PRIMARY ADENOID CYSTIC CARCINOMA OF THE LUNG: A CASE REPORT

Mohamed Saadoune*, Youness Elkhadir, Mouna Darfaoui, Abdelhamid Elomrani and Mouna Khouchani

ABSTRACT

Adenoid cystic carcinoma is a rare cause of thoracic malignancy, and the prognosis may depend on the extent of surgical resection and adjuvant radiotherapy. Complete resection has low rates of local recurrence but is complicated by the involvement of central airways. Adjuvant radiotherapy is frequently recommended but unproven. A 67-year-old woman patient, with prior history of insulin-dependent diabetic for 10 years, known hypertensive and carrier of undocumented heart disease, symptomatology started 2 years ago with medium abundance hemoptysis, cough and sputum . A CT angiography showed a right lower lobar broncho-pulmonary lesion with highly suspected lesion and a pulmonary collapse with right mediasnal and hilar lymphadenopathy. In the immunohistochemical findings a adenoid cystic carcinoma. The abdominal CT scan was normal. The patient was initially treated by neoadjuvant chemotherapy due to the non-resecability of the tumor. The evaluation showed a poor evolution with an increase in the size of the lobary process.

Keywords: Adenoid Cystic Carcinoma, Lung Cancer, Chemotherapy.