Adenoid cystic carcinoma of head and neck: apropos of a case

Highlights Adenoid cystic carcinoma of the maxillary sinus is a rare tumor. Adenoid cystic carcinoma of the maxillary sinus may represent a serious diagnostic. Characterized by very slow growth pattern, high local recurrence rate, and distant metastases mainly to the lungs and bones. Poor overall long-term prognosis, compared to other ACCs of the head and neck.

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“…Characteristically it shows a very slow growth pattern, a high local recurrence rate, and distant metastases mainly to the lungs and bones [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Advanced adenoid cystic carcinoma of maxillary sinus: Rare case report and review of literature

Lahjaouj¹,

Berrada²,

Rayhane³

et al. 2021

International Journal of Surgery Case Reports

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Intrapulmonary Metastasis from Adenoid Cystic Carcinoma of the External Auditory Canal: A Case Report

et al. 2023

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External auditory canal adenoid cystic carcinoma (EAC) is rare and is associated with nonspecific clinical manifestations such as early ear pain. We report a patient with advanced lung metastases from adenoid cystic carcinoma (ACC) of the EAC, which is difficult to diagnose. Under general anesthesia, lengthened right temporal bone resection, parotidectomy, facial nerve resection, cervical lymph node dissection (I-III), partial mandibular resection, tumor resection in the inferior temporal fossa and lateral femoral flap repair were performed, followed by regular radiotherapy and chemotherapy. During 2 years of postsurgical follow-up, there was no recurrence. The combination of early detection, resection, postoperative radiotherapy, and chemotherapy can result in a good therapeutic effect.

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Combined Techniques for Bilateral Maxillary and Nasal Reconstruction After Ablative Surgery for Adenoid Cystic Carcinoma

Rustemeyer¹,

Busch²

2022

IJAMST

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Indolent tumor growth up to large tumor masses and broad infiltration of surrounding tissue are the most typical characteristics of malignant tumors of the nasal cavity and paranasal sinuses. If surgery is a therapeutic option, extended resections and complex reconstruction modalities have to be taken into account. We present a combination of different reconstruction techniques to restore midface integrity after bilateral maxillectomy, including parts of the nasal skeleton, for adenoid cystic carcinoma. After obtaining tumor-free margins, reconstruction was performed using a microvascular double-flap technique to achieve a neo-maxilla and soft tissue lining of the oral cavity, dental implantology with prosthetic restoration and the insertion of a patient-specific implant for nasal re-shaping and stability. In cases of extended maxillary resection, a combination of different techniques can achieve sufficient functional and aesthetic rehabilitation, and restore quality of life. Further studies are warranted to evaluate the long-term stability of such complex reconstructions. However, local tumor control remains the highest priority and will be essential for years.

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Adenoid cystic carcinoma of head and neck: apropos of a case

Cited by 3 publications

References 9 publications

Advanced adenoid cystic carcinoma of maxillary sinus: Rare case report and review of literature

Advanced adenoid cystic carcinoma of maxillary sinus: Rare case report and review of literature

Intrapulmonary Metastasis from Adenoid Cystic Carcinoma of the External Auditory Canal: A Case Report

Combined Techniques for Bilateral Maxillary and Nasal Reconstruction After Ablative Surgery for Adenoid Cystic Carcinoma

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