Surgical treatment of liver and kidney metastasis from an adenoid cystic carcinoma of the submandibular gland: case report

Ferrari, Cecilia; Franceschi, Angelo; Percivale, Andrea; Griseri, G.

doi:10.1177/03008916211021664

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Subsequently simultaneous liver and kidney recurrence were subjected to surgery (a wedge resection and nephrectomy) and the patient was disease free after 2,5 years follow-up. In the report the authors argued that chemotherapy appears to be associated with a low response rate, and surgery represents the most curative treatment for distant metastasis ( 22 ) Table 1 .…”

Section: Discussionmentioning

confidence: 99%

Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review

Pasquale

Marinelli²,

Ciarleglio³

et al. 2023

Front. Surg.

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Adenoid cystic carcinoma (AdCC) is a rare tumor that typically develops in the salivary glands and less frequently in other sites of the head and neck region. Only a few cases of resected metachronous liver metastases have been reported. Minimally invasive surgery is currently the gold standard of care for liver resections; furthermore, the use of Indocyanine Green (ICG) is continuously increasing in surgical practice, especially in cases of primary liver tumors and colorectal liver metastases, due to its capacity to enhance liver nodules. We report the case of a 54-year-old male with a single liver metastasis of AdCC, located in SIII, who presented in our center 9 months after resection of a primary tumor of the laryngotracheal junction and adjuvant proton therapy. A 25-mg injection of ICG (0.3 mg/kg) was administered 48 h before surgery in order to highlight the tumor and perform an ICG-guided resection. The lesion was clearly visible during surgery, and, given its position and the proximity to the main lobar vessels of the left lobe, we opted for a left lateral sectionectomy. The outcome was unremarkable, with no major postoperative complications. The administration of ICG 48 h before surgery seems to be a valid tool even in cases of AdCC liver metastases, providing surgeons with better visualization of the lesion and improving the precision of the resection.

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Section: Discussionmentioning

confidence: 99%

Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review

Pasquale

Marinelli²,

Ciarleglio³

et al. 2023

Front. Surg.

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Adenoid cystic carcinoma metastatic to the kidney: a series of 10 patients emphasizing unilateral presentation and long time interval from primary diagnosis

Akgul,

Cha,

Williamson

et al. 2023

Virchows Arch

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Solitary liver metastasis from adenoid cystic carcinoma of the submandibular gland

Brincat,

Cassar

2024

BMJ Case Rep

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Adenoid cystic carcinoma (ACC) is a rare tumour of the salivary glands characterised by distant metastases, mainly to lungs and bone. Isolated metastasis to the liver is unusual. We present the case of a woman with an ACC of the submandibular gland (pT1N0) who underwent radical submandibular gland excision and selective neck dissection. Preoperative imaging identified a liver lesion with features suggestive of a haemangioma. Two-year postoperatively, a surveillance CT neck/trunk showed an increase in size of the left liver lobe lesion. Subsequent MR liver and US-guided biopsy confirmed the lesion to be metastatic ACC. The patient underwent a successful left lateral liver sectionectomy. She remains disease-free 2.5 years after her liver resection. A literature search revealed only four other similar cases. This report highlights that even early-stage ACCs of the salivary gland may present with synchronous solitary liver metastasis which can be effectively treated with curative surgery.

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Surgical treatment of liver and kidney metastasis from an adenoid cystic carcinoma of the submandibular gland: case report

Cited by 3 publications

References 9 publications

Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review

Robotic resection of a single adenoid cystic tumor liver metastasis using ICG fluorescence. A case report and literature review

Adenoid cystic carcinoma metastatic to the kidney: a series of 10 patients emphasizing unilateral presentation and long time interval from primary diagnosis

Solitary liver metastasis from adenoid cystic carcinoma of the submandibular gland

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