Tuberc Respir Dis.  1994 Oct;41(5):579-583.

Primary Adenoid Cystic Carcinoma of Salivary Gland with Metastatic to the Lung

Abstract

A 22-year old female visited CNUH due to palpable neck mass. Cytologic examination of a fine needle aspiration was performed and the result was Pap class II. Routine chest x-ray shows solitary pulmonary nodule. For rule-out malignancy, FNA at neck mass was repeated and pathologic finding was dysplasia. She was admitted to MI department for evaluation of solitary pulmonary nodule and percutaneous needle aspiration was done. Pathologic diagnosis was adenoid cystic carcinoma. Thereafter, the lesions were treated by excisional biopsy of submandibular gland mass with left supraomohyoid neck dissection and wedge resection of right lower lobe at ENT department and thoracic and cardiovascular surgery department, respectively Final diagnosis was adenoid cystic carcinoma arising in submandibular gland with solitary lung metastasis. According to TMN staging system, surgical staging is stage IV of T2N0M1. Clinical follow-up to postoperative 13 months in this case showed that she is alive and well without evidence of recrrence.

Keyword

Solitary pulmonary nodule; FNA; Adenoid cystic carcinoma

MeSH Terms

Adenoids*
Biopsy
Biopsy, Fine-Needle
Carcinoma, Adenoid Cystic*
Diagnosis
Female
Follow-Up Studies
Humans
Lung*
Neck
Neck Dissection
Needles
Neoplasm Metastasis
Salivary Glands*
Solitary Pulmonary Nodule
Submandibular Gland
Thorax
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