Malignant neoplasm of lacrimal gland with pulmonary metastasis

Abstract Adenoid cystic carcinomas (ACC) make up 3%–5% of head and neck malignancies. They have a high propensity to metastasise, in particular to the lungs. A 65‐year‐old male diagnosed with a right lacrimal gland ACC T2N0M0 (surgically resected 12 years prior) presented with an incidentally noted...

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Bibliographic Details
Main Authors: Victoria Lewis, Kate Sutton, Helen Davies
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.1132
Description
Summary:Abstract Adenoid cystic carcinomas (ACC) make up 3%–5% of head and neck malignancies. They have a high propensity to metastasise, in particular to the lungs. A 65‐year‐old male diagnosed with a right lacrimal gland ACC T2N0M0 (surgically resected 12 years prior) presented with an incidentally noted 1.2 cm right lower lobe lung nodule seen on MRI liver. Subsequent imaging confirmed a non‐FDG avid 1.6 cm solitary ovoid subpleural lesion, percutaneous biopsy confirmed adenocarcinoma. A surgical metastasectomy was performed and recovery was complete. Prognosis in ACC is improved with radical management of metastatic disease. Rather than a simple chest radiograph, more detailed imaging, such as MRI or CT scanning may increase the probability of early detection of pulmonary metastasis and, thereby facilitate radical treatment and improve survival.
ISSN:2051-3380