Case Report: A rare pediatric case of secretory carcinoma of the parotid gland with high-grade components misdiagnosed as pleomorphic adenoma - Takeaways - MDSpire

Case Report: A rare pediatric case of secretory carcinoma of the parotid gland with high-grade components misdiagnosed as pleomorphic adenoma

  • By

  • Li Xu

  • Huihua He

  • Honglin Yan

  • Xiaoli Tian

  • Yongfei Tang

  • Jingping Yuan

  • May 29, 2026

  • 0 min

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  • 1

    Secretory carcinoma of the parotid gland is a rare malignant tumor in children, often misdiagnosed as pleomorphic adenoma due to similar clinical features.

  • 2

    A 12-year-old boy presented with a left parotid mass, initially diagnosed via FNAC as pleomorphic adenoma, highlighting diagnostic challenges.

  • 3

    Histopathological examination revealed high-grade secretory carcinoma with distinct features, including ETV6::NTRK3 gene fusion confirmed by FISH.

  • 4

    The patient underwent successful superficial parotidectomy and functional neck dissection, with no need for adjuvant therapy postoperatively.

  • 5

    At 29 months follow-up, the patient remained disease-free, underscoring the importance of accurate diagnosis and management of pediatric salivary gland tumors.

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