Open AccessIntraosseous adenoid cystic carcinoma of maxilla: A rare case report
Author(s) -
Prasannasrinivas Deshpande,
Raja Lakshmi Chintamaneni,
Bhavana Sujanamulk,
M. P. V. Prabhat,
Sarat Gummadapu
Publication year - 2013
Publication title -
contemporary clinical dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.289
H-Index - 21
eISSN - 0976-237X
pISSN - 0976-2361
DOI - 10.4103/0976-237x.114872
Subject(s) - maxilla , medicine , adenoid cystic carcinoma , mandible (arthropod mouthpart) , lesion , radiation therapy , nasal cavity , anatomy , radiology , pathology , carcinoma , biology , botany , genus
Adenoid cystic carcinoma (ACC) accounts for approximately 6-10% of all salivary gland tumors. Palatal minor salivary glands, parotid, and sub-mandibular glands are usually affected. Rarely, these lesions arising intraosseously have been reported. Mandible is commonly involved than maxilla. The present case is a giant ACC involving the right maxilla. A thorough clinical and radiographic evaluation was performed to assess the involvement of surrounding vital structures along with a meticulous metastatic work-up. Computed tomography showed a giant lesion in maxilla encroaching the left nasal fossa, antrum, buccal space, and oral cavity. No metastasis was noted. Histological evaluation from multiple sites showed both cribriform and solid patterns. Radiotherapy was given as patient did not comply for surgery. Though central ACC is extremely rare, especially in maxilla, it should be included in the differentials for lesions in maxilla. A prompt diagnosis with treatment and long-term follow-up is advised in such cases.