Parotid tumour presents as acute onset neck pain: a case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20160959Keywords:
Neck pain, Parotid tumour, NociceptionAbstract
Salivary gland tumors occur in the major and minor salivary glands. Major salivary gland tumors are frequently reported, with those arising in the parotid gland being most common. Patients with parotid tumors may be entirely asymptomatic. Some of the commonly reported symptoms directly related to parotid tumors include painless swelling of the parotid gland, ipsilateral facial palsy, and facial pain. This case report describes a clinically diagnosed parotid tumor presenting as ipsilateral, acute onset neck pain without preceding cervical trauma in the face of normal physical examination, cardiac, and laboratory workup. The common causes of neck pain are highlighted and further discussion suggests a nociceptive mechanism responsible for this report of acute neck pain.
References
Guzzo M, Locati LD, Prott FJ, Gatta G, McGurk M, Licitra L. Major and minor salivary gland tumors. Crit Rev Oncol Hematol. 2010;74(2):134-48.
Batsakis JG. Tumours of the head and neck. Clinical and pathological considerations. 2nd ed. Baltimore/London: Williams & Wilkins. 1982.
Lima RA, Tavares MR, Dias FL. Clinical prognostic factors in malignant parotid gland tumors. Otolaryngol Head Neck Surg. 2005;133:702-8.
Izumi M, Ariji Y, Gotoh M, Naitoh M, Kurita K, Shimozato K, et al. A downward spread in acute parotitis. Dentomaxillofac Radiol. 2005;34(1):36-8.
Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015;90(2):284-99.
Guzman J, Haldeman S, Carroll LJ, Carragee EJ, Hurwitz EL, Peloso P, et al. Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Clinical practice implications of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders: from concepts and findings to recommendations. Spine (Phila Pa 1976). 2008;33(4):S199-213.
Zbären P, Guélat D, Loosli H, Stauffer E. Parotid
tumors: fine-needle aspiration and/or frozen section. Otolaryngol Head Neck Surg. 2008;139(6):811-5.
Liu Y, Li J, Tan YR, Xiong P, Zhong LP. Accuracy of diagnosis of salivary gland tumors with the use of ultrasonography, computed tomography, and magnetic resonance imaging: a meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(2):238-45.
Yerli H, Aydin E, Coskun M, Geyik E, Ozluoglu LN, Haberal N, et al. Dynamic multislice computed tomography findings for parotid gland tumors. J Comput Assist Tomogr. 2007;31(2):309-16.
Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2011;152(3):S2-15.
Ghei A, Khot S. Pain Management in Patients with Head and Neck Carcinoma. Otorhinolaryngol Clin. 2010;2:69-75.
Bianchini C, Maldotti F, Crema L, Malagò M, Ciorba A. Pain in head and neck cancer: prevalence and possible predictive factors. J BUON. 2014;19(3):592-7.
Williams JE, Broadley KE. Palliation of advanced head and neck cancer, In: Montgomery PQ, Rhys Evans PH, Gullane PJ (Eds): Principles and Practice of Head and Neck Surgery. Informa Healthcare. ISBN-10: 0415444128, ISBN-13: 978-0415444125, London. 2009:151-9.
