A Case of Adenoid Cystic Carcinoma Presenting as Garcin's Syndrome without Mass Formation

  • Inose Yuri
    Department of Neurology, Tokyo Women's Medical University, Japan
  • Kobayashi Masaki
    Department of Neurology, Tokyo Women's Medical University, Japan
  • Hiroi Atsuko
    Department of Pathology, Tokyo Women's Medical University, Japan
  • Toi Sono
    Department of Neurology, Tokyo Women's Medical University, Japan
  • Maruyama Kenji
    Department of Neurology, Tokyo Women's Medical University, Japan
  • Shimizu Yuko
    Department of Neurology, Tokyo Women's Medical University, Japan
  • Shibata Noriyuki
    Department of Pathology, Tokyo Women's Medical University, Japan
  • Yoshihara Toshio
    Department of Otolaryngology, Tokyo Women's Medical University, Japan
  • Uchiyama Shinichiro
    Department of Neurology, Tokyo Women's Medical University, Japan

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抄録

Adenoid cystic carcinoma (ACC) is a malignant neoplasm that commonly arises in the major or minor salivary gland and usually forms mass lesions. Here, we report a case of ACC involving a 56-year-old man, who displayed right multiple cranial nerve palsies with ipsilateral severe facial pain but not any mass formation. Right submaxillary gland biopsy after repeated challenges at last revealed the primary focus of ACC with perineural invasion and without lymph node metastasis. The neurological manifestations were considered to be attributed to the perineural spread of ACC. It is extremely rare for ACC to show Garcin's syndrome without mass formation.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 51 (1), 87-91, 2012

    一般社団法人 日本内科学会

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