Facial Paralysis Secondary to Extensive Perineural Spread of Adenocarcinoma of the Parotid Gland Identified by PET/CT.

Abstract:

:Brain MRI in an 82-year-old man with presumed Bell's palsy revealed a clinically unsuspected right parotid gland mass but no other acute findings. Biopsy revealed poorly differentiated adenocarcinoma. Staging F-FDG PET/CT revealed an FDG-avid parotid mass, abnormal FDG uptake along the course of the facial nerve from mass to skull base, and multiple FDG-avid right level II neck lymph nodes and hepatic metastases. The PET/CT findings and prolonged clinical course suggest that diffuse perineural spread of tumor from a smoldering parotid neoplasm, and not idiopathic Bell's palsy, was responsible for the patient's facial paralysis.

journal_name

Clin Nucl Med

authors

Achong DM,Zloty M

doi

10.1097/RLU.0000000000001125

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

e301-3

issue

6

eissn

0363-9762

issn

1536-0229

journal_volume

41

pub_type

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