Metastatic acinic cell carcinoma presenting as acute spinal cord compression

Rate this item
(0 votes)

Objective: To report an unusual case of spinal metastasis following surgical resection and adjuvant radiotherapy for primary acinic cell carcinoma of the parotid gland.

Case Report: A 42-year-old gentleman was referred to our institution with a left parotid mass. Total parotidectomy and selective neck dissection was performed, confirming a diagnosis of acinic cell carcinoma. Recommendation following histological margin review was for adjuvant radiotherapy. Four months following completion of treatment the patient presented with lower limb neurological deficit. Magnetic resonance imaging identified multifocal spinal deposits within the thoracic and cervical vertebrae. Subsequent unresectable local and regional recurrence was detected on routine review.

Conclusion: We describe an interesting case of parotid actinic cell carcinoma metastasising to the thoracic spine, presenting with acute spinal cord compression. Treatment modalities, outcomes and prevalence of metastatic disease are discussed.

Additional Info

  • Authors: S Wilkinson, I Robinson, Mriganka De & S Mortimore
  • Keywords: Acinic cell carcinoma, parotid, spinal metastasis, radiotherapy, spinal cord compression
Read 9908 times Last modified on Monday, 04 May 2020 17:58

Leave a comment

Make sure you enter the (*) required information where indicated. HTML code is not allowed.


Member Login

          Forgot login? | Register

BBC News Feed

Get in touch

+44 207 637 3544

This email address is being protected from spambots. You need JavaScript enabled to view it.

The Otorhinolaryngologist,
73 Newman Street, London
W1T 3EJ, 


Rila Publications Ltd Ethics Policy