Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Recurrent acinic cell carcinoma in the parotid gland with cardiac metastasis and hypertrophic osteoarthropathy

심장 전이와 비후성 골관절증을 동반한 재발성 이하선 선방세포암

  • Jung, Sung Yun (Division of Hematology-Oncolog and Cardiologyy, Department of Internal Medicine, Yeungnam University) ;
  • Lee, Dong Won (Division of Hematology-Oncolog and Cardiologyy, Department of Internal Medicine, Yeungnam University) ;
  • Gu, Min Geun (Division of Hematology-Oncolog and Cardiologyy, Department of Internal Medicine, Yeungnam University) ;
  • Kwon, Tae Hun (Division of Hematology-Oncolog and Cardiologyy, Department of Internal Medicine, Yeungnam University) ;
  • Ko, Sung Ae (Division of Hematology-Oncolog and Cardiologyy, Department of Internal Medicine, Yeungnam University) ;
  • Choi, Joon Hyuk (Department of Pathology, College of Medicine, Yeungnam University) ;
  • Sohn, Jang Won (Division of Hematology-Oncolog and Cardiologyy, Department of Internal Medicine, Yeungnam University) ;
  • Hyun, Myung Soo (Division of Hematology-Oncolog and Cardiologyy, Department of Internal Medicine, Yeungnam University)
  • 정성윤 (영남대학교 의과대학 내과학교실) ;
  • 이동원 (영남대학교 의과대학 내과학교실) ;
  • 구민근 (영남대학교 의과대학 내과학교실) ;
  • 권태훈 (영남대학교 의과대학 내과학교실) ;
  • 고성애 (영남대학교 의과대학 내과학교실) ;
  • 최준혁 (영남대학교 의과대학 병리학교실) ;
  • 손장원 (영남대학교 의과대학 내과학교실) ;
  • 현명수 (영남대학교 의과대학 내과학교실)
  • Received : 2013.07.14
  • Accepted : 2013.09.09
  • Published : 2014.06.30
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Abstract

Acinic cell carcinoma (ACC) is an uncommon malignant tumor of the salivary glands that is difficult to diagnose. It grows slowly and shows distant metastasis rarely. We experienced a case of recurrent ACC in the parotid gland with cardiac metastasis and hypertrophic osteoarthropathy. The 29-year-old man had been suffering from severe multiple bones and joints pain for 2 months. Ten years earlier, he underwent superficial parotidectomy due to a right subauricular mass. The mass was diagnosed with ACC. After surgery, the tumor recurred twice. Then the patient was diagnosed with cardiac metastasis via positron emission tomography-computed tomography and trans-thoracic echocardiography. He also had hypertrophic osteoarthropathy with multiple bone metastasis. He was given palliative radiotherapy and conservative treatment. ACC in the parotid gland with cardiac metastasis and hypertrophic osteoarthropathy has not yet been reported in literature. From this case, it is recommended to evaluate multiple distant metastasis in the ACC of the parotid gland when joint and bone pain are present.

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