Case Report

Parotid mass in a woman with multiple cutaneous cylindromas†

  1. Andrew R. Scott MD1,*,
  2. William C. Faquin MD, PhD2,
  3. Daniel G. Deschler MD1

Article first published online: 19 MAY 2009

DOI: 10.1002/hed.21133

Issue

Head & Neck

Head & Neck

Volume 32, Issue 5, pages 684–687, May 2010

Additional Information

How to Cite

Scott, A. R., Faquin, W. C., Deschler, D. G. (2010), Parotid mass in a woman with multiple cutaneous cylindromas. Head & Neck, 32: 684–687. doi: 10.1002/hed.21133

Author Information

  1. 1

    Department of Otology and Laryngology, Division of Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts

  2. 2

    Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts

*Department of Otology and Laryngology, Division of Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts

  1. †

    This article was presented as a poster at the 2008 Triological Society Eastern Section Meeting in Philadelphia, PA, January 26, 2008.

Publication History

  1. Issue published online: 8 APR 2010
  2. Article first published online: 19 MAY 2009
  3. Manuscript Accepted: 18 FEB 2009

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Keywords:

  • parotid gland;
  • basal cell adenoma;
  • cylindroma

Abstract

Background.

Familial autosomal dominant cylindromatosis (FADC) is a rare disease characterized by multiple cutaneous cylindromas, trichoepitheliomas, and spiradenomas. We present a case of a woman with scalp lesions and a parotid mass.

Methods.

Biopsy of a skin nodule demonstrated cylindroma, and fine-needle aspiration of the parotid mass suggested membranous basal cell adenoma, which was confirmed following superficial parotidectomy. The study includes case report and review of the literature.

Results.

Eighteen cases of cylindromatosis with coexistent salivary gland membranous basal cell adenoma were reported. Seventeen cases involved the parotid gland; there are 2 reports of malignant transformation.

Conclusion.

FADC should be considered in anyone with coexistent dermal and salivary gland neoplasms. Membranous basal cell adenoma may be mistaken for adenoid cystic carcinoma on cytologic or histologic examination. Total parotidectomy with facial nerve preservation or superficial parotidectomy with close follow-up is recommended, as multifocality and malignant transformation exist. © 2009 Wiley Periodicals, Inc. Head Neck, 2010

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