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Malignant change in a massive pleomorphic adenoma resembling the presentation of advanced inflammatory breast cancer
Leonie Seager1, Serryth Colbert, Anne V Spedding
1Department of Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Portsmouth PO6 3LY, UK.
Abstract:
Massive tumours of the parotid are uncommon as due to their site, they are usually removed at an earlier stage. We present a bizarre case of a carcinoma ex-pleomorphic adenoma which mimicked an advanced breast cancer, complete with a 'nipple-like' extension and peau d'orange changes in the overlying skin as a result of a dense dermal inflammatory response. A procedure akin to a mastectomy with facial nerve preservation was carried out for removal. To our knowledge, peau d'orange has not been reported before in parotid tumours.
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