Locally advanced salivary duct carcinoma of the parotid gland
A 50-year old male had presented to the department with left facial nerve palsy and a lump over the preauricular region since 8 months. Computed Tomography revealed a large mass involving the superficial and deep lobe of left parotid gland. A total left radical parotidectomy with enbloc excision of the overlying skin, left modified neck dissection, and reconstruction of the defect with PMMC were carried out under general anaesthesia. The intra-operative finding was a hard mass of size 5×4 cm involving both the lobes of parotid gland and infiltrating the overlying skin. Histopathology was suggestive of SDC with metastases to 12 of the thirteen nodes dissected []. Immunohistochemistry was positive for cytokeratin and Her2 neu. Patient received 60 grays of adjuvant EBRT to the loco-regional site. He is on regular follow-up and is disease free since last 6 months.