A Case of Primary Intraosseous Adenoid Cystic Carcinoma of the Mandible.

Case Rep Dent

Department of Oral and Maxillofacial Surgery, Institute of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan.

Published: May 2023

AI Article Synopsis

  • Primary intraosseous adenoid cystic carcinoma (PIACC) is a rare type of jaw cancer, with only 51 documented cases in English literature.
  • A 70-year-old woman exhibited symptoms including paresthesia in her chin and underwent radiographic imaging, which showed an abnormal area in the jaw, leading to a biopsy that confirmed the diagnosis.
  • Despite undergoing chemotherapy, her condition worsened with the presence of multiple bone metastases; hence, she received supportive care for an additional three years.

Article Abstract

Primary intraosseous adenoid cystic carcinoma (PIACC) of the jaw is rare. To our knowledge, only 51 cases have been reported in the English literature. We present a rare case of PIACC arising in the mandible with multiple bone metastases and review the previous articles. A 70-year-old woman presented with paresthesia of the right chin and lower gingiva for 4 months. Radiography revealed an irregular radiolucent region on the right side of the ramus, infiltrating to the mandibular canal. Biopsy revealed a pathological diagnosis of adenoid cystic carcinoma. Multiple bone metastases were present in the sternum, scapula, and thighs. The treatment effect was progressive disease for chemotherapy; therefore, best supportive care was provided for 3 years.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10229251PMC
http://dx.doi.org/10.1155/2023/2422086DOI Listing

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