Ana Sayfa | Dergi Hakkında | Yayın Kurulu | Bilimsel Danışma Kurulu | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | İletişim  
2019, Cilt 33, Sayı 1, Sayfa(lar) 061-066   
PRIMARY PULMONARY ADENOID CYSTIC CARCINOMA WITH LIVER METASTASIS: FOLLOWED BY DIAGNOSIS OF ASTHMA
Gülru POLAT, Gülistan KARADENİZ, Aysu AYRANCI, Filiz GÜLDAVAL, Fatma DEMİRCİ ÜÇSULAR, Enver YALNIZ
Sağlık Bilimleri Üniversitesi SUAM, Dr. Suat Seren Göğüs Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi, Göğüs Hastalıkları, İzmir, Türkiye
Keywords: Adenoid Cystic Carcinoma, Lung, Metastasis

Adenoid cystic carcinoma (ACC) is considered as a variant of adenocarcinomas and has different histopathological and clinical features. ACC is mostly originated from salivary glands. It can be originated from rarely, breast, skin, cervix, upper gastrointestinal system and lung. Primary ACC of the lung is rare and 0.04-0.2% of all lung cancers. In addition to the rare presentation of pulmonary ACC, patients w ith distant metastases have been reported rarely. A 63-year-old female patient has been followed with the diagnosis of asthma for 3 years. She had dyspnea, cough, and increased sputum complaints for the last one month. On the chest computed tomography (CT), soft tissue density narrowing the right main bronchus, consolidation –obstructive pneumonia on the right low er lobe and right pleural fluid findings w ere monitored and the patient was referred to our hospital for further examination and treatment. Fiberoptic bronchoscopy (FOB) was performed and transbronchial needle aspiration biopsy (TBNAB) was malign and endobronchial biopsy revealed ACC. Increased Fluoro Deoxy Glucose (FDG) uptake (SUVmax: 10.3) was present in hypodense lesion that tended to merge with 7 cm diameter in the liver on PET-CT. Patient staged as T3N2M1- Stage 4. Chemotherapy was initiated, surgery could not be considered. ACC is generally known as a slow-growing tumor, but it may spread rapidly. We presented the case to draw attention to the necessity of adequate examination of the patient before the diagnosis of asthma and delay in the diagnosis of ACC cause the disease to progress to advanced stages.