상부입술에서 발생한 Adenoid Cystic Carcinoma 1례

Abstract

We experienced a case of adenoid cystic carcinoma of the upper lip-a highly unusal site for this malignant neoplasm, in a 52 year-old male patient. Chest CT seanning revealed 2×1.5㎝ sized circumscribed solitary mass with peripheral calcifications. Fine needle aspiration biopsy of the right lung mass revealed metastatic adenoid cystic carcinoma. The patient was treated with wide surgical resection and reconstruction by Abbe flap of the upper lip and 3-drug combination chemotherapy of adriamycin, cisplatin, 5-fluorouracil. Minimal response of the pulmonary lesion was seen after 4 cycles of combination chemotherapy. So we think that the role of chemotherapy in metastatic adenoid cystic carcinoma is marginally effective. Careful lifetime follow-up study of the patient is required to discover progression or recurrent disease.