PAROTID CANCER SYNCHRONOUS WITH TYROIDIAN CANCER – MULTIDISCIPLINARY TREATMENT AND IMPLICATIONS FOR ORAL CAVITY TOXICITY

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C.C. Mirestean, Roxana Irina Iancu, C. Buzea, D.T. Iancu

Abstract

Cystic adenoid carcinoma is a rare tumor accounting for less than 1% of all malignant tumors of the head and neck. The presence of another synchronous cancer in the head and neck region is so much a rare case. We present the case of a patient diagnosed with locally advanced neoplasm of the right parotid gland with invasion in the mandible for which surgical treatment was performed. During the post-surgical hospitalization, the patient presented respiratory dysfunction caused by a bulky tumor of the thyroid gland, for which the pathology proved a micro papillary carcinoma. Evidence of a resection margin in contact with tumor of the parotid gland tumor made it necessary a multidisciplinary approach including adjuvant radiotherapy. The patient was also consulted in a nuclear medicine department for metabolic radiation therapy for thyroid cancer. Radiation therapy is part of the adjuvant treatment of head and neck cancers, the risk of associated toxicity being increased with implications for morbidity of the oral mucosa, mandible and teeth, severely affecting the quality of life of patients.

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