Author |
Year |
Age |
Sex |
Presenting symptom |
Synchronous or metachronous |
First sign of RCC? |
RCC |
Other simultaneous mets? |
Fine Needle aspiration |
Treatment |
Immunohistochemistry |
Patey et. al. |
1965 |
63 |
F |
Pulsatile mass x1 year |
Metachronous |
Y |
RCC dx years later |
Not discussed |
Not mentioned |
Radiotherapy and excision |
None mentioned |
Kucan et. al. |
1981 |
55 |
M |
Mass x3-4mo. on R. |
Synchronous |
Y |
RCC dx on subsequent work up |
Not discussed |
Not mentioned |
Superficial parotidectomy |
None mentioned |
Sist et. al. |
1982 |
62 |
M |
Mass x2 years on L. |
Synchronous |
Y |
R. RCC dx in subsequent work up |
Not discussed |
Not mentioned |
Deep parotidectomy w/ preservation of the facial nerve |
None mentioned |
Percival et. al. |
1982 |
71 |
F |
Mass x 3 years on R. |
Synchronous |
Y |
L. RCC dx one year later |
Liver, lung |
Not mentioned |
Surgical excision |
None mentioned |
Smits et. al. |
1984 |
60 |
F |
Painful mass on R. |
Metachronous |
N |
R. nephrectomy for RCC 8.5 years earlier |
Submandibular gland |
Not mentioned |
Excision of mass |
None mentioned |
Hessan et. al. |
1986 |
52 |
M |
Mass x2mo. on L. |
Synchronous |
Y |
L. RCC dx in subsequent work up |
None at time of parotid presentation, later lungs, ribs, lumbar spine, and brain mets. |
Not mentioned |
Superficial parotidectomy |
None mentioned |
Harrison et. al. |
1987 |
64 |
F |
Mass x2mo.on R., R. superficial parotidectomy 4 years prior for "clear cell tumor" |
Metachronous |
N |
Nephrectomy for RCC 10 years prior |
None |
Not mentioned |
Excision of lesions |
None mentioned |
Owens et. al. |
1989 |
55 |
M |
Mass x3mo. on R. |
Synchronous |
Y |
L. RCC dx in subsequent work up |
Chest, brain, bone |
Not mentioned |
Superficial parotidectomy w/ partial excision of masseter |
None mentioned |
|
|
75 |
F |
Pulsatile mass x10 weeks on L. |
Metachronous |
N |
R. nephrectomy for RCC 7 years prior |
None at time of parotid presentation, later recurrent renal disease. |
Not mentioned |
Total parotidectomy w/ preservation of the facial nerve |
None mentioned |
Melnick et. al. |
1989 |
72 |
M |
Mass x2.5 years on L. |
Synchronous |
Y |
R. RCC dx in subsequent work up |
Liver, lungs, mediastinum, adrenal |
FNA non-diagnostic |
Palliative radiotherapy |
Positive for vimentin and keratin. Negative for CEA. |
Gunbay et. al. |
1989 |
60 |
M |
Painful mass on L. and numbness of L. commisure of lip x1mo. |
Metachronous |
N |
L. nephrectomy for RCC 2 years prior |
Not discussed |
Not mentioned |
Total parotidectomy of mass extending into pterygomaxillary fossa w/ erosion of condylar process of the mandible and the TMJ |
None mentioned |
Coppa et. al. |
1990 |
42 |
M |
Mass on L. x3 years, pulsatile x1 year, tinnitus x1 mo. |
Synchronous |
Y |
R. RCC dx in subsequent work up |
Perirenal lymph nodes |
Not mentioned |
Superficial parotidectomy w/facial nerve preservation |
None mentioned |
|
|
55 |
M |
Painful mass x6 weeks on R., bruit |
Metachronous |
N |
L. nephrectomy for RCC 7 years prior |
Lungs, axillary lymph nodes |
Not mentioned |
R. external carotid ligation and multiple partial parotid resections for recurrent bleeding. |
None mentioned |
Pisani et. al. |
1990 |
59 |
M |
Mass x2mo. on L. |
Synchronous |
Y |
L. RCC dx in subsequent work up |
Cerebellar, vertebral |
Not mentioned |
Superficial parotidectomy w/ preservation of the facial nerve followed by subsequent hemorrhage and several excisions for recurrent disease |
None mentioned |
Sarangi et. al. |
1991 |
71 |
M |
Mass in L. parotid x3mo at presentation, R. parotid mass presented 4 mo. later. |
Synchronous |
Y |
R. RCC dx in subsequent work up |
None at time of parotid presentations, later mets to distal radius. |
Not mentioned |
L. superficial parotidectomy followed by R. superficial parotidectomy. |
None mentioned |
Ravi et. al. |
1992 |
55 |
F |
Bilateral masses x3mo. |
Metachronous |
N |
R. nephrectomy for RCC 7 years prior |
Not discussed |
Not mentioned |
Superficial parotidectomies w/ preservation of the facial nerves on two separate occasions |
None mentioned |
Borghi et. al. |
1995 |
63 |
M |
Mass x1 year on R. |
Synchronous |
Y |
L. RCC dx in subsequent work up |
Liver, pancreas |
FNA non-diagnostic |
Partial parotidectomy |
Positive for vimentin, CAM5.2, AE1. Negative for S-100, CEA. |
Sykes et. al. |
1995 |
59 |
M |
Mass x3 weeks on L. |
Synchronous |
Y |
L. RCC dx in subsequent work up |
Perirenal lymph nodes |
FNA non-diagnostic |
Superficial parotidectomy w/ preservation of the facial nerve |
None mentioned |
Gangopadhyay et. al. |
1998 |
48 |
M |
Mass x3mo. on L. |
Synchronous |
Y |
L. RCC dx in subsequent work up |
R. adrenal |
FNA non-diagnostic |
Superficial parotidectomy |
None mentioned |
Vara et. al. |
1998 |
50 |
M |
Painful mass x2mo. on L. |
Metachronous |
N |
R. nephrectomy 5 years prior |
Not discussed |
Not mentioned |
Total parotidectomy w/ preservation of facial nerve, locally recurrent in 7mo., repeat excision w/radiotherapy |
None mentioned |
Adil et. al. |
1999 |
52 |
M |
Mass on R. |
Synchronous |
N |
L. nephrectomy for RCC 5 mo. prior |
Post-auricular lymph nodes at time of parotid presentation, later para-aortic, inguinal, and cervical lymph nodes. |
Not mentioned |
Mass excision, neck dissection |
None mentioned |
Kundu et. al. |
2001 |
61 |
M |
R. facial weakness and post-auricular pain, R. mass on physical exam. |
Synchronous |
Y |
L. RCC dx in subsequent work up |
R. adrenal, bone, skin, pulmonary, cerebral |
FNA non-diagnostic |
Radiotherapy, pain relief, hospice |
None mentioned |
Park et. al. |
2002 |
83 |
F |
Mass x2mo. on L. |
Metachronous |
N |
L. nephrectomy for RCC 10 years prior |
None |
FNA diagnostic |
Superficial parotidectomy with preservation of the facial nerve |
Positive for vimentin and keratin. Negative for CEA. |
Seijas et. al. |
2005 |
67 |
M |
Mass x4mo. on L. |
Synchronous |
Y |
R. RCC dx in subsequent work up |
L. adrenal at time of parotid presentation, later lungs, R. adrenal, retroparitoneal lymph nodes |
FNA non-diagnostic |
Superficial parotidectomy with preservation of the facial nerve |
Positive for CAM5.2, AE3, vimentin. Negative for S-100, CK7, CK20, EMA. |
Mrena et. al. |
2008 |
58 |
F |
Tender mass on R. |
Synchronous |
Y |
R. RCC dx in subsequent work up |
None at time of presentation, R. shoulder mets later identified. |
FNA non-diagnostic |
Superficial parotidectomy |
Positive for CD10, PNRA, vimentin. Partially positive for pancytokeratin (AE1/AE3). Negative for calponin, S-100, and cytokeratin-7. |
|
|
76 |
F |
R. mass on physical exam |
Metachronous |
N |
L. nephrectomy for RCC 9 years prior |
Contralateral kidney, lung, bone |
FNA non-diagnostic |
Not described |
Positive for CD10, PNRA, vimentin. Negative for cytokeratin-7. |
|
|
62 |
M |
L. mass for a few years |
Metachronous |
N |
R. nephrectomy for RCC 5 years prior |
None |
FNA non-diagnostic |
Superficial parotidectomy and selective neck dissection (II-III) |
Positive for CD10, vimentin, CAM5.2. Partially positive for CK-8 and CK-18. Negative for cytokeratin-7. |
Spreafico et. al. |
2008 |
67 |
M |
R.mass on physical exam |
Metachronous |
N |
R. nephrectomy for RCC 18 mo. prior |
Ipsilateral cervical lymph nodes |
FNA diagnostic |
Total parotidectomy and selective neck dissection (I-V) w/removal of large portion of masseter and inferior facial nerve |
None mentioned |
Wayne et. al. |
2010 |
61 |
F |
L. mass on physical exam |
Metachronous |
Y |
No primary |
Pancreas, skin |
Not mentioned |
Superficial parotidectomy |
Positive for PNRA, vimentin, CD10. |
Deeb et. al. |
2010 |
82 |
M |
R. mass x1.5 years, pain |
Metachronous |
N |
Partial nephrectomy for RCC 19 years prior, completion nephrectomy 4 years prior |
Not discussed |
FNA non-diagnostic |
Total parotidectomy |
None mentioned |
Table 1. Summary of all complete case presentations of RCC metastatic to the parotid gland dating from 1965 to present.
R.: right, L.: left, RCC: renal cell carcinoma, mets: metastasis