Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-29T07:17:02.575Z Has data issue: false hasContentIssue false
  • English
  • Français

Management of parotid metastases from cutaneous melanoma of the head and neck

Published online by Cambridge University Press:  29 June 2007

A. B. S. Ball  and
J. Meirion Thomas
A. B. S. Ball
Affiliation:
(London)
J. Meirion Thomas*
Affiliation:
(London)
*
Mr. J. Meirion Thomas, Academic Surgical Unit, Royal Marsden Hospital, Fulham Road, London, UK.
Get access Rights & Permissions [Opens in a new window]

Abstract

Parotid metastases from a cutaneous malignant melanoma are uncommon. Although the long-term prognosis is poor, loco-regional palliation is important. In a group of eight patients with parotid metastases, local control was obtained by superficial parotidectomy. Occult cervical lymph node metastases were identified in five cases in whom radical neck dissection provided regional control. Superficial parotidectomy with elective neck dissection is advocated for patients with parotid metastases from cutaneous melanoma to ensure optimal loco-regional palliation.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 4 , April 1990 , pp. 350 - 351
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Balch, C. (1988) The role of elective lymph node dissection in melanoma: rationale, results and controversies. Journal of Clinical Oncoloty, 6: 163–172.CrossRefGoogle ScholarPubMed
Ballantyne, A. J. (1970) Malignant melanoma of the skin of the head and neck. American Journal of Surgery, 120: 425–431.CrossRefGoogle ScholarPubMed
Breslow, A. (1970) Thickness, cross-sectional area and depth of invasion in the prognosis of cutaneous melanoma. Annals of Surgery, 172: 902–908.CrossRefGoogle Scholar
Byers, R. (1986) The role of modified neck dissection in treatment of cutaneous melanoma of the head and neck. Archives of Surgery, 121: 1338–1340.CrossRefGoogle ScholarPubMed
Cantrell, R. W. (1984) Computed tomography for cervical adenopathy. Archives of Otolaryngology, 110: 441–442.CrossRefGoogle ScholarPubMed
Clarke, W. H., From, L., Bernardino, E. A., Mihm, M. C. (1969) The histogenesis and biologic behavior of primary human malignant melanomas of the skin. Cancer Research, 29: 705–726.Google Scholar
Conley, J., Arena, S. (1963) Parotid gland as a focus of metastasis. Archives of Surgery, 87: 757–764.CrossRefGoogle ScholarPubMed
McKean, M., Lee, K., McGregor, I. (1985) The distribution of lymph nodes in and around the parotid gland: an anatomical study. British Journal of Plastic Surgery, 38: 1–5.CrossRefGoogle ScholarPubMed
Mancuso, A. A., Dillon, W. P. (1989) MRI of the head and neck. Radiologic Clinics of North America, 27: 422–426.Google Scholar
Pittam, M., Thomas, J. M. (1987) Diseases of the pre-auricular lymph nodes mimicking parotid tumours. British Journal of Surgery, 74: 1172–1173.CrossRefGoogle ScholarPubMed
Pope, T., Lehmann, W. (1967) Regional metastases to parotid nodes. Archives of Otolaryngology 86: 673–675.CrossRefGoogle ScholarPubMed
Storm, F., Eilber, F., Sparks, F., Morton, D. (1977) A prospective study of parotid metastases from head and neck cancer. American Journal of Surgery, 134: 115–119.CrossRefGoogle ScholarPubMed