Recurrent Parotid Carcinosarcoma in an Asymptomatic Patient

In this article, we present the case of a 52-year-old male with a history of parotid carcinosarcoma with initial diagnosis being 18 months prior. Initial treatment included a combination of gamma knife surgery coupled with high dosage chemotherapy and X-ray radiation therapy. At the time of follow-u...

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Main Authors: Joshua Mansour MD, Abhishek Mangaonkar MBBS, Vamsi Kota MBBS
Format: Article
Language:English
Published: SAGE Publishing 2016-10-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709616676590
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author Joshua Mansour MD
Abhishek Mangaonkar MBBS
Vamsi Kota MBBS
author_facet Joshua Mansour MD
Abhishek Mangaonkar MBBS
Vamsi Kota MBBS
author_sort Joshua Mansour MD
collection DOAJ
description In this article, we present the case of a 52-year-old male with a history of parotid carcinosarcoma with initial diagnosis being 18 months prior. Initial treatment included a combination of gamma knife surgery coupled with high dosage chemotherapy and X-ray radiation therapy. At the time of follow-up, the patient presented with no complaints and had a nearly normal physical exam with the exception of some facial nerve weakness on the same side as the initial surgery. Despite being asymptomatic, the patient had a significant progression of disease that was manifested with intracranial lesions, multiple pathologic fractures, and a dramatic increase in overall tumor burden. Ultimately, the patient decided to pursue comfort measures only and succumbed to the disease peacefully soon thereafter.
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spelling doaj.art-2b867e95ec934d88a2b2b1434f1d3d562022-12-21T17:00:55ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962016-10-01410.1177/232470961667659010.1177_2324709616676590Recurrent Parotid Carcinosarcoma in an Asymptomatic PatientJoshua Mansour MD0Abhishek Mangaonkar MBBS1Vamsi Kota MBBS2Medical University of South Carolina, Charleston, SC, USAMayo Clinic, Rochester, MN, USAEmory University, Atlanta, GA, USAIn this article, we present the case of a 52-year-old male with a history of parotid carcinosarcoma with initial diagnosis being 18 months prior. Initial treatment included a combination of gamma knife surgery coupled with high dosage chemotherapy and X-ray radiation therapy. At the time of follow-up, the patient presented with no complaints and had a nearly normal physical exam with the exception of some facial nerve weakness on the same side as the initial surgery. Despite being asymptomatic, the patient had a significant progression of disease that was manifested with intracranial lesions, multiple pathologic fractures, and a dramatic increase in overall tumor burden. Ultimately, the patient decided to pursue comfort measures only and succumbed to the disease peacefully soon thereafter.https://doi.org/10.1177/2324709616676590
spellingShingle Joshua Mansour MD
Abhishek Mangaonkar MBBS
Vamsi Kota MBBS
Recurrent Parotid Carcinosarcoma in an Asymptomatic Patient
Journal of Investigative Medicine High Impact Case Reports
title Recurrent Parotid Carcinosarcoma in an Asymptomatic Patient
title_full Recurrent Parotid Carcinosarcoma in an Asymptomatic Patient
title_fullStr Recurrent Parotid Carcinosarcoma in an Asymptomatic Patient
title_full_unstemmed Recurrent Parotid Carcinosarcoma in an Asymptomatic Patient
title_short Recurrent Parotid Carcinosarcoma in an Asymptomatic Patient
title_sort recurrent parotid carcinosarcoma in an asymptomatic patient
url https://doi.org/10.1177/2324709616676590
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