A 7-year progression of adenoid cystic carcinoma: case report (2010–2017)

DiscussionThe initial multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI), performed after analysis of the biopsy specimen confirmed the diagnosis, revealed invasion of ACC along the V2 distribution to the foramen rotundum, with involvement of the pterygopalatine fossa. A left partial maxillectomy was performed, followed by radiation therapy. Subsequent findings of disease invasion and treatment sequela demonstrated were skull base radiation necrosis; metastasis to the left frontal lobe after left frontal lobe resection, which was complicated by brain abscess; ventriculitis; hydrocephalus; perforation of the cartilaginous nasal septum; infiltration of the left masticator space, vidian canal, superior orbital fissure, and eustachian tube; and osteoradionecrosis of the greater sphenoid wing, clivus, and left petrous apex.
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research