Subglottotracheal Adenoid Cystic Carcinoma in a 16-Year-Old Female—A Case Report

Cystic adenoid carcinoma (ACC) is a rare malignant epithelial tumor arising from exocrine glands and accounts for only 1% of head and neck cancers. ACCs are common in the fifth and sixth decades of life, predominantly in women, and characterized by slow progression, local aggression, recurrence, and...

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Main Authors: Cristina Ștefania Dumitru, Nicolae Constantin Balica
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/6/1140
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author Cristina Ștefania Dumitru
Nicolae Constantin Balica
author_facet Cristina Ștefania Dumitru
Nicolae Constantin Balica
author_sort Cristina Ștefania Dumitru
collection DOAJ
description Cystic adenoid carcinoma (ACC) is a rare malignant epithelial tumor arising from exocrine glands and accounts for only 1% of head and neck cancers. ACCs are common in the fifth and sixth decades of life, predominantly in women, and characterized by slow progression, local aggression, recurrence, and high metastasis. Subglottotracheal ACC is a rare tumor in the pediatric population, with only a few cases reported in the literature. We present a case of a 16-year-old female who was diagnosed with ACC in the subglottic and tracheal region. The patient presented with respiratory failure but without a history of dysphonia, dyspnea, stridor, or dysphagia. The diagnosis was confirmed by a biopsy, and subsequent imaging studies showed a large tumor involving the subglottic and tracheal region. The therapeutic management of this patient has been challenging due to the rarity of this tumor in the pediatric population and the potential long-term complications associated with tumor recurrence and psychological impact. This case highlights the diagnostic and therapeutic challenges in the management of subglottotracheal ACC in children and the importance of a multidisciplinary approach to optimize patient outcomes.
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spelling doaj.art-8c3100cae7194b53858b255409e05ad42023-11-18T11:32:04ZengMDPI AGMedicina1010-660X1648-91442023-06-01596114010.3390/medicina59061140Subglottotracheal Adenoid Cystic Carcinoma in a 16-Year-Old Female—A Case ReportCristina Ștefania Dumitru0Nicolae Constantin Balica1Department of Microscopic Morphology/Histology, Angiogenesis Research Center, “Victor Babes” University of Medicine and Pharmacy, Sq. EftimieMurgu No. 2, 300041 Timisoara, RomaniaDepartment of Ear-Nose-Throat, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaCystic adenoid carcinoma (ACC) is a rare malignant epithelial tumor arising from exocrine glands and accounts for only 1% of head and neck cancers. ACCs are common in the fifth and sixth decades of life, predominantly in women, and characterized by slow progression, local aggression, recurrence, and high metastasis. Subglottotracheal ACC is a rare tumor in the pediatric population, with only a few cases reported in the literature. We present a case of a 16-year-old female who was diagnosed with ACC in the subglottic and tracheal region. The patient presented with respiratory failure but without a history of dysphonia, dyspnea, stridor, or dysphagia. The diagnosis was confirmed by a biopsy, and subsequent imaging studies showed a large tumor involving the subglottic and tracheal region. The therapeutic management of this patient has been challenging due to the rarity of this tumor in the pediatric population and the potential long-term complications associated with tumor recurrence and psychological impact. This case highlights the diagnostic and therapeutic challenges in the management of subglottotracheal ACC in children and the importance of a multidisciplinary approach to optimize patient outcomes.https://www.mdpi.com/1648-9144/59/6/1140adenoid cystic carcinomasubglottotrachealpediatric patientmanagement
spellingShingle Cristina Ștefania Dumitru
Nicolae Constantin Balica
Subglottotracheal Adenoid Cystic Carcinoma in a 16-Year-Old Female—A Case Report
Medicina
adenoid cystic carcinoma
subglottotracheal
pediatric patient
management
title Subglottotracheal Adenoid Cystic Carcinoma in a 16-Year-Old Female—A Case Report
title_full Subglottotracheal Adenoid Cystic Carcinoma in a 16-Year-Old Female—A Case Report
title_fullStr Subglottotracheal Adenoid Cystic Carcinoma in a 16-Year-Old Female—A Case Report
title_full_unstemmed Subglottotracheal Adenoid Cystic Carcinoma in a 16-Year-Old Female—A Case Report
title_short Subglottotracheal Adenoid Cystic Carcinoma in a 16-Year-Old Female—A Case Report
title_sort subglottotracheal adenoid cystic carcinoma in a 16 year old female a case report
topic adenoid cystic carcinoma
subglottotracheal
pediatric patient
management
url https://www.mdpi.com/1648-9144/59/6/1140
work_keys_str_mv AT cristinastefaniadumitru subglottotrachealadenoidcysticcarcinomaina16yearoldfemaleacasereport
AT nicolaeconstantinbalica subglottotrachealadenoidcysticcarcinomaina16yearoldfemaleacasereport