• Sao Paulo Med J · Sep 2007

    Case Reports

    Laryngeal adenoid cystic carcinoma: case report.

    • André Del Negro, Edson Ichihara, Alfio José Tincani, Albina Altemani, and Antônio Santos Martins.
    • Head and Neck Service, Department of Surgery, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil. docdnegro@yahoo.com.br
    • Sao Paulo Med J. 2007 Sep 6; 125 (5): 295296295-6.

    ContextAdenoid cystic carcinomas are malignant tumors that occur in both the major and the minor salivary glands. A laryngeal location is rare because of the paucity of accessory salivary glands in this area. Adenoid cystic carcinomas account for less than 1% of all malignant tumors in the larynx, and only about 120 cases have been reported in the literature. These tumors have a slight female predisposition, and their peak incidence is in the fifth and sixth decades of life. In this article, we describe a case of laryngeal adenoid cystic carcinoma and discuss its clinical characteristics and treatment.Case ReportWe report on a case of laryngeal adenoid cystic carcinoma in a 55 year-old female patient who presented with dyspnea and hoarseness. Features of the diagnostic and therapeutic evaluation are described and the clinical management of such cases is outlined. The clinical course, definitive treatment strategy and surgical procedure, and also adjuvant treatment with irradiation are discussed. Although the tumor is radiosensitive, it is not radiocurable.

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