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Adenoid Cystic Carcinoma of the lacrimal gland metastasising to the liver: report of a case

Zeidan, Bashar A., Abu Hilal, Mohammed, Al-Gholmy, Mohammed, El-Mahallawi, Hanan, Pearce, Neil W. and Primrose, John N. (2006) Adenoid Cystic Carcinoma of the lacrimal gland metastasising to the liver: report of a case World Journal of Surgical Oncology, 4, p. 66. (doi:10.1186/1477-7819-4-66). (PMID:9596497).

Record type: Article


Background: Adenoid Cystic Carcinoma of the lacrimal gland is a rare tumour. Their aggressive behaviour, with a high-risk of local recurrence, and late distant spread of the tumour even after aggressive management has been reported. Metastasis to the liver is rare and when it occurs, it is usually part of widespread metastasis, and therefore surgical treatment is seldom considered.

Case presentation: We report a rare case of an isolated liver metastasis from a lacrimal gland adenoid cystic carcinoma 20 years after resection of the primary tumour. The patient presented with right upper quadrant pain radiating to the back and shortness of breath of 3 months duration. No local recurrence was detected during a 15 year follow-up with computerized tomography (CT) of the head. Abdominal CT scan demonstrated a solitary liver tumour with no other primary source, and the bone scan was normal. The patient was treated with an extended right hemihepatectomy. The histology revealed a predominantly cribriform tumour with focal areas of basaloid type metastatic lacrimal gland adenoid cystic carcinoma.

Conclusion: This case illustrates the unpredictable behaviour of adenoid cystic carcinoma and the need for a life long follow up for these patients after treatment. The possibility of surgical resection for liver metastasis from adenoid cystic carcinoma should always be considered.

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Published date: 2006


Local EPrints ID: 172543
PURE UUID: cb967e5d-ea03-46da-a88c-7d0c1a101a9c
ORCID for John N. Primrose: ORCID iD

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Date deposited: 27 Jan 2011 09:37
Last modified: 18 Jul 2017 12:14

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Author: Bashar A. Zeidan
Author: Mohammed Abu Hilal
Author: Mohammed Al-Gholmy
Author: Hanan El-Mahallawi
Author: Neil W. Pearce

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