• Title/Summary/Keyword: Adenoid cystic carcinoma.

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A Case of Adenoid Cystic Carcinoma of the Middle Ear (중이 선낭포성 종양 1예)

  • 김기령;김영명;조경열;이춘근;이근해
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.7.3-7
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    • 1978
  • Adenoid cystic carcinoma that is found most frequently in the salivary gland is an extremely rare malignant tumor in middle ear and is a slow growing one with a characteristic tendency of recurrence after surgical removal. Recently we experienced a case of this rare adenoid cystic carcinoma arising from middle ear of 30 year old male patient. The patient complained of hearing impairment for two years duration and pulsating tinnitus for two weeks duration in the right ear. Under the local anesthesia, throgh exploratory tympanotomy, a grayish white mass measuring $1.5\times$1.5$\times$1mm in the hypotympanic portion was removed out and a adenoid cystic carcinoma was verified histopathologically.

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Surgical Treatment of Adenoid Cystic Carcinoma by Left Tracheal Sleeve Pneumonectomy (좌측 수상 전폐 적출술에 의한 선양 낭포암 치험 1례)

  • 김동원
    • Journal of Chest Surgery
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    • v.27 no.5
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    • pp.413-417
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    • 1994
  • Adenoid cystic carcinoma usually grows in the trachea or near its bifurcation and causes obstruction of the air way. We recently experienced a 33 year-old male patient who had adenoid cystic carcinoma in the left main bronchus with the chief complaint of productive cough. On the bronchoscopy, the mass obstructed the left main bronchus completely and had nodularity and increased vascularity.The trachea was shifted to the left side and the lower lobe of the left lung was atelectatic on chest X-ray and computed axial tomogram.He underwent left tracheal sleeve pneumonectomy and lymph node dissection through bilateral thoracotomy. At first,we attempted left tracheal sleeve pneumonectomy through the left thoracotomy,however, it was very difficult to perform carinoplastic procedure after sleeve resection of 2.5cm of distal trachea and 1cm of proximal right main bronchus including whole left lung because of poor operative field and difficulty in the anastomosis of the right main bronchus to the distal end of the trachea without tension.Therefore after radical resection of the left lung we made right thoracotomy,through which we could anastomosed the distal trachea and right main bronchus with 4-0 PDS interrupted suture after mobilization of the right hilum without difficulty. The tumor was confirmed to be adenoid cystic carcinoma with metastasis to subcarinal lymph node histopathologically. Postoperative course was uneventful but he needed two bronchoscopic procedure to clear distal airway of the retained bronchial secretion. He was discharged at 14 days after operation with complete recovery.

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Fine Needle Aspiration Cytology of Solid Type Adenoid Cystic Carcinoma of Buccal Mucosa - A Case Report - (뺨 점막에 발생한 충실성 선양낭성암종의 세침흡인 세포학적 소견 - 1예 보고 -)

  • Kim, Jean-A;Kim, Young-Sill;Lee, An-Hi;Shim, Sang-In;Kim, Byung-Kee;Kim, Kyoung-Mee
    • The Korean Journal of Cytopathology
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    • v.11 no.2
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    • pp.89-92
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    • 2000
  • Adenoid cystic carcinoma constitutes 4 percent of ail benign and malignant epithelial salivary gland tumors and is a highly malignant tumor of the salivary glands. The cytologic presentation in aspirates is usually characteristic with spherical clusters(balls) of small tumor cells filled with hyaline material. But in case of the poorly differentiated variety(solid type), it is difficult to differentiate from other tumors because sheets of small, fairly monotonous malignant cells, with somewhat larger and more conspicuous nuclei are only seen. The cytologic findings of fine needle aspiration of solid type adenoid cystic carcinoma of buccal mucosa in a 51-year-old man are presented. On cytologic findings, solid sheets of monotonous tumor cells with focal necrosis was noted on a hemorrhagic background and the characteristic cytologic features of adenoid cystic carcinoma was absent.

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Treatment Results for Adenoid Cystic Carcinoma of the Major Salivary Gland (주타액선에서 발생한 선양낭세포암종의 방사선치료성적)

  • Lee Sang-Wook;Kim Gwi-Eon;Park Cheong-Soo;Choi Eun-Chang;Lee Kang-Kyoo;Park Won;Suh Chang-Ok
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.2
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    • pp.197-202
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    • 2002
  • Purpose: This study was to investigate clinical feature of adenoid cystic carcinoma (ACC) in the major salivary gland. Materials and Methods: A retrospective analysis was undertaken for 23 patients with adenoid cystic carcinoma of the major salivary gland, who completed postoperative radiotherapy at the Yonsei Cancer Center, Yonsei University Hospital between May 1981 and December 1999. The male to female ratio was 1.1:1. Median age was 50. Follow up periods were 12-180 months with the median follow-up time of 59 months. Results: Parotid gland, submandibular gland and sublingual gland were 17, 5 and 1 respectively. Overall failure rate was 26%. Local failure was observed in two patients with parotid gland origin. Five cases showed distant failure. Overall and disease free survival rate were 68% and 72% respectively. Conclusion: Major pattern of failure was distant failure. Resection margin status had not prognostic significance. Postoperative radiation treatment is an effective to control in the adenoid cystic carcinoma of the major salivary gland.

Extensive and aggressive growth of adenoid cystic carcinoma in the lacrimal gland

  • Park, Jonghyun;Kim, Han Koo;Kim, Woo Seob;Bae, Tae Hui
    • Archives of Craniofacial Surgery
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    • v.21 no.2
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    • pp.114-118
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    • 2020
  • Adenoid cystic carcinoma (ACC) in the lacrimal gland is a very rare disease with poor overall prognosis. Its primary treatment is surgical excision, including orbital exenteration and radical orbitectomy, which is combined with radiotherapy and chemotherapy. Age, histopathologic type, bone invasion, and tumor extent are known factors that affect the prognosis of ACC. Furthermore, perineural invasion is highly associated with local tumor recurrence and tumor base invasion. Here, we report a rare case of ACC in the lacrimal gland with superior sagittal sinus invasion that repeatedly recurred after the surgical excision.

Adenoid Cystic Carcinoma in Trachea - one case Report - (기관의 선양낭포암 치험 1례)

  • Kim, Chang-Hoe;Kim, Gwang-Taek;Kim, Hyeong-Muk
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.362-365
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    • 1990
  • Adenoid cystic carcinoma is a rare primary tracheal tumor, and this tumor behave slow growth, low grade malignancy with local invasion. Although many patient die within 2 to 3 years of the onset of symptoms without appropriate treatment, adequate therapy should lead to survival of 10 years or more. We had a case of adenoid cystic carcinoma in 47 year old female patient who was treated with resection and end-to-end anastomosis of the invaded trachea. Postoperative course was uneventful and discharged without any complications. Radiotherapy of total 6,600 cGy is scheduled 4 weeks after the resective surgery to prevent recurrence.

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A Case of Adenoid Cystic Carcinoma in Larynx (후두에 발생한 선양낭성암종 1예)

  • Tae, Kyung;Lee, Young-Seok;Kim, Hee-Ok;Lee, Yong-Seop
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.1
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    • pp.76-79
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    • 2008
  • Adenoid cystic carcinoma(ACC) is one of the common malignant tumor of the major and minor salivary glands. ACC arising from the larynx is relatively rare(less than 1% of laryngeal malignant tumors) and only about eighty cases have been reported in the English literature. Definite diagnosis of these lesions is made only from a histological analysis, because findings and symptoms are non-specific. The diagnosis progresses very slowly, therefore it often presents at an advanced stage with regional and distant metastasis. Here, we present one case of ACC of the supraglottic region with a review of literature.

Lacrimal Gland Adenoid Cystic Carcinoma - A Case Report - (누액선에 발생한 Adenoid Cytic Carcinoma - 증 례 보 고 -)

  • Seo, Dae Hee;Baek, Chung-Hwan;Kim, Yoon-Duck;Ha, Bom Joon;Park, Ik-Seong;Nam, Do-Hyun;Park, Kwan;Kim, Jong-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1089-1093
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    • 2000
  • Adenoid cystic carcinoma(ACC) is a rare malignant tumor that occurs in exocrine glands such as major and minor salivary glands, lacrimal glands, ceruminal glands. It has a tendency for delayed distant metastasis and long clinical course. ACC of the lacrimal gland is generally found in adults and is usually managed by radical orbitectomy and supplemental external beam irradiation. The authors present two cases of recurrent lacrimal gland ACC with review of the literature.

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Adenoid Cystic Carcinoma of the Breast: Diagnosis by Fine Needle Aspiration Cytology (유방의 선양 낭포성 암종 -세침흡인 세포검사로 진단된 1 예 보고-)

  • Lee, Dong-Wha;Jin, So-Young;Kim, Dae-Joong;Kwon, Kui-Hyang
    • The Korean Journal of Cytopathology
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    • v.2 no.2
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    • pp.160-167
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    • 1991
  • Adenoid cystic carcinoma is a rare valiant of mammary cancer with better prognosis. The diagnosis is usually made by histologic examination of biopsy specimen. Recently, we have experienced a case of adenoid cystlc carcinoma initially diagnosed by fine needle aspiration cytology which revealed distinct cytologic features in a 45-year-old woman. Pink to red globules in the tumor cell clusters on Diff-Quik staining was a very helpful finding for cytologic diagnosis.

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Two Cases of Adenoid Cystic Carcinoma of the Left Main Bronchus and Trachea (좌측 주기관지 및 기관에 발생한 선양낭포성암 2례)

  • Cho, Young-Bog;Lee, Hak-Jun;Kim, Ki-Beom;Jung, Jin-Hong;Lee, Kwan-Ho;Lee, Hyun-Woo;Kim, Mi-Jin
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.347-359
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    • 1996
  • Adenoid cystic carcinoma is an uncommon histologic variant of adenocarcinoma which usually arises from the salivary, lacrimal, or other exocrine glands. Characteristics of adenoid cystic carcinoma are its potential for extending long distance submucosally and for perineural invasion. It grows slowly and may have a prolonged course before diagnosis and after treatment. Recently, we have experienced 2 cases of adenoid cystic carcinoma arising from main bronchus and trachea. One case was 58 years old female patient. Her symptoms were productive cough with dyspnea. She has been history of shortness of breath, wheezing and cough during 4 years, which was initially diagnosed as bronchial asthma. The tumor was located on the left main stem bronchus which was obstructed the lumen nearly complete, by CT demonstration. Tissue diagnosis was confirmed as adenoid cystic carcinoma by bronchoscopic biopsy. The patient underwent radiation to relieve a bronchial stenosis caused by her tumor. The patient has remained well and is asymptomatic without evidence of clinical recurrence. The other case was 25 year old female. She complained shortness of breath and inspiratory difficulty during sleep. The tumor was located in upper trachea, which protruded from the posterior wall of the trachea and obstructed the lumen nearly complete, by CT demonstration. Tissue diagnosis was confirmed as adenocystic carcinoma by rigid bronchoscopic biopsy. The patient was underwent operation for removal of the mass and received radiotherapy. The patient has remained well are following up now.

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