Resection of Liver Metastasis from Lacrimal Gland Adenoid Cystic Carcinoma: A Case Report and Review of the Literature.

IF 0.7 Q4 SURGERY

Surgical Case Reports Pub Date : 2026-01-01 Epub Date: 2026-09-29 DOI:10.70352/scrj.cr.26-0340

Takashi Sugio, Satoshi Takada, Shotaro Tokuraku, Junichi Ogawa, Naoto Nishida, Hiroaki Horio, Ryohei Takei, Kaichiro Kato, Mitsuyoshi Okazaki, Yasuhito Iwao, Shinichi Nakanuma, Isamu Makino, Masayuki Takahira, Hiroko Ikeda, Shintaro Yagi

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Abstract

Introduction: Adenoid cystic carcinoma (ACC) is a rare malignancy that most commonly occurs in the major salivary and lacrimal glands. Although distant metastases frequently occur in the lungs, bones, and brain, liver metastases are uncommon, and the optimal management of metastatic lesions remains unclear. Here, we report a case of liver metastasis from a lacrimal gland adenoid cystic carcinoma (LGACC) treated with surgical resection.

Case presentation: A 38-year-old man underwent tumor resection for LGACC 6 years previously. Bilateral pulmonary metastases were detected 2 years after the primary surgery and treated with partial lung resection. Two liver metastases were identified during follow-up imaging. Because curative resection was considered feasible, the patient underwent laparoscopic right anterior sectionectomy of the liver. The postoperative course was uneventful, and the patient remained recurrence-free for 11 months after hepatectomy.

Conclusions: Surgical resection may be a potential treatment option for selected patients with liver metastases from ACCs.

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泪腺腺样囊性癌肝转移切除1例及文献复习。

腺样囊性癌（ACC）是一种罕见的恶性肿瘤，最常见于主要的唾液腺和泪腺。尽管远处转移常发生在肺、骨和脑，但肝转移并不常见，转移灶的最佳治疗方法尚不清楚。在此，我们报告一例泪腺腺样囊性癌（LGACC）肝转移的手术切除治疗。病例介绍：一名38岁男性6年前因LGACC接受肿瘤切除术。初次手术后2年发现双侧肺转移，并进行部分肺切除治疗。在随访影像中发现两例肝转移。由于认为根治性切除是可行的，患者接受了腹腔镜右肝前切开术。术后过程平稳，患者在肝切除术后11个月无复发。结论：对于肝癌肝转移患者，手术切除可能是一个潜在的治疗选择。

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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