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J Clin Diagn Res. 2015 Jan;9(1):XD09-XD10. doi: 10.7860/JCDR/2015/10644.5498. Epub 2015 Jan 01.

Extradural Spinal Metastasis of Adenoid Cystic Carcinoma (ACC): A Case Report.

Journal of clinical and diagnostic research : JCDR

Vinod Kumar, Rajesh Nair, Sunil Upadhyaya, Bhavna Nayal, Arjun Shetty

Affiliations

  1. Assistant Professor, Department of Neurosurgery, Kasturba Hospital , Manipal, India .
  2. Registrar, Kasturba Hospital , India .
  3. Assistant Professor, Department of Pathology, Kasturba Hospital , Manipal, India .
  4. Professor and HOD, Department of Neurosurgery, Kasturba Hospital , Manipal, India .

PMID: 25738073 PMCID: PMC4347164 DOI: 10.7860/JCDR/2015/10644.5498

Abstract

Adenoid cystic carcinoma (ACC) is a rare malignant tumour of the major salivary glands. It accounts for 10-15% of all salivary gland tumours and 1% of all head and neck tumours. Surgical resection followed by radiation is the choice of treatment for ACC. However, late loco-regional recurrence and metastasis is often seen emphasizing the importance of long-term follow-up. We report an unusual case of extradural metastasis of ACC in the dorsal spine. The primary submandibular gland tumour was resected 11 y back. A recurrence had been detected two years prior to the occurrence of spinal metastasis. Surgical decompression was done which was followed by palliative radiotherapy. Patient is symptomatically better, ambulant and on regular follow-up.

Keywords: Adenoid cystic carcinoma; Compressive syndrome; Extradural spinal metastasis; Perineural invasion

References

  1. Surg Neurol. 1983 Apr;19(4):365-8 - PubMed
  2. J Surg Oncol. 1990 Sep;45(1):52-5 - PubMed
  3. Med Oral Patol Oral Cir Bucal. 2006 Aug 01;11(5):E417-20 - PubMed
  4. Cancer. 1976 Nov;38(5):2017-21 - PubMed
  5. Jpn J Clin Oncol. 2007 Nov;37(11):805-11 - PubMed
  6. Sao Paulo Med J. 2006 Jan 5;124(1):26-30 - PubMed
  7. Surg Neurol. 1998 Nov;50(5):475-9 - PubMed
  8. Head Neck Oncol. 2012 Jun 20;4:36 - PubMed
  9. Laryngoscope. 1986 Aug;96(8):904-7 - PubMed
  10. Phys Ther. 1987 Feb;67(2):206-7 - PubMed

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