Metastasis of spine from adenoid cystic carcinoma of the parotid gland: two case reports 

Abstract Background Spinal metastasis from adenoid cystic carcinoma of the salivary gland is extremely rare. We present two interesting cases of spinal metastasis from adenoid cystic carcinoma of the parotid gland. Case summary A 29-year-old Persian male and a 48-year-old Persian female presented wi...

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Main Authors: Saeid Safaei, Parisa Azimi, Taravat Yazdanian
Format: Article
Language:English
Published: BMC 2023-05-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-023-03926-w
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author Saeid Safaei
Parisa Azimi
Taravat Yazdanian
author_facet Saeid Safaei
Parisa Azimi
Taravat Yazdanian
author_sort Saeid Safaei
collection DOAJ
description Abstract Background Spinal metastasis from adenoid cystic carcinoma of the salivary gland is extremely rare. We present two interesting cases of spinal metastasis from adenoid cystic carcinoma of the parotid gland. Case summary A 29-year-old Persian male and a 48-year-old Persian female presented with parotid gland mass. The two patients received parotidectomy and radiotherapy. The pathological examination result was adenoid cystic carcinoma. Because of intractable back pain, patients were referred to the hospital after 7 years and 9 months, respectively. Both cases underwent spinal surgery. Histopathology confirmed spinal metastasis from adenoid cystic carcinoma of the parotid gland (case 1: T6, T12, and L1; case 2: T12). Anterior corpectomy of T12 and lateral screw fixation at T11 and L1 were done in case 2. Posterior spinal fusions from T2 to L3 and from T10 to L2 were performed in case 1 and case 2, respectively. Both patients showed good clinical improvement. The last follow-up (case 1: 24 months; case 2: 6 months after surgery), plain radiographs and computed tomography scan showed good fusion without instrumental failure and magnetic resonance imaging revealed good decompression of the spinal cord of both cases. Conclusion Although spinal metastasis from adenoid cystic carcinoma of the parotid gland is extremely rare, it is necessary to be careful in the differential diagnosis.
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spelling doaj.art-d48d476824d04657b8178f36e6c28a742023-05-21T11:17:11ZengBMCJournal of Medical Case Reports1752-19472023-05-011711510.1186/s13256-023-03926-wMetastasis of spine from adenoid cystic carcinoma of the parotid gland: two case reports Saeid Safaei0Parisa Azimi1Taravat Yazdanian2Knee and Sport Medicine Research Center, Milad General HospitalNeuroscience Research Center, Shahid Beheshti University of Medical SciencesSchool of Medicine, Capital Medical UniversityAbstract Background Spinal metastasis from adenoid cystic carcinoma of the salivary gland is extremely rare. We present two interesting cases of spinal metastasis from adenoid cystic carcinoma of the parotid gland. Case summary A 29-year-old Persian male and a 48-year-old Persian female presented with parotid gland mass. The two patients received parotidectomy and radiotherapy. The pathological examination result was adenoid cystic carcinoma. Because of intractable back pain, patients were referred to the hospital after 7 years and 9 months, respectively. Both cases underwent spinal surgery. Histopathology confirmed spinal metastasis from adenoid cystic carcinoma of the parotid gland (case 1: T6, T12, and L1; case 2: T12). Anterior corpectomy of T12 and lateral screw fixation at T11 and L1 were done in case 2. Posterior spinal fusions from T2 to L3 and from T10 to L2 were performed in case 1 and case 2, respectively. Both patients showed good clinical improvement. The last follow-up (case 1: 24 months; case 2: 6 months after surgery), plain radiographs and computed tomography scan showed good fusion without instrumental failure and magnetic resonance imaging revealed good decompression of the spinal cord of both cases. Conclusion Although spinal metastasis from adenoid cystic carcinoma of the parotid gland is extremely rare, it is necessary to be careful in the differential diagnosis.https://doi.org/10.1186/s13256-023-03926-wAdenoid cystic carcinomaParotid gland carcinomaSpinal metastasis
spellingShingle Saeid Safaei
Parisa Azimi
Taravat Yazdanian
Metastasis of spine from adenoid cystic carcinoma of the parotid gland: two case reports 
Journal of Medical Case Reports
Adenoid cystic carcinoma
Parotid gland carcinoma
Spinal metastasis
title Metastasis of spine from adenoid cystic carcinoma of the parotid gland: two case reports 
title_full Metastasis of spine from adenoid cystic carcinoma of the parotid gland: two case reports 
title_fullStr Metastasis of spine from adenoid cystic carcinoma of the parotid gland: two case reports 
title_full_unstemmed Metastasis of spine from adenoid cystic carcinoma of the parotid gland: two case reports 
title_short Metastasis of spine from adenoid cystic carcinoma of the parotid gland: two case reports 
title_sort metastasis of spine from adenoid cystic carcinoma of the parotid gland two case reports
topic Adenoid cystic carcinoma
Parotid gland carcinoma
Spinal metastasis
url https://doi.org/10.1186/s13256-023-03926-w
work_keys_str_mv AT saeidsafaei metastasisofspinefromadenoidcysticcarcinomaoftheparotidglandtwocasereports
AT parisaazimi metastasisofspinefromadenoidcysticcarcinomaoftheparotidglandtwocasereports
AT taravatyazdanian metastasisofspinefromadenoidcysticcarcinomaoftheparotidglandtwocasereports