Adenoid cystic carcinoma of the parotid metastasizing to liver: case report

K Harish¹ and SR Mangala Gouri²

¹Department of Surgical Oncology, M. S. Ramaiah Medical College & Hospital, Bangalore – 560054, India

²Department of Pathology, M. S. Ramaiah Medical College & Hospital, Bangalore – 560054, India

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BMC Cancer 2004, 4:41doi:10.1186/1471-2407-4-41


Published:	30 July 2004

Abstract

Background

Adenoid cystic carcinoma is a rare malignant parotid tumor. Metastasis can occur even a decade or more after initial treatment of the primary.

Case presentation

We report a 60 year old female patient who presented with adenoid cystic carcinoma of the parotid gland. She underwent a total conservative parotidectomy followed by adjuvant radiotherapy. While on follow up, patient developed multiple liver metastases which manifested three years later. Patient lived for another two years before she died of her disease.

Conclusions

Although distant metastases of adenoid cystic carcinoma develop frequently, isolated metastasis to liver is unusual. Even after manifestation of distant metastasis, patients can be expected to live for a number of years. Palliative chemotherapy can be considered in symptomatic cases while the usefulness of metastatectomy is controversial.