Adenoid cystic carcinoma (ACC) is a malignant neoplasm originating in the salivary glands. However, this type of tumor can be located less frequently in other sites, in this case we focus on the lung. The following case report is about a 63-year-old male, with 2 months of evolution with the presence of dry cough, fever and chest pain. Adenoid cystic carcinoma is diagnosed through biopsy, whether guided by bronchoscopy, thoracoscopy or thoracotomy and exfoliative cytology, these methods allow us to make a definitive diagnosis, which is confirmed by histology/ immunohistochemistry.