Synchronous Resection of Parotid Metastasis With Esophagectomy: A Case Report

Area of Science:

• Oncology
• Surgical Oncology
• Head and Neck Surgery

Background:

• Preoperative diagnosis of parotid tumors is crucial to prevent facial nerve damage and tumor spread.
• Synchronous resection of parotid metastasis with esophagectomy for esophageal squamous cell carcinoma is uncommon.
• Accurate preoperative diagnosis relies on advanced imaging and cytology.

Observation:

• A 58-year-old male presented with a left preauricular tumor, diagnosed cytologically as squamous cell carcinoma.
• ¹⁸F-fluorodeoxyglucose positron emission tomography with computed tomography confirmed esophageal squamous cell carcinoma.
• The patient had clinical diagnoses of cT2N0M0 esophageal squamous cell carcinoma and cT3N0M0 parotid carcinoma.

Findings:

• The patient underwent combined esophagectomy and parotidectomy.
• Pathological examination revealed pT1bN1M1 (parotid) esophageal squamous cell carcinoma.
• Diagnosis was confirmed through exclusion and immunohistochemical staining by specialists.

Implications:

• This case underscores the rarity of synchronous parotid metastasis and esophageal squamous cell carcinoma.
• Further case reporting is essential to establish optimal treatment strategies for such rare presentations.
• Multidisciplinary collaboration is key in diagnosing and managing complex oncological cases.