A Rare Variety of Adenoid Cystic Carcinoma involving Submandibular Salivary Gland
Autor: | Saikat Samaddar, Swagatam Banerjee, Diptanshu Mukherjee, Sanjoy Kumar Ghosh |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Pathology
medicine.medical_specialty business.industry Adenoid cystic carcinoma Carcinoma lcsh:R General Engineering lcsh:Medicine Malignancy medicine.disease Basal cell adenoma lcsh:Otorhinolaryngology Carcinoma Adenoid Cystic lcsh:RF1-547 Pleomorphic adenoma Submandibular Gland Neoplasms Submandibular Gland Adenoid Cystic Carcinoma stomatognathic diseases Submandibular Gland Neoplasm medicine Malignant Salivary Gland Neoplasm Adenoid Cystic business |
Zdroj: | Bengal Journal of Otolaryngology and Head Neck Surgery, Vol 23, Iss 2, Pp 77-80 (2015) Bengal Journal of Otolaryngology and Head Neck Surgery, Vol 23, Iss 2 (2015) |
ISSN: | 2395-2407 2395-2393 |
Popis: | IntroductionAdenoid cystic carcinoma, an uncommon malignant salivary gland neoplasm, is known for its long clinical course, indolent growth, neural invasion, local recurrence and late distant metastasis. Three distinct histological patterns have been identified, amongst which, solid pattern is the rarest one having the worst prognosis. Materials And MethodsA case of sixty year old male patient presented with a swelling in the left side of the neck, below the jaw gradually enlarging during the last three years. FNAC from the neck swelling was suggestive of benign adenoma of the salivary gland, possibly basal cell adenoma or pleomorphic adenoma. Submandibular gland was excised. Histopathological examination confirmed the solid pattern of adenoid cystic carcinoma, which is the rarest among the three distinct histological subtypes of the malignancy. DiscussionAdenoid cystic carcinoma is well known for its perineural spread. In cases of submandibular gland adenoid cystic carcinoma, surgical wide excision is very much possible and in T1 or T2 cases post-operative radiotherapy may not be needed. In our case, post operative radiotherapy was given for best local control, as the tumour showed histopathlogical solid variety, grade III pattern, which is known to have the worst prognosis. |
Databáze: | OpenAIRE |
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