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

Cho, Hai Jeong; Kim, Jin Hee; Kim, Ju Ock; Kim, Sun Young; Song, Kju Sang; Hyun, Nam Boo; Lim, Seung Pyung

doi:1994.41.5.579

Tuberc Respir Dis > Volume 41(5); 1994 > Article

Case Report

Tuberculosis and Respiratory Diseases 1994;41(5):579-583.
DOI: https://doi.org/10.4046/trd.1994.41.5.579 Published online October 1, 1994.

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

Hai Jeong Cho, Jin Hee Kim, Ju Ock Kim, Sun Young Kim, Kju Sang Song, Nam Boo Hyun, Seung Pyung Lim

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.

Key Words: Solitary pulmonary nodule, FNA, Adenoid cystic carcinoma