1Postgraduate in MD Pathology, Sree Balaji Medical College, Chennai, drmellonierichie@gmail.com, 9003238971
2Professor of Pathology, Sree Balaji Medical College, Chennai
3Professor of Pathology, Sree Balaji Medical College, Chennai, shanthi_gopalan@yahoo.co.in
4Professor of Pathology, Sree Balaji Medical College, Chennai, boparijatham@gmail.com
Online published on 21 September, 2015.
Salivary duct carcinoma is a distinctive primary neoplasm of the major salivary gland characterized by aggressive behaviour with early metastasis, local recurrence and significant mortality. We report a 50 year old male with parotid swelling whose FNAC was suggestive of a differential diagnosis of Salivary Duct Carcinoma or a Mucoepidermoid carcinoma, he underwent parotidectomy and later, on routine histopathology, the swelling was reported as a salivary duct carcinoma, confirmed via immunohistochemistry. Given the relative low occurrence and known difficulty in making an accurate diagnosis using fine needle aspiration cytology, the possibility of salivary duct carcinoma in the appropriate clinical setting of elderly patients with parotid mass and facial palsy should be seriously considered.
