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British Association for Cytopathology December 2024 Case Study

Acinic cell carcinoma with high grade transformation

Thomas Greenslade, Leonie Wheeldon and Tim Bracey Diagnostic and Molecular Pathology, Royal Cornwall Hospital

  • 69-year-old female presented to ENT with a 4-week history of a rapidly growing right parotid mass associated with pain and new onset right facial nerve palsy (House Brackmann Grade V)
  • On examination: firm, tender swelling in the right pre-auricular region extending posteriorly and inferiorly below the angle of the mandible. No overlying skin changes.
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