Recurrent Adenoid Cystic Carcinoma of The Trachea: Intraluminal Radiotherapy

Malignant neoplasms of the trachea are rare lesions, of which adenoid cystic carcinoma constitutes 30%. A case of extensive tumor recurrent after primary radiotherapy is presented. Surgical resection and radioisotope implantation were impossible. A method was devised for placement of intraluminal iridium 192 by casting six small hollow plastic tubes to the outer circumference of a Silastic endotracheal tube. This was an easy, safe, and effective method of delivering radiation to the trachea while sparing other vital structures and organs. Excellent tumor response and palliation were achieved. The literature is reviewed and the problems in diagnosis of this tumor are discussed. A comprehensive plan for early diagnosis is presented. All current methods of treatment are discussed, and the need for aggressive surgical management is stressed.

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Ceruminous Gland Adenoid Cystic Carcinoma With Contralateral Metastasis to the Brain

Archives of Pathology & Laboratory Medicine ◽

10.5858/2002-126-0087-cgaccw ◽

2002 ◽

Vol 126 (1) ◽

pp. 87-89

Author(s):

Phillip A. Conlin ◽

Jose Luis Mira ◽

Suzanne C. Graham ◽

Kim Sutker Kaye ◽

Joehassin Cordero

Keyword(s):

Central Nervous System ◽

Adenoid Cystic Carcinoma ◽

Malignant Neoplasms ◽

External Ear ◽

Ear Canal ◽

Brain Mass ◽

Adenoid Cystic ◽

The Central Nervous System ◽

Poorly Differentiated ◽

The Brain

Abstract We present the case of a 38-year-old man with an adenoid cystic carcinoma originating from the ceruminous glands of the external ear canal. The patient subsequently presented with a contralateral brain mass that was also diagnosed as adenoid cystic carcinoma. To our knowledge, contralateral metastasis to the brain of a patient with an adenoid cystic carcinoma of the ceruminous glands has not been reported previously. This rare neoplasm should be considered in the differential diagnosis of poorly differentiated carcinomas metastatic to the central nervous system in patients with occult malignant neoplasms.

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Primary radiotherapy in adenoid cystic carcinoma of the lacrimal gland

Orbit ◽

10.3109/01676839009012355 ◽

1990 ◽

Vol 9 (2) ◽

pp. 107-111 ◽

Cited By ~ 3

Author(s):

J.S. Saini ◽

Kanwar Mohan ◽

B. Khandalavala

Keyword(s):

Adenoid Cystic Carcinoma ◽

Lacrimal Gland ◽

Adenoid Cystic ◽

Primary Radiotherapy

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Four Unusual Neoplasms of the Nasopharynx

Otolaryngology ◽

10.1177/019459988008800623 ◽

1980 ◽

Vol 88 (6) ◽

pp. 753-759 ◽

Cited By ~ 8

Author(s):

Allan P. Wolff ◽

Robert H. Ossoff ◽

Jack D. Clemis

Keyword(s):

Early Diagnosis ◽

Adenoid Cystic Carcinoma ◽

Current Literature ◽

Verrucous Carcinoma ◽

Inverted Papilloma ◽

Epidermoid Carcinoma ◽

Adenoid Cystic ◽

Epithelial Origin ◽

Appropriate Therapy

Epidermoid carcinoma and angiofibroma are the commonly diagnosed lesions of the nasopharynx. Less common are unusual tumors of epithelial origin as well as those from endothelial and mesenchymal precursors. Otolaryngologists must be knowledgeable in the literature associated with these tumors to facilitate early diagnosis and to institute appropriate therapy. Cases of verrucous carcinoma, inverted papilloma, adenoid cystic carcinoma, and extramedullar plasmacytoma are presented. Current literature is reviewed and accepted modes of treatment are outlined.

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An Unusual Presentation of Adenoid Cystic Carcinoma

Case Reports in Otolaryngology ◽

10.1155/2015/826436 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Kurren S. Gill ◽

Mark A. Frattali

Keyword(s):

Early Diagnosis ◽

Nasal Cavity ◽

Adenoid Cystic Carcinoma ◽

Salivary Glands ◽

Perineural Invasion ◽

Case Reports ◽

Diagnosis And Treatment ◽

Biological Behavior ◽

High Tendency ◽

Adenoid Cystic

Adenoid cystic carcinoma (ACC) is a relatively rare tumor of epithelial cell origin, most commonly arising from major salivary glands. It is uncommonly found outside the major or minor salivary glands and is especially rare when located in the nasal cavity. Diagnosis and treatment of ACC pose numerous challenges, partly due to its biological behavior of slow growth, high tendency of local recurrence, and perineural invasion. We present the case of a 67-year-old male with complaints of facial pain and swelling, with a CT scan showing a soft tissue mass extending from the right nasal cavity with osseous destruction. Biopsy revealed ACC with perineural invasion. ACC of the nasal cavity continues to pose diagnostic and therapeutic challenges to physicians. Because this rare pathology presents in a vague manner, early diagnosis requires a high index of suspicion for this disease and close follow-up care. Since ACC of the nasal cavity is seldom reported in the literature, it is our hope that reporting these rare instances as case reports will heighten physician awareness of this rare disease, allowing for early diagnosis and treatment.

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