Unusual presentation of parotid gland adenoid cystic carcinoma : A case presentation and literature review

Adenoid cystic carcinoma (ACC) represents approximately 10% of all epithelial salivary neoplasms and most commonly involves the parotid gland.We report CT and MRI finding of a 38-year-old young man presented to our ENT department with 02 years history of an external auditory canal stenosis. Physical...

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Autores principales: N. Ouatassi, Assistant professor of ENT, W. Elguerch, ENT resident doctor, A. Bensalah, Resident doctor in radiology, M. Maaroufi, Professor of radiology, MN. Alami, Professor of ENT
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Lenguaje:EN
Publicado: Elsevier 2022
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Acceso en línea:https://doaj.org/article/63dba9b04c484a42b453ee55d88b439e
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spelling oai:doaj.org-article:63dba9b04c484a42b453ee55d88b439e2021-11-30T04:15:22ZUnusual presentation of parotid gland adenoid cystic carcinoma : A case presentation and literature review1930-043310.1016/j.radcr.2021.10.043https://doaj.org/article/63dba9b04c484a42b453ee55d88b439e2022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007627https://doaj.org/toc/1930-0433Adenoid cystic carcinoma (ACC) represents approximately 10% of all epithelial salivary neoplasms and most commonly involves the parotid gland.We report CT and MRI finding of a 38-year-old young man presented to our ENT department with 02 years history of an external auditory canal stenosis. Physical examination revealed bilateral parotid gland swelling with a complete stenosis of the left external auditory canal.Temporal bone contrast enhanced CT-SCAN revealed is an isodense enhancing mass measuring 4 cm involving posterior and inferior external auditory canal wall, and invading the superficial lobe of the homolateral parotid gland. No bone erosion was noted. MRI investigation has shown a tumor process highly suspicious of malignancy centered on the left EAC involving the superficial lobe of the homolateral parotid gland. Adenoid cystic carcinoma (ACC) of the parotid gland was the final diagnosis, after surgical biopsy and histopathological examination. The Pre-operative check-up demonstrated multiple round shape lung lesions suggestive of multiple metastases. Considering the metastatic stage of the tumor, a collegial decision to adopt a palliative treatment approach based on chemotherapy was taken by the multidisciplinary oncology board.N. Ouatassi, Assistant professor of ENTW. Elguerch, ENT resident doctorA. Bensalah, Resident doctor in radiologyM. Maaroufi, Professor of radiologyMN. Alami, Professor of ENTElsevierarticleAdenoid cystic carcinomaParotidEACCT-MRIMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 2, Pp 344-349 (2022)
institution DOAJ
collection DOAJ
language EN
topic Adenoid cystic carcinoma
Parotid
EAC
CT-MRI
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle Adenoid cystic carcinoma
Parotid
EAC
CT-MRI
Medical physics. Medical radiology. Nuclear medicine
R895-920
N. Ouatassi, Assistant professor of ENT
W. Elguerch, ENT resident doctor
A. Bensalah, Resident doctor in radiology
M. Maaroufi, Professor of radiology
MN. Alami, Professor of ENT
Unusual presentation of parotid gland adenoid cystic carcinoma : A case presentation and literature review
description Adenoid cystic carcinoma (ACC) represents approximately 10% of all epithelial salivary neoplasms and most commonly involves the parotid gland.We report CT and MRI finding of a 38-year-old young man presented to our ENT department with 02 years history of an external auditory canal stenosis. Physical examination revealed bilateral parotid gland swelling with a complete stenosis of the left external auditory canal.Temporal bone contrast enhanced CT-SCAN revealed is an isodense enhancing mass measuring 4 cm involving posterior and inferior external auditory canal wall, and invading the superficial lobe of the homolateral parotid gland. No bone erosion was noted. MRI investigation has shown a tumor process highly suspicious of malignancy centered on the left EAC involving the superficial lobe of the homolateral parotid gland. Adenoid cystic carcinoma (ACC) of the parotid gland was the final diagnosis, after surgical biopsy and histopathological examination. The Pre-operative check-up demonstrated multiple round shape lung lesions suggestive of multiple metastases. Considering the metastatic stage of the tumor, a collegial decision to adopt a palliative treatment approach based on chemotherapy was taken by the multidisciplinary oncology board.
format article
author N. Ouatassi, Assistant professor of ENT
W. Elguerch, ENT resident doctor
A. Bensalah, Resident doctor in radiology
M. Maaroufi, Professor of radiology
MN. Alami, Professor of ENT
author_facet N. Ouatassi, Assistant professor of ENT
W. Elguerch, ENT resident doctor
A. Bensalah, Resident doctor in radiology
M. Maaroufi, Professor of radiology
MN. Alami, Professor of ENT
author_sort N. Ouatassi, Assistant professor of ENT
title Unusual presentation of parotid gland adenoid cystic carcinoma : A case presentation and literature review
title_short Unusual presentation of parotid gland adenoid cystic carcinoma : A case presentation and literature review
title_full Unusual presentation of parotid gland adenoid cystic carcinoma : A case presentation and literature review
title_fullStr Unusual presentation of parotid gland adenoid cystic carcinoma : A case presentation and literature review
title_full_unstemmed Unusual presentation of parotid gland adenoid cystic carcinoma : A case presentation and literature review
title_sort unusual presentation of parotid gland adenoid cystic carcinoma : a case presentation and literature review
publisher Elsevier
publishDate 2022
url https://doaj.org/article/63dba9b04c484a42b453ee55d88b439e
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