АTYPICAL OF METASTASIS IN CANCER PAROTID GLAND
Sialadenoncus constitute 1–5 % of all human tumors. Adenocarcinoma salivary glands is a kind of a malignant tumor, and papillary having glandular structure, constituting 5,9 % of epithelial tumors. It is characterized by lymphogenous metastasis to regional cervical lymph nodes. When hematogenous metastasis affects the lungs and bone. A clinical case of atypical metastatic adenocarcinoma of the parotid gland in the soft tissue of the temporal-parietal region. Patient K., 18 years old enrolled in the department of head and neck tumors RNIOI for surgical treatment for cancer of the left parotid gland with metastases in the soft tissues of the left parietal-temporal region (T4N2M0) – IV Art. Condition after radiation therapy (EBRT at the primary site, parietal-temporal area and the area of regional lymph nodes, SOD-40 gr.). Bohlen more than a year when he noticed a tumor in the left parotid region. To the doctor did not address. Due to the growth of education in the parotid and left parietal-temporal areas addressed in RNIOI. When a symmetrical face. In the left parotid and temporal-parietal areas defined tumor. Needle biopsy revealed adenocarcinoma with metastasis to the parietal-temporal region. After preoperative radiotherapy carried out radical surgery in the amount parotidektomiya preserving facial nerve branches and the removal of the tumor parietotemporal area. Histopathological conclusion set «poorly differentiated adenocarcinoma and metastases» When complex examination of distant metastases were found. Postoperatively he received chemotherapy. Located under the supervision without the continued growth of the tumor more than 1 year.