachea and thyroid gland appear normal

He has undergone radiations and now Chemotherapy. He has got 2 doses of Chemotherapy. Please let us know how critical his condition is, and the possibility of complete recovery.
 Dr. Safaa Mahmoud - Sun Oct 05, 2008 8:00 pm

User avatar Hello,

I assume that FNA or open biopsy was done either from the parotid mass or the involved lymph nodes. It would be more helpful if you can inform us about the pathology of this swelling and or the lymph nodes.

Lymph node metastasis is not uncommon and occurs in about 25% of parotid cancer patients at diagnosis however the level of lymph node involvement is not typical to primary parotid tumors.

Proper pathologic evaluation is very essential to exclude lymphoma or melanoma as a primary tumor with parotid and lymph node metastases. Prognosis is completely different according to the pathology.

It would be also more helpful if you can inform us about any other Scans done for the rest of the body and the treatment plan decided by his doctor.

Please keep us updated.
Best regards.

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