Metastasis of Primary Cutaneous Adenoid Cystic Carcinoma to the Nasal Septum after 17 years: A Case Report
Primary cutaneous adenoid cystic carcinoma (PCACC) is extremely rare, and although distant metastasis has been reported, to date, there are no reports regarding metastasis to the nasal septum. We report a rare case of PCACC that metastasized to the nasal septum 17 years after the first surgery in a...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2022-02-01
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| Series: | Case Reports in Oncology |
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| Online Access: | https://www.karger.com/Article/FullText/521978 |
| _version_ | 1819120813869105152 |
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| author | Yohei Takada Tomoko Takada Sachie Takayasu Yuhei Ogino Yuka Higashiyama Kenta Fukui Daiki Sakamoto Mikiya Asako Hiroshi Iwai |
| author_facet | Yohei Takada Tomoko Takada Sachie Takayasu Yuhei Ogino Yuka Higashiyama Kenta Fukui Daiki Sakamoto Mikiya Asako Hiroshi Iwai |
| author_sort | Yohei Takada |
| collection | DOAJ |
| description | Primary cutaneous adenoid cystic carcinoma (PCACC) is extremely rare, and although distant metastasis has been reported, to date, there are no reports regarding metastasis to the nasal septum. We report a rare case of PCACC that metastasized to the nasal septum 17 years after the first surgery in a 59-year-old woman. She initially presented with a mass under the skin of her left mammary papilla. After a biopsy revealed the presence of an adenoid cystic carcinoma, the tumor was excised and definitively diagnosed as a PCACC. Five years after surgery, the patient presented with left lung metastasis and underwent a partial resection of the left lung. However, 8 years after this procedure, the patient had to undergo a partial resection of the right lung because of right lung metastasis. Four years thereafter, the patient presented with nasal septal metastasis. The tumor was excised successfully using a combined technique integrating intranasal and extranasal approaches. The patient is currently undergoing regular follow-up tests. Thus, in such cases, lifelong follow-up is necessary while checking for both distant metastasis and instances of local recurrence. |
| first_indexed | 2024-12-22T06:26:38Z |
| format | Article |
| id | doaj.art-7d1a942d47ca4eb39d3ae8af1c1fc40c |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-12-22T06:26:38Z |
| publishDate | 2022-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-7d1a942d47ca4eb39d3ae8af1c1fc40c2022-12-21T18:35:50ZengKarger PublishersCase Reports in Oncology1662-65752022-02-011519910510.1159/000521978521978Metastasis of Primary Cutaneous Adenoid Cystic Carcinoma to the Nasal Septum after 17 years: A Case ReportYohei Takada0Tomoko Takada1Sachie Takayasu2Yuhei Ogino3Yuka Higashiyama4Kenta Fukui5Daiki Sakamoto6Mikiya Asako7Hiroshi Iwai8https://orcid.org/0000-0003-2646-8173Department of Otolaryngology–Head and Neck Surgery, Kansai Medical University Hospital Medical Center, Osaka, JapanDepartment of Otolaryngology, JCHO Hoshigaoka Medical Center Hospital, Osaka, JapanDepartment of Otolaryngology, JCHO Hoshigaoka Medical Center Hospital, Osaka, JapanDepartment of Otolaryngology–Head and Neck Surgery, Kansai Medical University Hospital Medical Center, Osaka, JapanDepartment of Otolaryngology–Head and Neck Surgery, Kansai Medical University Hospital Medical Center, Osaka, JapanDepartment of Otolaryngology–Head and Neck Surgery, Kansai Medical University Hospital Medical Center, Osaka, JapanDepartment of Otolaryngology–Head and Neck Surgery, Kansai Medical University Hospital Medical Center, Osaka, JapanDepartment of Otolaryngology–Head and Neck Surgery, Kansai Medical University Hospital Medical Center, Osaka, JapanDepartment of Otolaryngology–Head and Neck Surgery, Kansai Medical University Hospital, Osaka, JapanPrimary cutaneous adenoid cystic carcinoma (PCACC) is extremely rare, and although distant metastasis has been reported, to date, there are no reports regarding metastasis to the nasal septum. We report a rare case of PCACC that metastasized to the nasal septum 17 years after the first surgery in a 59-year-old woman. She initially presented with a mass under the skin of her left mammary papilla. After a biopsy revealed the presence of an adenoid cystic carcinoma, the tumor was excised and definitively diagnosed as a PCACC. Five years after surgery, the patient presented with left lung metastasis and underwent a partial resection of the left lung. However, 8 years after this procedure, the patient had to undergo a partial resection of the right lung because of right lung metastasis. Four years thereafter, the patient presented with nasal septal metastasis. The tumor was excised successfully using a combined technique integrating intranasal and extranasal approaches. The patient is currently undergoing regular follow-up tests. Thus, in such cases, lifelong follow-up is necessary while checking for both distant metastasis and instances of local recurrence.https://www.karger.com/Article/FullText/521978adenoid cystic carcinomaprimary cutaneous adenoid cystic carcinomanasal septal metastasiscombined approach |
| spellingShingle | Yohei Takada Tomoko Takada Sachie Takayasu Yuhei Ogino Yuka Higashiyama Kenta Fukui Daiki Sakamoto Mikiya Asako Hiroshi Iwai Metastasis of Primary Cutaneous Adenoid Cystic Carcinoma to the Nasal Septum after 17 years: A Case Report Case Reports in Oncology adenoid cystic carcinoma primary cutaneous adenoid cystic carcinoma nasal septal metastasis combined approach |
| title | Metastasis of Primary Cutaneous Adenoid Cystic Carcinoma to the Nasal Septum after 17 years: A Case Report |
| title_full | Metastasis of Primary Cutaneous Adenoid Cystic Carcinoma to the Nasal Septum after 17 years: A Case Report |
| title_fullStr | Metastasis of Primary Cutaneous Adenoid Cystic Carcinoma to the Nasal Septum after 17 years: A Case Report |
| title_full_unstemmed | Metastasis of Primary Cutaneous Adenoid Cystic Carcinoma to the Nasal Septum after 17 years: A Case Report |
| title_short | Metastasis of Primary Cutaneous Adenoid Cystic Carcinoma to the Nasal Septum after 17 years: A Case Report |
| title_sort | metastasis of primary cutaneous adenoid cystic carcinoma to the nasal septum after 17 years a case report |
| topic | adenoid cystic carcinoma primary cutaneous adenoid cystic carcinoma nasal septal metastasis combined approach |
| url | https://www.karger.com/Article/FullText/521978 |
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