Primary Adenoid Cystic Carcinoma of Salivary Gland with Metastatic to the Lung

악하선 종괴를 동반한 고립성 폐결절

  • Cho, Hai-Jeong (Department of Internal Medicine, Chungnam University College of Medicine) ;
  • Kim, Jin-Hee (Department of Internal Medicine, Chungnam University College of Medicine) ;
  • Kim, Ju-Ock (Department of Internal Medicine, Chungnam University College of Medicine) ;
  • Song, Kju-Sang (Department of Anatomic Pathology, Chungnam University College of Medicine) ;
  • Nam, Boo-Hyun (Department of Otolayngology, Chungnam University College of Medicine) ;
  • Lim, Seung-Pyung (Department of Thoracic and Cardiovascular Surgery, Chungnam University College of Medicine) ;
  • Kim, Sun-Young (Department of Internal Medicine, Chungnam University College of Medicine)
  • 조해정 (충남대학교 의과대학 내과학교실) ;
  • 김진희 (충남대학교 의과대학 내과학교실) ;
  • 김주옥 (충남대학교 의과대학 내과학교실) ;
  • 송규상 (충남대학교 의과대학 해부병리학교실) ;
  • 남부현 (충남대학교 의과대학 이비인후과학교실) ;
  • 임승평 (충남대학교 의과대학 흉부외과학교실) ;
  • 김선영 (충남대학교 의과대학 내과학교실)
  • Published : 1994.10.31

Abstract

A 22-year old female visited CNUH due to palpable neck mass. Cytologic examination of a fine needle aspiration was performed and the result was Pap class II. Routine chest x-ray shows solitary pulmonary nodule. For rule-out malignancy, FNA at neck mass was repeated and pathologic finding was dysplasia. She was admitted to MI department for evaluation of solitary pulmonary nodule and percutaneous needle aspiration was done. Pathologic diagnosis was adenoid cystic carcinoma. Thereafter, the lesions were treated by excisional biopsy of submandibular gland mass with left supraomohyoid neck dissection and wedge resection of right lower lobe at ENT department and thoracic and cardiovascular surgery department, respectively. Final diagnosis was adenoid cystic carcinoma arising in submandibular gland with solitary lung metastasis. According to TMN staging system, surgical staging is stage IV of T2N0M1. Clinical follow-up to postoperative 13 months in this case showed that she is alive and well without evidence of recurrence.

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