Get your Health question answered in 3 easy steps

144 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Diagnosed with parotid tumor and having severe pain. Any thoughts?

Answered by
Dr. Sudhir Kumar


Practicing since :1994

Answered : 5632 Questions

Posted on Mon, 10 Dec 2012 in Ear, Nose and Throat Problems
Question: I have a simple question. Does pain with a parotid tumor almost always equal malignancy? I was just diagnosed with a parotid tumor this week and it's incredibly painful (tender when pressed on, shooting pain around mass, but no facial paralysis or ear problems). I can't seem to find too many examples of painful benign masses. Thoughts?
Answered by Dr. Sudhir Kumar 3 hours later

Thank you for posting your query.

First of all, I wish to reassure you that pain in a parotid tumour does not mean it is malignant. A benign tumour can also be painful.

The features favouring malignancy in a parotid tumour could be increase in the hardness of the tumour or a very rapid growth of the tumour.

So, there is no need to worry at present.

Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sudhir Kumar 19 hours later

Thank you. I am still quite concerned about the pain since it wasn't there just 1 year ago but I am seeing a specialist in Chicago this week so I'll get that ball rolling.

I did have one follow-up question. When they did the ultrasound (they couldn't do a CT or MRI, I'm pregnant), the technician referred to blood flow within the tumor. She said there was definitely some, but she wouldn't quantify how much. I know there is a correlation between blood flow, blood volume, and malignancy, but is it possible for a benign tumor to have blood flow as well? I think this is where my main concern lies at the moment.....I saw her face, and she seemed quite concerned. But the radiologist who reviewed the ultrasound didn't seem concerned, so it was quite a mixed message.

Any info you have on this subject would be great!

Answered by Dr. Sudhir Kumar 3 hours later

Thank you for getting back with more details.

I can understand your concern, especially when the final diagnosis has not been reached.

Regarding vascularity, a malignant tumor is highly vascular; however a benign tumor is less vascular. However, this is not a definite sign.

There are other signs suggestive of malignancy, such as irregularity of tumor, infiltration of surrounding tissues, involvement of facial nerve, etc.

For confirmation, a biopsy of the parotid tumor would be required.

So, based on the information we have till now, there is no need to worry.

I hope it clarifies. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Lab Tests ,  
Medical Topics

Recent questions on  MRI

doctor1 MD

I had a mri scan on my lower back but they saw a shadow on my liver.wich I don't feel a constant pain in the liver area but I can feel a small lump there that seems to pull a bit when I move,and it aches there when I sit down some times and I am scared of what it might be

doctor1 MD

I have an ache in my calf that started last evening. I injured the knee on the same leg two months ago, had an MRI, have a torn meniscus. Was going to have a surgery but decided to wait as it was getting better. But last night the calf started aching and I wonder if it is related or could i have a blood clot?

doctor1 MD

I was recently told I have empty sella found on a MRI. Also found low testosterone. I feel very fatiuged and can't handle stress very well. This has been going on for 3 to 5 years. Could I have a pituitary problem affecting other hormones such as cortisol. Thanks Jim C.

doctor1 MD

Can HCG cause tumors on your liver? I went on the HCG diet for 43 days FEB. 2010. Went in for a ct scan for something unrelated and they found a growth on my liver. The size of a large orange. The doctor does feel that it has been there for a long time. Just wondering if the HCG could have made it bigger. I am getting a MRI next week. Hopefully it is not cancerous.


doctor1 MD

For past 12+ hours, I’ve had left side pain from left pectoral up through left shoulder and down my left arm to my hand. Sharpest pain is in shoulder, elbow and dorsal side of forearm. Some twitching in wrist and hand.

doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing helps. Something does not seem right. My Dr. has released me and says it will take a year to get...

doctor1 MD

I have been diagnosed with spondylothesis of the L5 and S1 region. I have had an mri and x-rays for my back. I had an epidural injection(2) in Nov in my back which seemed to help the pain going down my legs for a couple of weeks. Unfortunately I...