Twice Operations for Parotid Metastasis of Nasopharyngeal Carcinoma Patient after Radical Intensity-Modulated Radiotherapy: A Case Report

• Guangmou Tan

  Department of Head and Neck Oncology Surgery, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou 510095, China

• Weiquan Chen

  Department of Head and Neck Oncology Surgery, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou 510095, China

• Xiaojun Tan

  Department of Pathology, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou 510095, China

• Haiyan Huang

  Department of Head and Neck Oncology Surgery, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou 510095, China

• Ke Liu

  Department of Head and Neck Oncology Surgery, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou 510095, China

• Hong Yang

  Department of Head and Neck Oncology Surgery, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou 510095, China

The surgery treatment of parotid metastasis of nasopharyngeal carcinoma (NPC) after parotid-gland-sparing IMRT is rare report. We present such a case of NPC patient cT2N2M0 with parotid lymph node metastasis after parotid-gland-sparing IMRT patient who accepted the second operation after the first failure parotid section. This case reminded us that neck dissection added the whole parotid gland resection may be an appropriate method to treat this type of patients.

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