Adenoid cystic carcinoma of the parotid gland in a 27-year-old female patient: a case report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL

Journal of Medical Case Reports Pub Date : 2025-07-10 DOI:10.1186/s13256-025-05242-x

Malisaba Posite Charles, Mihret Adane Woldemichael, Muhindo Kavuyiro Alpha, Elias Amare Hailu, Samrawit Seyoum Halake, Elizabeth Vargas Escalante, Eluzai Ndiwelubula, Kambale Makatsi Jonas, Nkakyekorera Tindoho Sebastiano, Biruk Abera Tumdedo, Henry Wabinga

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引用次数: 0

Abstract

Background: Adenoid cystic carcinoma is a salivary gland cancer that grows slowly and has an unfavorable prognosis. The occurrence of adenoid cystic carcinoma in the parotid gland is extremely uncommon. It presents in three histopathological patterns: cribriform, tubular, and solid, and it is classified into three grades: grade i, grade ii, and grade III.

Case presentation: We report the case of a 27-year-old female patient from the Ankole tribe, Bantu ethnicity, who had a long-existing, painless lump in her submandibular area and later developed worsening weakness in her lower limbs and back pain. Despite being present for 8 years, the mass was initially attributed to conventional health issues. Diagnostic tests revealed a metastatic adenoid cystic carcinoma of the parotid gland with significant involvement of the spine, which resulted in paraplegia.

Conclusion: This case underscores the insidious nature of adenoid cystic carcinoma, stressing the necessity of early detection and the risks of delayed diagnosis influenced by cultural beliefs and restricted healthcare access. It also highlights the significance of following various steps in the diagnostic process.

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27岁女性腮腺腺样囊性癌1例报告。

背景：腺样囊性癌是一种生长缓慢且预后不良的唾液腺癌。腺样囊性癌在腮腺的发生是非常罕见的。它表现为三种组织病理学模式：筛状、管状和实状，并分为三级：i级、ii级和III级。病例介绍：我们报告一位来自班图族Ankole部落的27岁女性患者，她的下颌下区域长期存在无痛性肿块，后来发展为下肢无力和背部疼痛。尽管存在了8年，但肿块最初被归因于传统的健康问题。诊断检查显示腮腺转移性腺样囊性癌，严重累及脊柱，导致截瘫。结论：本病例强调了腺样囊性癌的隐蔽性，强调了早期发现的必要性以及受文化信仰和医疗保健渠道限制影响延迟诊断的风险。它还强调了在诊断过程中遵循各个步骤的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Case Reports Medicine-Medicine (all)

CiteScore

1.50

自引率

0.00%

发文量

436

期刊介绍： JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect