AB247. SOH25_AB_285. Surgical treatment of adenoid cystic carcinoma in the hard palate which extended to the nasal cavity: a case report
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AB247. SOH25_AB_285. Surgical treatment of adenoid cystic carcinoma in the hard palate which extended to the nasal cavity: a case report

Damien Smith, Hamid Ramadan, Alison McCullagh, Akinsola Ogunbowale, Michael Gilbride

Maxillofacial Department, University Hospital Limerick, Dooradoyle, Limerick, Ireland

Background: This article describes a case of adenoid cystic carcinoma (ACC) in the hard palate with invasion of inferior and middle nasal turbinates and maxilla anteriorly in an 82-year-old woman. Approximately 12-month-old lesion. There is no significant medical background. The patient is a non-smoker and non-drinker.

Methods: Clinical examination aided by computed tomography (CT) scan findings to assess the size and the extent of the lesion, and to check the evidence of antral involvement. Final diagnosis based on histopathological findings. Magnetic resonance imaging (MRI) investigation used to assess perineural invasion.

Results: CT investigation found large heterogeneous expansile soft tissue mass arising superiorly from hard palate with invasion of inferior and middle nasal turbinates and maxilla anteriorly. There was no involvement of maxillary sinus. No significant lymphadenopathy found. Normal vascular neck vessels. Parotid and submandibular glands were normal. Treated by surgical resection of ACC with Le Forte I osteotomy and placement of obturator.

Conclusions: ACC is a common salivary gland malignancy, frequently showing recurrence and neural invasion. Its histopathological variety helps its grading and predicts prognosis.

Keywords: Adenoid cystic carcinoma (ACC); hard palate; Le Fort I; osteotomy; surgical resection

Acknowledgments

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Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-25-ab247
Cite this abstract as: Smith D, Ramadan H, McCullagh A, Ogunbowale A, Gilbride M. AB247. SOH25_AB_285. Surgical treatment of adenoid cystic carcinoma in the hard palate which extended to the nasal cavity: a case report. Mesentery Peritoneum 2025;9:AB247.

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