Publication Type:

Journal Article


Journal of Cancer Research and Therapeutics, Volume 9, Number 1, p.148-150 (2013)



Adenoid Cystic, adenoid cystic carcinoma, adult, article, bone biopsy, cancer diagnosis, cancer radiotherapy, cancer recurrence, cancer surgery, Carcinoma, case report, computer assisted tomography, distant metastasis, fine needle aspiration biopsy, fluorodeoxyglucose f 18, Fluorodeoxyglucose F18, human, Humans, iliac bone, Local, male, Neoplasm Recurrence, parotid gland carcinoma, Parotid Neoplasms, parotidectomy, positron emission tomography, Positron-Emission Tomography, radiation dose, Tomography, X-Ray Computed


We report a known case of adenoid cystic carcinoma of right parotid gland in a 36-year-old Indian male, diagnosed 5 years ago for which he underwent surgery followed by radiotherapy. Now the patient has presented to the surgical oncologist with a mass near angle of right jaw. Computed tomography (CT) performed elsewhere was reported negative for local recurrence. Subsequently, 18 F Fluorodeoxyglucose positron emission tomography-CT (FDG PET-CT) demonstrated local recurrence in right parotid bed. Surprisingly, metabolically active metastatic skeletal deposits were also identified, thus the disease was upstaged and management was changed. Trucut biopsy from left iliac bone lesion confirmed metastases from adenoid cystic carcinoma. Thus a whole body PET-CT has a significant impact on management of patients with salivary gland malignancies in assessing both local recurrence as well as distant metastases, especially in atypical and unsuspected sites.


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Cite this Research Publication

A. Tewari, Padma, S., and Sundaram, P. S., “Detection of atypical metastases in recurrent adenoid cystic carcinoma of parotid gland”, Journal of Cancer Research and Therapeutics, vol. 9, pp. 148-150, 2013.