A rare cutaneous presentation of metastatic parotid adenocarcinoma


  • Juber Hafiji, Hafiji MB ChB, MRCP (UK). Edward Rytina, FRCPath. Piyush Jani, BDS, MBBS, FRCS (ORL). Nigel P Burrows, MD, MBBS, FRCP.

  • Conflict of interest: None declared.

Dr Juber Hafiji, Skin Cancer Institute, Dermatological Surgical Unit, 171 Cameron Road, Tauranga 3152, New Zealand. Email: juber.hafiji@hotmail.co.uk


Primary adenocarcinomas of the parotid gland are rare, accounting for < 5% of all head and neck malignant neoplasms. The biological behaviour of these tumours varies considerably. Low-grade tumours are minimally invasive, whereas high-grade tumours show a high incidence of local recurrence and distant metastases. We report a case of metastatic parotid adenocarcinoma which presented with cutaneous features. This case illustrates that such salivary gland malignancies can very rarely present to the dermatologist. These potentially aggressive tumours require prompt diagnosis and management with multidisciplinary team input to ensure that the appropriate treatment is instigated.