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Case Reports in Otolaryngology
Volume 2015 (2015), Article ID 826436, 4 pages
http://dx.doi.org/10.1155/2015/826436
Case Report

An Unusual Presentation of Adenoid Cystic Carcinoma

1The Commonwealth Medical College, 525 Pine Street, Scranton, PA 18509, USA
2Delta Medix Ear, Nose & Throat, PC, 940 Jefferson Avenue, Scranton, PA 18510, USA

Received 15 October 2015; Accepted 10 December 2015

Academic Editor: Manish Gupta

Copyright © 2015 Kurren S. Gill and Mark A. Frattali. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Adenoid cystic carcinoma (ACC) is a relatively rare tumor of epithelial cell origin, most commonly arising from major salivary glands. It is uncommonly found outside the major or minor salivary glands and is especially rare when located in the nasal cavity. Diagnosis and treatment of ACC pose numerous challenges, partly due to its biological behavior of slow growth, high tendency of local recurrence, and perineural invasion. We present the case of a 67-year-old male with complaints of facial pain and swelling, with a CT scan showing a soft tissue mass extending from the right nasal cavity with osseous destruction. Biopsy revealed ACC with perineural invasion. ACC of the nasal cavity continues to pose diagnostic and therapeutic challenges to physicians. Because this rare pathology presents in a vague manner, early diagnosis requires a high index of suspicion for this disease and close follow-up care. Since ACC of the nasal cavity is seldom reported in the literature, it is our hope that reporting these rare instances as case reports will heighten physician awareness of this rare disease, allowing for early diagnosis and treatment.