Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

Primary Angiosarcoma of Accessory Parotid Gland : A Case Report of Long Term Follow-up

부이하선에 생긴 원발성 혈관육종 1예의 장기추적

  • Lee, Hyo Won (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu) ;
  • Kim, Deok Su (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu) ;
  • Jang, Gyu Ho (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu) ;
  • Kim, Jeong Kyu (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu)
  • 이효원 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김덕수 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 장규호 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김정규 (대구가톨릭대학교 의과대학 이비인후과학교실)
  • Received : 2015.08.31
  • Accepted : 2015.10.19
  • Published : 2015.11.30
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Abstract

Angiosarcoma is a rare and highly malignant neoplasm which develops from the endothelium of blood vessels. A few cases of primary angiosarcoma of the parotid gland have been reported. However, there is no report of primary angiosarcoma of the accessory parotid gland. In this case, we report a primary angiosarcoma of the accessory parotid gland in a 45-year-old man with growing cheek mass. Ultrasonography revealed a $2.0{\times}2.6cm$ sized homogeneous hypoechoic mass and computed tomography showed a contrast enhanced homogeneous mass. Fine needle aspiration biopsy suggested a benign tumor. The mass was completely excised with a minimal vertical incision. The histopathology showed anastomosing vascular channels lined by atypical endothelial cells and many branching vessels with staghorn appearance with positive immunohistochemical staining for CD34, a highly specific endothelial marker. The patient underwent postoperative radiotherapy and was followed for 8 years without recurrence and metastasis.

Keywords

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