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Gupta S, Shingade MM, Pangarkar M, Nithiakumar AE, Sharma P, Aga N, Qureshi K, Hassan MEM, Yadav AB. Breast cancer metastasizing to salivary glands: Systematic review. Natl J Maxillofac Surg 2024; 15:199-207. [PMID: 39234138 PMCID: PMC11371303 DOI: 10.4103/njms.njms_80_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Revised: 08/10/2023] [Accepted: 08/22/2023] [Indexed: 09/06/2024] Open
Abstract
Distant metastasis to salivary glands is a very rare event and most often associated with primary malignancies of the skin. Only 1-4% of all salivary gland tumours manifest with metastasis. Carcinomas of the breast, lung, kidney and prostate are those primaries that may also potentially metastasize to salivary glands. Literature has documented several studies analysing metastatic tumours in the oral region. However, very little research work has been published to date to analyse solely the Breast cancer metastasizing to the salivary glands. Thus, this review was conducted to examine the published cases of Breast cancer metastasizing to salivary glands from March 1975 to March 2023. An electronic search of the published literature was performed without publication year limitation in PubMed/ Medline, Scopus, Google Scholar, Web of Science, Science Direct, Embase, and Research Gate databases, using mesh keywords like ('Breast cancer' OR 'Breast carcinoma') AND ('Metastasis' OR 'Metastases'), And ('Salivary glands' OR 'Parotid gland' OR 'Submandibular gland' OR 'Sublingual gland'). We also searched all related journals manually. The reference list of all articles was also checked. Our research revealed a total of 48 relevant papers with 55 patients. Parotid was the most predominantly affected salivary gland. 14.5% of patients died with a mean survival time of 7 months. It can be concluded from this research that Breast cancer metastasizing to salivary glands is a rare occurrence. Careful evaluation of these cases is needed in order to raise awareness of these lesions and gain a better understanding of their characteristics.
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Affiliation(s)
- Sonia Gupta
- Department of Oral Pathology and Microbiology, Rayat and Bahra Dental College and Hospital, Mohali, Punjab, India
| | - Mayur Manoharrao Shingade
- Department of Dentistry and Orofacial Surgery, Indira Gandhi Memorial Hospital, Male', Republic of Maldives
| | - Manasi Pangarkar
- Private Practitioner, The Tooth Place Dental Clinic, Mumbai, Maharashtra, India
| | - Annie Evangelin Nithiakumar
- Department of Oral and Maxillofacial Surgery, Scudder Memorial Hospital, Ranipet, Vellore, Tamil Nadu, India
| | - Pallavi Sharma
- Department of Periodontology, School of Dental Sciences, Sharda University, Greater Noida, India
| | - Nausheen Aga
- School of Dentistry, University of Dundee, Dundee DD1 4HN, Scotland, UK
| | - Kinza Qureshi
- Department of Prosthodontics, Rehmat Memorial Hospital, Abbottabad, Pakistan
| | - Muna Eisa Mohamed Hassan
- Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, United Arab Emirates
| | - Achla Bharti Yadav
- Department of Oral Pathology and Microbiology, D. J College of Dental Sciences and Research, Modinagar, Uttar Pradesh, India
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Aga N, Shreevats R, Gupta S, Sandhu H, Hassan ME, Prajapati HV. Oral Soft Tissue Metastasis from Breast Cancer as the Only Primary Source: Systematic Review. Avicenna J Med 2024; 14:22-38. [PMID: 38694143 PMCID: PMC11057901 DOI: 10.1055/s-0044-1779674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/04/2024] Open
Abstract
Background Breast cancer is one of the most lethal neoplasms causing death. Oral cavity is the rare site of distant metastasis from breast cancer. Very little research has been conducted to date to analyze breast cancer as the sole primary source of metastasis to the oral soft tissues. The goal of this study was to examine the published cases of oral soft tissue metastasis from breast cancer as the only primary source to date. Methods An electronic search of the published literature was performed without publication year limitation in PubMed/Medline, Scopus, Google Scholar, Web of Science, Science Direct, Embase, and Research Gate databases, using mesh keywords like ("Breast cancer", OR "Breast carcinoma") AND ("Metastasis" OR "Metastases"), And ("Oral soft tissues" OR "Tongue" OR "Palate" OR "Tonsil" OR "Buccal mucosa" OR "Floor of mouth" OR "Vestibule" OR "Salivary glands"). We also searched all related journals manually. The reference list of all articles was also checked. Results Our research revealed 88 relevant papers (September 1967-September 2023) with 96 patients in total. The most predominant oral soft tissues involved were salivary glands followed by the gingiva, tonsils, tongue, and buccal mucosa. A total of 23% of patients died with an average survival time of 1 to 15 months. Conclusions Oral soft tissue metastasis from breast cancer is a rare event and has a bad prognosis. More cases need to be published to raise awareness of these lesions.
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Affiliation(s)
- Nausheen Aga
- School of Dentistry, University of Dundee, Dundee, Scotland, United Kingdom
| | - Ruchira Shreevats
- Department of Orthodontics, Primadent Dental Centre, Bangalore, Karnataka, India
| | - Sonia Gupta
- Department of Oral Pathology and Microbiology and Forensic Odontology, Yamuna Institute of Dental Sciences & Research, Gadholi, Yamunanagar, Haryana, India
| | - Harman Sandhu
- General Dentistry, Building Smiles Dental Clinic, Mohali, Punjab, India
| | - Muna E.M. Hassan
- Department of Preventive and Restorative Dentistry, University of Sharjah, United Arab Emirates
| | - Harnisha V. Prajapati
- General Dentistry, Bhavya Dental Clinic and Implant Centre, Palanpur, Gujarat, India
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Jakharia-Shah A, Wheatley H, Beesley M. Reminder of an important clinical lesson: breast cancer metastasis to the parotid gland. BMJ Case Rep 2019; 12:e226494. [PMID: 31594782 PMCID: PMC6803134 DOI: 10.1136/bcr-2018-226494] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/25/2019] [Indexed: 11/03/2022] Open
Abstract
A 59-year-old woman presented to an otolaryngology clinic with an 8-week history of a painless lump over her left parotid gland. Her medical history included an invasive ductal carcinoma (33 mm) and a ductal carcinoma in situ (70 mm) of the right breast, for which she had a mastectomy and various adjuvant therapies. The primary tumour presented 8 years prior to the metachronous metastasis. This patient was a non-smoker and had no significant family history. Post-superficial parotidectomy pathology revealed the parotid gland tumour to be oestrogen receptor-positive and HER2 receptor-positive, thus ruling out the initial differential diagnosis of a pleomorphic adenoma. A consequential total parotidectomy with a posterolateral neck dissection was performed with sparing of the facial nerve. The patient recovered well having only encountered a self-resolving salivary fistula. She portrayed no signs of facial nerve palsy and subsequent imaging scans showed no abnormalities.
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Affiliation(s)
| | - Hugh Wheatley
- ENT Department, Gloucestershire Royal Hospital, Gloucester, UK
| | - Matthew Beesley
- Pathology Department, Gloucestershire Royal Hospital, Gloucester, UK
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Agarwal R, Rana D, Gupta L, Singh M, Jain S, Rathi AK. Mucinous breast carcinoma metastatic to parotid gland: Report of a case diagnosed by fine needle aspiration. Cytopathology 2018; 30:128-130. [DOI: 10.1111/cyt.12645] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Accepted: 10/07/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Radhika Agarwal
- Department of Pathology; Maulana Azad Medical College and Lok Nayak Hospital; New Delhi India
| | - Deepika Rana
- Department of Pathology; Maulana Azad Medical College and Lok Nayak Hospital; New Delhi India
- Department of Radiotherapy; Maulana Azad Medical College and Lok Nayak Hospital; New Delhi India
| | - Latika Gupta
- Department of Pathology; Maulana Azad Medical College and Lok Nayak Hospital; New Delhi India
| | - Meeta Singh
- Department of Pathology; Maulana Azad Medical College and Lok Nayak Hospital; New Delhi India
| | - Shyama Jain
- Department of Pathology; Maulana Azad Medical College and Lok Nayak Hospital; New Delhi India
| | - Arun Kumar Rathi
- Department of Pathology; Maulana Azad Medical College and Lok Nayak Hospital; New Delhi India
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Cao XS, Cong BB, Yu ZY. Parotid gland metastasis from carcinoma of the breast detected by PET/CT: Case report and review. Medicine (Baltimore) 2018; 97:e10616. [PMID: 29794736 PMCID: PMC6393008 DOI: 10.1097/md.0000000000010616] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
RATIONALE The parotid gland is an unusual site for metastatic disease from breast cancer, and it usually has a poor prognosis. PATIENT CONCERNS A 36-year-old woman presented to our department with a swelling in her left parotid gland. The patient did not receive any other treatment after breast conserving surgery. DIAGNOSES Multifocal metastases in the bones, lymph nodes, left parotid and contralateral mammary gland were proved by PET/CT. INTERVENTIONS Eight cycles of first-line rescue chemotherapy, combining with zoledronic acid in treatment of bone metastasis, followed by the combination of endocrine therapy and ovarian function suppression after chemotherapy. OUTCOMES The patient obtained clinical complete response in the metastasis tumor of parotid gland, lymph nodes, and bones. LESSONS It is necessary for patient to receive comprehensive treatment after receiving surgery. Through this case, we present the appropriate management of advanced breast cancer accompanying with the parotid gland metastasis. PET/CT is a useful method to diagnose and evaluate the metastasis lesions.
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Affiliation(s)
- Xiao-Shan Cao
- Breast Cancer Center, Shandong Cancer Hospital Affiliated to Shandong University School of Medicine and Life Sciences, University of Jinan and Shandong Academy of Medical Sciences, Jinan, Shandong, China
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El M'rabet F, Kanab R, Ameuraoui T, Sidibe F, Azegrare M, Arifi S, El Maaroufi M, Amarti A, Mellas N. [Parotid metastasis from carcinoma of the breast: report of a case and review of the literature]. Pan Afr Med J 2017; 27:79. [PMID: 28819500 PMCID: PMC5554699 DOI: 10.11604/pamj.2017.27.79.8876] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2016] [Accepted: 01/31/2016] [Indexed: 11/11/2022] Open
Abstract
La localisation au niveau de la parotide des métastases du cancer du sein est très rare, quelques cas ont été rapportés dans la littérature. On rapporte le cas d'une patiente de 43 ans, qui a été traitée pour un cancer du sein droit, et qui a présenté deux ans après la fin du traitement une métastase au niveau de la parotide gauche, confirmée histologiquement.
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Affiliation(s)
| | - Rajae Kanab
- Service d'Oncologie Médicale, CHU Hassan II Fès, Maroc
| | | | | | | | - Samia Arifi
- Service d'Oncologie Médicale, CHU Hassan II Fès, Maroc
| | | | - Afaf Amarti
- Laboratoire d'Anatomopathologie, AL Azhar Fès, Maroc
| | - Nawfal Mellas
- Service d'Oncologie Médicale, CHU Hassan II Fès, Maroc
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Metachronous, Single Metastasis to the Parotid, from Primary Breast Cancer: A Case Report and Review of the Literature. Case Rep Oncol Med 2016; 2016:3965283. [PMID: 26942028 PMCID: PMC4749787 DOI: 10.1155/2016/3965283] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Accepted: 11/18/2015] [Indexed: 11/17/2022] Open
Abstract
Background. The parotid gland is an unusual site for metastatic disease and when metastasis occurs, it commonly originates from head and neck primaries. Spread from distant infraclavicular sites such as the breast, into the parotid, is even more unusual with very few cases reported in the literature. Case Report. We describe the case of a 65-year-old woman presenting for a rapidly enlarging right parotid mass. She had a history of an invasive ductal carcinoma of the right breast and was disease-free in the past 6 years prior to her presentation. She was thereafter diagnosed as having a solitary parotid metastasis from breast origin. A total parotidectomy was done and she was referred for adjuvant radiotherapy. Conclusion. Any parotid metastasis should be investigated, especially in patients with a prior history of cancer where the possibility of metastasis, even if improbable, should be kept in mind. Fine needle aspiration biopsy (FNAB) is the first diagnostic procedure to be done and immunocytochemistry can provide valuable information even if it is not always needed for diagnosis. Superficial parotidectomy when feasible with adjuvant radiotherapy is the preferred approach for solitary metastasis of the parotid. The prognosis, however, remains poor regardless of the treatment modality used.
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Alath P, Kapila K, Hussein S, Amanguno H, Hebbar HG, George SS, Francis IM. Parotid gland metastasis of breast cancer diagnosed on fine needle aspiration cytology: case report and review of literature. Cytopathology 2013; 25:346-8. [DOI: 10.1111/cyt.12108] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- P. Alath
- Department of Pathology and Radiology; Hussein Makki Al Juma Center for Specialized Surgery, Kuwait and Faculty of Medicine; Kuwait University; Safat Kuwait
| | - K. Kapila
- Department of Pathology and Radiology; Hussein Makki Al Juma Center for Specialized Surgery, Kuwait and Faculty of Medicine; Kuwait University; Safat Kuwait
| | - S. Hussein
- Department of Pathology and Radiology; Hussein Makki Al Juma Center for Specialized Surgery, Kuwait and Faculty of Medicine; Kuwait University; Safat Kuwait
| | - H. Amanguno
- Department of Pathology and Radiology; Hussein Makki Al Juma Center for Specialized Surgery, Kuwait and Faculty of Medicine; Kuwait University; Safat Kuwait
| | - H. G. Hebbar
- Department of Pathology and Radiology; Hussein Makki Al Juma Center for Specialized Surgery, Kuwait and Faculty of Medicine; Kuwait University; Safat Kuwait
| | - S. S. George
- Department of Pathology and Radiology; Hussein Makki Al Juma Center for Specialized Surgery, Kuwait and Faculty of Medicine; Kuwait University; Safat Kuwait
| | - I. M. Francis
- Department of Pathology and Radiology; Hussein Makki Al Juma Center for Specialized Surgery, Kuwait and Faculty of Medicine; Kuwait University; Safat Kuwait
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Ando K, Masumoto N, Sakamoto M, Teraoka K, Suzuki T, Kurihara T, Abe S, Tozaki M, Fukuma E, Hoshi K. Parotid Gland Metastasis of Breast Cancer: Case Report and Review of the Literature. ACTA ACUST UNITED AC 2011; 6:471-473. [PMID: 22419903 DOI: 10.1159/000335222] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND: Parotid gland metastasis in breast cancer is extremely rare, and only 14 cases have been reported between 1982 and 2010. CASE REPORT: A 67-year-old female patient was diagnosed with invasive lobular carcinoma of the left breast. Although clinical staging was T1N3M1 (stage IV), the tumor experienced a complete response to chemotherapy. We therefore performed a mastectomy followed by radiotherapy, and continued administration of trastuzumab. However, 11 months later, the patient complained of a swelling in the left parotid gland. Histology following a partial parotidectomy revealed a parotid gland metastasis from the breast. CONCLUSION: Treatment with capecitabine in addition to trastuzumab, which is one of the strategies applied in HER2-positive breast cancer, was effective in our patient. Analysis of the 14 cases of parotid gland metastasis from the breast reported between 1982 and 2010 revealed that the metastasis may occur not by direct lymphatic but by hematogenous spread.
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Sellinger M, Neubauer K, William M, Hemmerlein B, Friedrich M, Salehin D. Contralateral metastasis of parotid gland in advanced breast cancer with peripheral facial paralysis. Arch Gynecol Obstet 2011; 284:1557-60. [PMID: 21822624 DOI: 10.1007/s00404-011-1989-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2011] [Accepted: 07/06/2011] [Indexed: 10/17/2022]
Abstract
PURPOSE Malignant tumors of the parotid gland are very rare. Until now there have only been a few reported cases of patients with distant metastasis of breast cancer in the parotid gland. This case shows the rarity of the disease. METHODS This case is about a 74-year-old woman with an invasive lobular carcinoma of the left breast. The initial diagnosis was made four years ago. The operation which was done was a quadrantectomy and axillary lymph node dissection. It was followed by radiotherapy of the breast. The recommended chemotherapy was declined by the patient. RESULTS Three years after the initial diagnosis of lobular invasive breast cancer a nodular change in the cicatrice of the mastectomy occurred. The patient also had a contralateral peripheral facial paralysis, caused by a distant metastasis in the right parotid gland. CONCLUSIONS When there is a tumor in the parotid gland and a histological classified adenocarcinoma is found, the differential diagnosis of breast cancer metastasis should be considered.
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Affiliation(s)
- Maike Sellinger
- Department of Gynecology and Obstretics, Helios Hospital Krefeld, Lutherplatz 40, 47805 Krefeld, Germany
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Papadogeorgakis N, Kalfarentzos EF, Vourlakou C, Malta F, Exarhos D. Simultaneous pleomorphic adenoma of the left parotid gland and adenoid cystic carcinoma of the contralateral sublingual salivary gland: a case report. Oral Maxillofac Surg 2009; 13:221-224. [PMID: 19690903 DOI: 10.1007/s10006-009-0168-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
INTRODUCTION Sublingual salivary gland neoplasms are extremely rare, accounting for only 0.3-1% of all epithelial salivary gland tumors. Most of the sublingual tumors are malignant, adenoid cystic carcinoma (ACC) and mucoepidermoid carcinoma (MEC) being the most common histological types. The coexistence of two salivary gland tumors located in different major salivary glands is uncommon. CASE REPORT A rare case of two simultaneous tumors of the major salivary glands, one in the sublingual and the other in the contralateral parotid gland in a female patient is reported. DISCUSSION The diagnostic procedure followed, and the management of the patient, is outlined in the paper.
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Affiliation(s)
- Nick Papadogeorgakis
- Department of Oral and Maxillofacial Surgery, Evangelismos General Hospital, Dental School, University of Athens, Athens, Greece
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Baumhoer D, Pfaltz M, Seydoux J, Jundt G. [Warthin tumor with carcinoma: malignant transformation or metastasis?]. DER PATHOLOGE 2009; 30:457-60. [PMID: 19784653 DOI: 10.1007/s00292-009-1208-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
We present the unusual case of a cytologically diagnosed Warthin tumor (WT) of long standing with sudden enlargement und subsequent resection. Histologically, the diagnosis of WT was confirmed, but the tumor additionally showed diffuse infiltrates of an adenocarcinoma undergoing unrestrained growth. Warthin tumor with malignant transformation was suspected and radiological staging examinations were conducted. PET scans detected a metastasizing carcinoma of the breast, morphologically identical to the WT infiltrates. Care should always be taken when the diagnosis of malignant WT is made to exclude metastatic disease.
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Affiliation(s)
- D Baumhoer
- Institut für Pathologie, Universitätsspital Basel, Schönbeinstr 40, 4031 Basel, Schweiz.
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