Laryngeal adenoid cystic carcinoma: case report

Abstract

CONTEXT: Adenoid cystic carcinomas are malignant tumors that occur in both the major and the minor salivary glands. A laryngeal location is rare because of the paucity of accessory salivary glands in this area. Adenoid cystic carcinomas account for less than 1% of all malignant tumors in the larynx, and only about 120 cases have been reported in the literature. These tumors have a slight female predisposition, and their peak incidence is in the fi fth and sixth decades of life. In this article, we describe a case of laryngeal adenoid cystic carcinoma and discuss its clinical characteristics and treatment. CASE REPORT:We report on a case of laryngeal adenoid cystic carcinoma in a 55 year-old female patient who presented with dyspnea and hoarseness. Features of the diagnostic and therapeutic evaluation are described and the clinical management of such cases is outlined. The clinical course, defi nitive treatment strategy and surgical procedure, and also adjuvant treatment with irradiation are discussed. Although the tumor is radiosensitive, it is not radiocurable.

Unique presentation of adenoid cystic carcinoma in postcricoid region: a case report and review of the literature

“…Previous case reports of AdCC in the larynx are listed in the table [2,4,6,9,[17][18][19][20][21][22]. Of these cases, none is described as arising in the exact location as our patient's tumor.…”

Adenoid cystic carcinoma of the larynx: A report of two cases

“…The histopathological pattern of ACC is classified into three distinct subtypes: Cribriform, which is the most common form; tubular, which has the best prognosis; and solid, which carries the worst prognosis (12). In the present case, microscopic examination demonstrated a classic cribriform pattern in the tumor in case two and a mixed tubular and cribriform pattern in case one, neither of which are considered to predict the worst prognosis patients with laryngeal ACC.…”

“…This explains why the majority of patients are diagnosed at an advanced stage (2,13,14). For these reasons, the high number of late diagnoses may be fatal in some cases (12). In this study, the patient with advanced stage subglottic disease (case one), presented with symptoms of dyspnea, cough and stridor, which were diagnosed as asthma, on multiple occasions over a period of 3 years in a local hospital.…”

Larinksin Adenoid Kistik Karsinomu

“…In the absence of neck metastasis, elective neck dissection is unnecessary. Radical neck dissection is indicated for patients who have clinically or histologically confirmed nodal metastases 3 . In our case patient currently undergoing radiotherapy for the residual mass seen in post operative CT Scan after wide excision of mass.…”