Adenoid Cystic Carcinoma of the Cavernous Region-Case Report-

Abstract

A 62-year-old Japanese male patient presented with right oculomotor, abducens, and trigeminal nerve disturbances. Neuroimaging revealed a right middle cranial fossa mass lesion with the characteristics of trigeminal schwannoma. The patient underwent a right temporal craniotomy for gross total resection. Histological examination confirmed a metastasis of adenoid cystic carcinoma (ACC). After the operation, no evidence of the primary lesion could be found. The patient was treated with radiation therapy. ACC can be difficult to identify before histological confirmation. The incidence of intracranial invasion of ACC is 4-22%, but in this case no evidence of the primary lesion was found.

A dry, droopy and dilated eye: a neuro-ophthalmic case with correlation of signs and anatomical tumour spread

“…As in our case, ACC may mimic schwannoma or meningioma, MRIs were misinterpreted in 31.2% of cases 2 12…”

A Case of Adenoid Cystic Carcinoma Presenting as Garcin's Syndrome without Mass Formation

“…It is known that ACC can be responsible for several neurological features, including olfactory hypoesthesia (2), visual disturbance (18), neurogenic ophthalmoplegia (2, 5, 6), trigeminal neuralgia and numbness (2,5,6), unilateral facial, glossopharyngeal, vagal, accessory and hypoglossal nerve palsies (6), cavernous sinus syndrome (18,19), Horner's syndrome (6,(19)(20)(21), and pituitary dysfunction (18). In the present case, ACC manifested unilateral, markedly extensive, third to seventh and ninth to twelfth cranial nerve palsies without intracranial hypertension or long tract sign, indicative of Garcin's syndrome.…”

Untitled

“…10 Cerca de 40% dos carcinomas adenoides císticos recorrem em até três anos, mesmo nos totalmente ressecados. 1 Se o controle local for alcançado, metástases a distância ocorrem em até 39% dos casos, principalmente para os pulmões, ossos e fígado.…”