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Case Report
Adenoid cystic carcinoma of the nasal cavity—the great mimicker of chronic rhinitis: A rare case report with literature review
1 Senior Resident, Department of Pathology, Makerere College of Health Sciences, Kampala, Uganda
2 Tutorial Assistant, Department of Anatomy and Histology, College of Health Sciences, University of Dodoma, Dodoma, Tanzania
3 Lecturer, Department of Surgery, University of Dodoma, Dodoma, Tanzania
Address correspondence to:
James Yahaya
Department of Pathology, Makerere College of Health Sciences, P.O. BOX 7072, Kampala,
Uganda
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Article ID: 100067Z06JY2019
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Yahaya J, Abraham Z. Adenoid cystic carcinoma of the nasal cavity—the great mimicker of chronic rhinitis: A rare case report with literature review. Case Rep Int 2019;8:100067Z06JY2019.ABSTRACT
Introduction: Adenoid cystic carcinoma (ACC) of the nasal cavity is one of the rarest malignant entities reported in the literature with the known incidence of up to 5%. It commonly poses a diagnostic challenge due to lack of diagnostic suspicion index because of its rarity and especially when it is associated with a long history of benignity. Adenoid cystic carcinoma is a tumor of salivary glands even though it is not frequent. Moreover, it can rarely occur in other body parts, such as nose, paranasal sinuses, lungs, uterine cervix, and many others.
Case Report: We present a case of an 18-year-old boy with a diagnosis of ACC of the nasal cavity. The patient had a 10-year history of long-standing chronic inflammatory condition presenting as rhinitis. However, after a period of two years later following the initial diagnosis, the tumor became aggressive and it presented with ulceration, causing erosion of the nasal bone as well as auto-exenteration of the right eye.
Conclusion: Adenoid cystic carcinoma involving the nose and other paranasal sites ought to be deemed as a tumor with sometimes long-standing history of benignity which needs high index of suspicion for being able to detect it in order to improve outcome of the patients.
Keywords: Adenoid cystic carcinoma, Nose
SUPPORTING INFORMATION
Acknowledgments
The authors would like to show appreciation for the relatives of the patient, radiologist, and the ENT surgeons for devoting their cooperation to give information which was highly needed for the preparation of this case report.
Author ContributionsJames Yahaya - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Zephania Abraham - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 James Yahaya et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
