Parotid gland metastasis from renal cell carcinoma.
80 and over; Aged; Biopsy; Carcinoma; Diagnosis; Differential; Female; Humans; Kidney Neoplasms/*pathology; Needle; Parotid Neoplasms/pathology/*secondary; Renal Cell/pathology/*secondary; Retrospective Studies
OBJECTIVE: To discuss the diagnosis and management of metastatic renal cell carcinoma presenting as a parotid mass by studying such cases. STUDY DESIGN: Retrospective review. METHODS: Identification of 24 previously reported cases of renal cell carcinoma metastatic to the parotid gland in the English language literature and an analysis of a total of 25 patients including our case. RESULTS: Parotid metastasis was the initial presenting sign of the malignancy in the kidney in 14 of 25 (56%) cases; 11 of 25 (44%) cases presented with metachronous metastasis to the parotid. The most common presenting complaint was parotid mass. No case presented with facial paralysis. In three of six (50%) patients, fine-needle aspiration biopsy was diagnostic. CONCLUSIONS: In the majority of cases, parotid metastases are the first clinical sign of the renal cell carcinoma. Fine-needle aspiration biopsy can provide crucial information without parotidectomy as in our case. Parotidectomy with facial nerve preservation should be considered as a therapeutic option for solitary parotid metastasis.
Park Youn W; Hlivko Thomas J
The Laryngoscope
2002
2002-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/00005537-200203000-00009" target="_blank" rel="noreferrer noopener">10.1097/00005537-200203000-00009</a>
Pathophysiology of empty nose syndrome.
Brain – Physiopathology; Brain/physiopathology; Computer Simulation; Dyspnea – Physiopathology; Dyspnea/physiopathology; Empty nose syndrome; Humans; Nasal Mucosa – Innervation; Nasal Mucosa/*innervation; Nasal Obstruction – Physiopathology; Nasal Obstruction/*physiopathology; nasal sensation; Neural Pathways – Physiopathology; Olfactory Pathways/physiopathology; Postoperative Complications – Physiopathology; Postoperative Complications/*physiopathology; Pulmonary Ventilation/*physiology; Respiratory Airflow – Physiology; Sensory Receptor Cells – Physiology; Sensory Receptor Cells/*physiology; Syndrome; Thermoreceptors – Physiopathology; Thermoreceptors/physiopathology; Tomography; Trigeminal Nerve – Physiopathology; Trigeminal Nerve/physiopathology; turbinate surgery; Turbinates – Physiopathology; Turbinates – Surgery; Turbinates/*physiopathology/*surgery; Wound Healing – Physiology; Wound Healing/*physiology; X-Ray Computed
OBJECTIVES/HYPOTHESIS: To review current knowledge on nasal airflow sensation in relation to empty nose syndrome (ENS). STUDY DESIGN: PubMed searches. METHODS: Current literature pertaining to measurement of nasal patency, mechanism of sensory perception of nasal airflow, and ENS. RESULTS: A reliance on pure anatomical analysis of the anatomy in ENS falls short of explaining the disorder. Our understanding of subjective nasal sensation has advanced, as has our understanding of the flow of air through the nose. Neural healing following a surgical insult may not result in a return to a normal physiologic state. Aberrations in neurosensory systems from improper healing may play a major role in the abnormal sensations ENS patients experience. CONCLUSIONS: An evidence-based hypothesis for the development and symptoms of ENS is offered.
Sozansky Jeanie; Houser Steven M
The Laryngoscope
2015
2015-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1002/lary.24813" target="_blank" rel="noreferrer noopener">10.1002/lary.24813</a>