Primary adenoid cystic carcinoma of trachea presenting as midline neck swelling and mimicking thyroid tumor: A case report and review of literature

Nuwal, Paras; Dixit, Ramakant; Singhal, Anand K.
July 2010
Lung India;Jul-Sep2010, Vol. 27 Issue 3, p167
Academic Journal
We report an extremely rare case of primary adenoid cystic carcinoma (ACC) trachea presenting as midline swelling neck and mimicking thyroid tumor. A 44-year-old female presented with painless midline swelling neck without any respiratory complaints, hoarseness of voice or dysphagia etc. Fine needle aspiration cytology (FNAC) from swelling reveal features of papillary carcinoma thyroid. Subsequently the operative findings, bronchoscopy and histological diagnosis of excised mass, along with review of FNAC, revealed features of ACC of trachea with exra tracheal extension anteriorly into the soft tissue neck, without actual invasion of the thyroid gland. The world literature on extension of an ACC arising in the laryngotracheal complex to thyroid or soft tissue neck and clinical manifestation as a thyroid nodule or mass is reviewed. The cytological differential diagnosis of ACC and CT findings are also briefly discussed.


Related Articles

  • Myoepithelioma of the vallecula: A case report. Kermani, Wassim; Belcadhi, Malek; Ali, Moncef Ben; Sriha, Badreddine; Bouzouita, Kamel // ENT: Ear, Nose & Throat Journal;Jul2011, Vol. 90 Issue 7, pE9 

    Myoepitheliomas are rare and generally benign neoplasms that account for fewer than 1% of all salivary gland tumors. A myoepithelioma neoplasm is almost entirely composed of myoepithelial cells and is most frequently located in the parotid gland and in the minor salivary glands of the hard...

  • Masquerading Adenoid cystic Carcinoma of Trachea. A case report. Kathuria, Bhushan; Pareek, Mohit; Kadam, Sachin; Nitala, Rigved // Oncology, Gastroenterology & Hepatology Reports;Jan-Jun2017, Vol. 6 Issue 1, p20 

    Primary malignant tracheal tumors are not common and adenoid cystic carcinoma (ACC) of trachea is very rare. Hereby we discuss an extremely rare case of ACC of proximal trachea, which was diagnosed in a 60-year-old male who presents with recently diagnosed stridor and cough since 2 months which...

  • Tracheal adenoid cystic carcinoma mimicking a thyroid tumor: A case report. KUKWA, WOJCIECH; KORZEŃ, PIOTR; WOJTOWICZ, PIOTR; SOBCZYK, GRZEGORZ; KIPRIAN, DOROTA; KAWECKI, ANDRZEJ; KUKWA, ANDRZEJ; KRZESKI, ANTONI; SZCZYLIK, CEZARY; CZARNECKA, ANNA M. // Oncology Letters;2014, Vol. 8 Issue 3, p1312 

    At present, only eight cases of tracheal adenoid cystic carcinomas (ACCs) mimicking thyroid tumors have been reported. Since there are no guidelines available regarding their diagnosis and treatment, they present a significant clinical challenge. In the present study, patient treatment was...

  • AkciÄŸerin Adenoid Kistik Karsinomu: Ä°ki Olgu Sunumu. KARAKUŞ, Esra; MEMİŞ, Leyla // Turkiye Klinikleri Archives of Lung;2013, Vol. 14 Issue 2, p83 

    Primary pulmonary adenoid cyctic carcinomas are extremely rare tumours and make up 0.1%-1% of lung tumors. They are detected when clinical symptoms are evident. It has a relative good prognosis in comparison to other histological types. Since they are mainly located at trachea and main bronchus,...

  • Adenoid cystic carcinoma: An unusual presentation. Pushpanjali, M.; Sujata, D. Naga; Subramanyam, S. Bala; Jyothsna, M. // Journal of Oral & Maxillofacial Pathology (0973029X);May-Aug2014, Vol. 18 Issue 2, p286 

    The adenoid cystic carcinoma is a relatively rare epithelial tumor of the major and minor salivary glands, accounting for about 1% of all malignant tumor of the oral and maxillofacial regions. Peak incidence occurs between the 5th and 6th decades of life. The clinical and pathological findings...

  • A primary cutaneous adenoidcystic carcinoma in a young woman. Differential diagnosis and clinical implications. Cacchi, Claudio; Persechino, Severino; Fidanza, Laura; Bartolazzi, Armando // Rare Tumors;2011, Vol. 3 Issue 1, p7 

    Primary cutaneous adenoid-cystic carcinoma (PCACC) is a rare slow-growing neoplasm of disputed histogenesis characterized by a cribriform pattern at histology and local aggressive behaviour. Up to date about 60 cases of PCACC have been reported in the literature. This tumour is most common in...

  • The Birth of an Adenoid Cystic Carcinoma. Fusco, Nicola; Guerini-Rocco, Elena; Schultheis, Anne M.; Badve, Sunil S.; Reis-Filho, Jorge S.; Weigelt, Britta // International Journal of Surgical Pathology;Feb2015, Vol. 23 Issue 1, p26 

    The article presents a case study of a 68-year-old woman with primary adenoid cystic carcinoma of the right breast. Topics discussed include involvement of mammary duct in in-situ adenoid cystic carcinoma, translocation of the breast harbor by adenoid cystic carcinomas, and origination of...

  • Adenoid cystic carcinoma of hard palate: Case report with emphasis on diagnostic approach. Kapoor, Charu; Ohri, Neera; Vaidya, Sharad // Saudi Journal for Health Sciences;Jan2015, Vol. 4 Issue 2, p65 

    Adenoid cystic carcinoma (AdCC) is a rare malignant tumour that affects 20/the major and minor salivary glands, the lacrimal glands, ceruminous glands and occasionally the excretory glands of the female genital tract. In all, 30-40% of these carcinomas occur as head and neck tumours....

  • Rare Presentation Of Adenoidcystic Carcinoma Of External Auditory Canal With Subcutaneous Metastasis In Temporal Region. Kaushik, Sandeep; Omer, Poonam; Khan, Lubna // Internet Journal of Otorhinolaryngology;2011, Vol. 13 Issue 2, p1 

    Adenoid cystic carcinoma of external auditory canal is a rare and specific variant of adenocarcinoma of the salivary gland. In this article we spot the case of a patient with adenoid cystic carcinoma of external auditory canal with subcutaneous metastasis in temporal region.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics