Dept. of Internal Medicine (내과학); Dept. of Plastic Surgery (성형외과학); Dept. of Pathology (병리학)
Keimyung Medical Journal, Vol.9(4) : 468-473, 1990
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.