# Erysipelas-Like Carcinoma of the Parotid Gland With Cutaneous Metastasis to the Neck Requiring Tracheostomy: A Case Report

## TL;DR

An elderly man's parotid gland cancer spread to his neck skin, causing severe symptoms requiring a tracheostomy.

## Contribution

This case highlights a rare presentation of parotid carcinoma with cutaneous metastasis mimicking other conditions.

## Key findings

- The patient's symptoms initially resembled radiation dermatitis or erysipelas but were later diagnosed as cutaneous metastasis.
- Tracheostomy became necessary due to progressive dysphagia from tumor enlargement.
- Biopsy confirmed the metastasis of parotid gland carcinoma to the neck skin.

## Abstract

We present the case of a 71-year-old man who, after undergoing postoperative radiotherapy for epithelial carcinoma, developed progressively enlarging erythema. Initially, the condition resembled radiation dermatitis or erysipelas, and topical steroids and antibacterial agents were administered without success. A biopsy was performed for further evaluation, revealing a cutaneous invasion of parotid carcinoma. The lesion continued to enlarge, leading to dysphagia and ultimately necessitating a tracheostomy.