TY - JOUR
T1 - Recurrent adenoid cystic carcinoma in the liver
T2 - A repeated laparoscopic surgical approach
AU - Scuderi, Vincenzo
AU - Ceriello, Antonio
AU - Romano, Marina
AU - Migliaccio, Carla
AU - Marsilia, Giuseppina Marino
AU - Calise, Fulvio
PY - 2011
Y1 - 2011
N2 - Adenoid cystic carcinoma (ACC) is characterized by a particularly aggressive behavior even many years after resection of primary tumor. The evolution of metastasis dramatically affects the final outcome but resection should always be evaluated. Herein is described a case of aggressive ACC of the parotid gland in a 30-year-old female. She developed local recurrence and lung metastases; then, she also developed two liver metastasis 112 and 132 months after the resection of the primitive cancer of the parotid gland. Both lesions were successfully managed by a laparoscopic approach. Intra-abdominal adhesions after the first surgery were mild, allowing an easier access for the second laparoscopic liver resection. At 1 year follow- up, the patient is liver disease free with a stable lung disease. To our knowledge, this is the first report of a double laparoscopic liver resection for parotid gland's ACC metachronous metastases. Patients with resected ACC need a strict and lifelong follow-up after the resection of the primitive cancer. Also for ACC, a laparoscopic approach to liver metastasis should always be considered as a viable alternative to open surgery. In our experience of over 90 cases, laparoscopic surgery causes less adhesions, allowing an easier approach for repeated resections.
AB - Adenoid cystic carcinoma (ACC) is characterized by a particularly aggressive behavior even many years after resection of primary tumor. The evolution of metastasis dramatically affects the final outcome but resection should always be evaluated. Herein is described a case of aggressive ACC of the parotid gland in a 30-year-old female. She developed local recurrence and lung metastases; then, she also developed two liver metastasis 112 and 132 months after the resection of the primitive cancer of the parotid gland. Both lesions were successfully managed by a laparoscopic approach. Intra-abdominal adhesions after the first surgery were mild, allowing an easier access for the second laparoscopic liver resection. At 1 year follow- up, the patient is liver disease free with a stable lung disease. To our knowledge, this is the first report of a double laparoscopic liver resection for parotid gland's ACC metachronous metastases. Patients with resected ACC need a strict and lifelong follow-up after the resection of the primitive cancer. Also for ACC, a laparoscopic approach to liver metastasis should always be considered as a viable alternative to open surgery. In our experience of over 90 cases, laparoscopic surgery causes less adhesions, allowing an easier approach for repeated resections.
KW - Laparoscopic hepatic resection
KW - Liver metastases
KW - Redo laparoscopic liver resection
KW - Salivary adenoid cystic carcinoma
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U2 - 10.1007/s13304-011-0075-6
DO - 10.1007/s13304-011-0075-6
M3 - Article
C2 - 21647796
AN - SCOPUS:84859404804
VL - 63
SP - 301
EP - 306
JO - Updates in Surgery
JF - Updates in Surgery
SN - 2038-131X
IS - 4
ER -