| Abstrakt: |
Introduction: Adenoid cystic carcinoma of the oropharynx is a rare malignant neoplasm - 10 to 15% of all malignant neoplasms of the salivary glands. It is characterized by a painless, slow-growing lesion and high rates of recurrence and metastases to other organs. Histopathology is divided into solid, tubular and cribriform. The tongue is a site of low incidence, which makes diagnostic suspicion difficult. The treatment option is surgical resection, often associated with radiotherapy, due to the high rate of recurrence and late metastases. Objective: To present a rare malignant neoplasm of the minor salivary gland of the tongue, a site of low incidence. Resumed report: Male, 65 years old, with a painful and indurated lesion on the dorsum of the left tongue for 10 years and worsening for 2 months, with progressive growth. An incisional biopsy of the lesion was performed, whose anatomopathological and immunohistochemistry confirmed tubular adenoid cystic carcinoma with solid areas. After the staging tests, it was classified as a T2N0M1 tumor, since the patient had bilateral solid pulmonary nodules. Multidisciplinary meeting between otorhinolaryngology and clinical oncology, surgical treatment, partial glossectomy, associated with radiotherapy was chosen. At the moment, the patient is under quarterly follow-up with the otorhinolaryngology and clinical oncology team, with good clinical and radiographic results. Conclusion: Correct clinical examination is essential to increase the level of suspicion for neoplasms in low-incidence sites. As it is a neoplasm with a high rate of recurrence and metastases, followup is mandatory. [ABSTRACT FROM AUTHOR] |
