Oncologia Clínica: Relatos de Casos

Management of Invasive Ductal Carcinoma of the Parotid Gland: A Case Report

Samia Mhirech*, A. Attolou, H. Marrakchi, S. Ouaddane, N. Bouayad, W. Hassani, FZ. Farhane, Z. ALAMI, T. Bouhafa

Invasive ductal carcinoma of the salivary glands is a very rare tumor that occurs preferentially in the parotid gland and is distinguished from other types of salivary gland carcinomas by its locoregional aggressiveness, the frequency of its metastatic evolution, and its poor prognosis.We report a rare case of infiltrating ductal carcinoma of the parotid gland in a 79-year-old patient and discuss the particularities of the management of this rare type of cancer in the elderly. Our patient had undergone an MRI which suspected a pleomorphic adenoma of the parotid gland, then a total nonconservative parotidectomy with homolateral lymph node curage whose anatomopathological results came back in favour of an infiltrating ductal carcinoma of the left parotid gland with lymph node metastasis. Radiation therapy was indicated despite the patient's age and the associated defects given the aggressiveness of this type of tumor.