Adenoid Cystic Carcinoma of the Submandibular Gland, Locoregional Recurrence, and a Solitary Liver Metastasis More Than 30 Years Since Primary Diagnosis

Adenoid cystic carcinoma (ACC) is a relatively rare tumour of the salivary glands, accounting for approximately 5%–10% of all salivary gland tumours. An important feature of ACCs is the long clinical course with a high rate of distant metastases. The preferential sites of metastases are the lung and...

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Main Authors: A. Coupland, A. Sewpaul, A. Darne, S. White
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/581823
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author A. Coupland
A. Sewpaul
A. Darne
S. White
author_facet A. Coupland
A. Sewpaul
A. Darne
S. White
author_sort A. Coupland
collection DOAJ
description Adenoid cystic carcinoma (ACC) is a relatively rare tumour of the salivary glands, accounting for approximately 5%–10% of all salivary gland tumours. An important feature of ACCs is the long clinical course with a high rate of distant metastases. The preferential sites of metastases are the lung and bone, followed by the brain and liver. Most liver metastases are derived from nonparotid ACCs, and the presentation is often related to local recurrence or metastases to other organs. Solitary metastases to the liver are rare and optimal management is unknown. We present the case of a metastatic ACC to the liver with primary disease presentation at a young age. We discuss our management and other potential treatment modalities.
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spelling doaj-art-715fcc1bb71e451fb1a9d217079d001f2025-02-03T01:21:53ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/581823581823Adenoid Cystic Carcinoma of the Submandibular Gland, Locoregional Recurrence, and a Solitary Liver Metastasis More Than 30 Years Since Primary DiagnosisA. Coupland0A. Sewpaul1A. Darne2S. White3Department of HPB and Transplant Surgery, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UKDepartment of HPB and Transplant Surgery, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UKDepartment of Histopathology, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UKDepartment of HPB and Transplant Surgery, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UKAdenoid cystic carcinoma (ACC) is a relatively rare tumour of the salivary glands, accounting for approximately 5%–10% of all salivary gland tumours. An important feature of ACCs is the long clinical course with a high rate of distant metastases. The preferential sites of metastases are the lung and bone, followed by the brain and liver. Most liver metastases are derived from nonparotid ACCs, and the presentation is often related to local recurrence or metastases to other organs. Solitary metastases to the liver are rare and optimal management is unknown. We present the case of a metastatic ACC to the liver with primary disease presentation at a young age. We discuss our management and other potential treatment modalities.http://dx.doi.org/10.1155/2014/581823
spellingShingle A. Coupland
A. Sewpaul
A. Darne
S. White
Adenoid Cystic Carcinoma of the Submandibular Gland, Locoregional Recurrence, and a Solitary Liver Metastasis More Than 30 Years Since Primary Diagnosis
Case Reports in Surgery
title Adenoid Cystic Carcinoma of the Submandibular Gland, Locoregional Recurrence, and a Solitary Liver Metastasis More Than 30 Years Since Primary Diagnosis
title_full Adenoid Cystic Carcinoma of the Submandibular Gland, Locoregional Recurrence, and a Solitary Liver Metastasis More Than 30 Years Since Primary Diagnosis
title_fullStr Adenoid Cystic Carcinoma of the Submandibular Gland, Locoregional Recurrence, and a Solitary Liver Metastasis More Than 30 Years Since Primary Diagnosis
title_full_unstemmed Adenoid Cystic Carcinoma of the Submandibular Gland, Locoregional Recurrence, and a Solitary Liver Metastasis More Than 30 Years Since Primary Diagnosis
title_short Adenoid Cystic Carcinoma of the Submandibular Gland, Locoregional Recurrence, and a Solitary Liver Metastasis More Than 30 Years Since Primary Diagnosis
title_sort adenoid cystic carcinoma of the submandibular gland locoregional recurrence and a solitary liver metastasis more than 30 years since primary diagnosis
url http://dx.doi.org/10.1155/2014/581823
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AT asewpaul adenoidcysticcarcinomaofthesubmandibularglandlocoregionalrecurrenceandasolitarylivermetastasismorethan30yearssinceprimarydiagnosis
AT adarne adenoidcysticcarcinomaofthesubmandibularglandlocoregionalrecurrenceandasolitarylivermetastasismorethan30yearssinceprimarydiagnosis
AT swhite adenoidcysticcarcinomaofthesubmandibularglandlocoregionalrecurrenceandasolitarylivermetastasismorethan30yearssinceprimarydiagnosis