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Inflammatory Metastatic Carcinoma of the Parotid

Inflammatory Metastatic Carcinoma of the Parotid Abstract Cutaneous metastases may assume a variety of distinctive morphologic patterns.1 We describe a man with parotid adenocarcinoma and an erythematous patch on the anterior side of the chest. The latter condition resulted from lymphatic cutaneous spread of his adenocarcinoma, producing so-called inflammatory metastatic carcinoma or carcinoma erysipelatoides. The pattern is almost always associated with breast cancer. To our knowledge, this is the first report of inflammatory metastatic carcinoma associated with parotid adenocarcinoma. Report of a Case A man, aged 60 years, was seen in August 1979 with a four-month history of inflammation over the left parotid gland. An examination disclosed that the gland was swollen and indurated. A left parotidectomy and radical neck dissection were done, followed by a pectoralis flap reconstruction. The parotid was found to be diffusely infiltrated with a tumor that also involved the dermal lymphatic vessels of the overlying skin, the masseter muscle, and 13 References 1. Klein E, Schwartz RA: Cancer and the skin , in Holland, JF, Frei E III (eds): Cancer Medicine , ed 2. Philadelphia, Lea & Febiger, 1982, pp 2057-2108. 2. Markson LS, Stoops CW, Kanter J: Metastatic transitional cell carcinoma of the penis simulating a chancre . Arch Dermatol 1949;59:50-54.Crossref 3. Schwartz RA, Fleishman JS: Transitional cell carcinoma of the urinary tract presenting with a cutaneous metastasis . Arch Dermatol 1981;117:513-515.Crossref 4. Schwartz RA, Burgess GH, Fox MD: Sclerodermoid changes in a patient with metastatic malignant melanoma . J Dermatol Surg Oncol 1980;6:112-114.Crossref 5. Ingram JT: Carcinoma erysipelatodes and carcinoma telangiectaticum . Arch Dermatol 1958;77:227-231.Crossref 6. Siegel JM: Inflammatory carcinoma of the breast . Arch Dermatol 1952;66:710-716.Crossref 7. Tschen EH, Apisarnthanarax P: Inflammatory metastatic carcinoma of the breast . Arch Dermatol 1981;117:120-121.Crossref 8. Hazelrigg DE, Rudolph AH: Inflammatory metastatic carcinoma: Carcinoma erysipelatoides . Arch Dermatol 1977;113:69-70.Crossref 9. Edelstein JM: Pancreatic carcinoma with unusual metastasis to the skin and subcutaneous tissue simulating cellulitis . N Engl J Med 1950;242:779-781.Crossref 10. Hutchinson J: Notes from congresses and continental hospitals: Erythema-scirrhus of the skin in association with cancer of the breast . Arch Surg Lond 1893;4:220-222. 11. Lucas FV, Perez-Mesa C: Inflammatory carcinoma of the breast . Cancer 1978;41:1595-1605.Crossref 12. Reuter MJ, Nomland R: Inflammatory cutaneous metastatic carcinoma . Wis Med J 1941;40:196-201. 13. Moutier F, Marre L: Envahissement du sein au cours de la généralisation lymphatique étendue d'un cancer colloide massif de l'estomac chez une femme de 31 ans: Variété histologique particulière d'épithélioma gastrique . Arch Med Exper Anat Pathol 1910;22:433-461. 14. Zala L, Jenni C: Das carcinoma erysipelatodes . Dermatologica 1980;160:80-89.Crossref 15. Krishnan EU, Phillips AK, Randell A, et al: Bilateral metastatic inflammatory carcinoma in the breast from primary ovarian cancer . Obstet Gynecol 1980;55( (suppl) ):94S-96S.Crossref 16. Haupt HM, Hood AF, Cohen MH: Inflammatory melanoma . J Am Acad Dermatol 1984;10:52-55.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1984.01650420106027
Publisher site
See Article on Publisher Site

Abstract

Abstract Cutaneous metastases may assume a variety of distinctive morphologic patterns.1 We describe a man with parotid adenocarcinoma and an erythematous patch on the anterior side of the chest. The latter condition resulted from lymphatic cutaneous spread of his adenocarcinoma, producing so-called inflammatory metastatic carcinoma or carcinoma erysipelatoides. The pattern is almost always associated with breast cancer. To our knowledge, this is the first report of inflammatory metastatic carcinoma associated with parotid adenocarcinoma. Report of a Case A man, aged 60 years, was seen in August 1979 with a four-month history of inflammation over the left parotid gland. An examination disclosed that the gland was swollen and indurated. A left parotidectomy and radical neck dissection were done, followed by a pectoralis flap reconstruction. The parotid was found to be diffusely infiltrated with a tumor that also involved the dermal lymphatic vessels of the overlying skin, the masseter muscle, and 13 References 1. Klein E, Schwartz RA: Cancer and the skin , in Holland, JF, Frei E III (eds): Cancer Medicine , ed 2. Philadelphia, Lea & Febiger, 1982, pp 2057-2108. 2. Markson LS, Stoops CW, Kanter J: Metastatic transitional cell carcinoma of the penis simulating a chancre . Arch Dermatol 1949;59:50-54.Crossref 3. Schwartz RA, Fleishman JS: Transitional cell carcinoma of the urinary tract presenting with a cutaneous metastasis . Arch Dermatol 1981;117:513-515.Crossref 4. Schwartz RA, Burgess GH, Fox MD: Sclerodermoid changes in a patient with metastatic malignant melanoma . J Dermatol Surg Oncol 1980;6:112-114.Crossref 5. Ingram JT: Carcinoma erysipelatodes and carcinoma telangiectaticum . Arch Dermatol 1958;77:227-231.Crossref 6. Siegel JM: Inflammatory carcinoma of the breast . Arch Dermatol 1952;66:710-716.Crossref 7. Tschen EH, Apisarnthanarax P: Inflammatory metastatic carcinoma of the breast . Arch Dermatol 1981;117:120-121.Crossref 8. Hazelrigg DE, Rudolph AH: Inflammatory metastatic carcinoma: Carcinoma erysipelatoides . Arch Dermatol 1977;113:69-70.Crossref 9. Edelstein JM: Pancreatic carcinoma with unusual metastasis to the skin and subcutaneous tissue simulating cellulitis . N Engl J Med 1950;242:779-781.Crossref 10. Hutchinson J: Notes from congresses and continental hospitals: Erythema-scirrhus of the skin in association with cancer of the breast . Arch Surg Lond 1893;4:220-222. 11. Lucas FV, Perez-Mesa C: Inflammatory carcinoma of the breast . Cancer 1978;41:1595-1605.Crossref 12. Reuter MJ, Nomland R: Inflammatory cutaneous metastatic carcinoma . Wis Med J 1941;40:196-201. 13. Moutier F, Marre L: Envahissement du sein au cours de la généralisation lymphatique étendue d'un cancer colloide massif de l'estomac chez une femme de 31 ans: Variété histologique particulière d'épithélioma gastrique . Arch Med Exper Anat Pathol 1910;22:433-461. 14. Zala L, Jenni C: Das carcinoma erysipelatodes . Dermatologica 1980;160:80-89.Crossref 15. Krishnan EU, Phillips AK, Randell A, et al: Bilateral metastatic inflammatory carcinoma in the breast from primary ovarian cancer . Obstet Gynecol 1980;55( (suppl) ):94S-96S.Crossref 16. Haupt HM, Hood AF, Cohen MH: Inflammatory melanoma . J Am Acad Dermatol 1984;10:52-55.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Jun 1, 1984

References