Subglottic Adenoid Cystic Carcinoma with Lung Metastasis: A Case Report

폐전이를 동반한 성문 하에서 발생한 선양낭성암종 1예

  • Park, Hyung-Soon (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Choi, Hong-Shik (Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Hong, Soon-Won (Department of Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Jeung, Hei-Cheul (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 박형순 (연세대학교 의과대학 강남세브란스병원 내과학교실) ;
  • 최홍식 (연세대학교 의과대학 강남세브란스병원 이비인후과학교실) ;
  • 홍순원 (연세대학교 의과대학 강남세브란스병원 병리학교실) ;
  • 정희철 (연세대학교 의과대학 강남세브란스병원 내과학교실)
  • Received : 2010.05.10
  • Accepted : 2010.06.17
  • Published : 2010.06.30

Abstract

Adenoid cystic carcinoma (ACC) of larynx is a rare disease, accounting for less than 1% of laryngeal malignancies, These tumors arise almost exclusively in the subglottic and supraglottic regions, while the proportion of glottic ACCs is small. We describe a case of a young man with a subglottis adenoid cystic carcinoma, The patient underwent laryngeal microscopic surgery and radiotherapy, Five years after radiotherapy, local recurrence and distant metastasis Clung and kidney) was detected and he underwent palliative chemotherapy and local treatment. He is still alive for seven years after the initial diagnosis. The treatment strategies for laryngeal ACC are still controversial due to the rarity of the condition. We suggest that multimodality approach may be helpful in deciding a treatment option, and thorough and consistent follow-up for recurrence is mandatory for these patients.

Keywords