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Posterior fossa giant adenoid cystic carcinoma with skull base invasion mimicking glomus jugulare: A case report and review of literature
The author describes a rare case of giant adenoid cystic carcinoma (ACC) mimicking large paraganglioma with lower cranial nerve palsy. A 60-year-old female presented with a progressive increase in postauricular swelling with unilateral hearing loss, facial deviation, difficulty in swallowing, and ho...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830093/ https://www.ncbi.nlm.nih.gov/pubmed/36636105 http://dx.doi.org/10.1177/20363613221150218 |
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author | Das, Anand Kumar Singh, Saraj Kumar Bhavana, Kranti Kumar, Subhash |
author_facet | Das, Anand Kumar Singh, Saraj Kumar Bhavana, Kranti Kumar, Subhash |
author_sort | Das, Anand Kumar |
collection | PubMed |
description | The author describes a rare case of giant adenoid cystic carcinoma (ACC) mimicking large paraganglioma with lower cranial nerve palsy. A 60-year-old female presented with a progressive increase in postauricular swelling with unilateral hearing loss, facial deviation, difficulty in swallowing, and hoarseness of voice. MRI brain showed highly vascular infiltrating and osteolytic mass suggestive of large glomus jugulare versus sarcoma. It was completely engulfing the jugular foramen and lower cranial nerves with bony erosion of the jugular foramen and occipital condyle. The whole mastoid was filled with the tumor. On digital subtraction angiography the majority of blood supply was from the occipital branch of the external carotid artery and vertebral artery. The patient underwent percutaneous embolization followed by external carotid ligation and resection of the mass. The postoperative course was uneventful. Histopathology was suggestive of mixed ACCs. The patient received radiotherapy. After 1 year of follow up no recurrence or distant metastasis was noted. |
format | Online Article Text |
id | pubmed-9830093 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-98300932023-01-11 Posterior fossa giant adenoid cystic carcinoma with skull base invasion mimicking glomus jugulare: A case report and review of literature Das, Anand Kumar Singh, Saraj Kumar Bhavana, Kranti Kumar, Subhash Rare Tumors Case Report The author describes a rare case of giant adenoid cystic carcinoma (ACC) mimicking large paraganglioma with lower cranial nerve palsy. A 60-year-old female presented with a progressive increase in postauricular swelling with unilateral hearing loss, facial deviation, difficulty in swallowing, and hoarseness of voice. MRI brain showed highly vascular infiltrating and osteolytic mass suggestive of large glomus jugulare versus sarcoma. It was completely engulfing the jugular foramen and lower cranial nerves with bony erosion of the jugular foramen and occipital condyle. The whole mastoid was filled with the tumor. On digital subtraction angiography the majority of blood supply was from the occipital branch of the external carotid artery and vertebral artery. The patient underwent percutaneous embolization followed by external carotid ligation and resection of the mass. The postoperative course was uneventful. Histopathology was suggestive of mixed ACCs. The patient received radiotherapy. After 1 year of follow up no recurrence or distant metastasis was noted. SAGE Publications 2023-01-06 /pmc/articles/PMC9830093/ /pubmed/36636105 http://dx.doi.org/10.1177/20363613221150218 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Das, Anand Kumar Singh, Saraj Kumar Bhavana, Kranti Kumar, Subhash Posterior fossa giant adenoid cystic carcinoma with skull base invasion mimicking glomus jugulare: A case report and review of literature |
title | Posterior fossa giant adenoid cystic carcinoma with skull base
invasion mimicking glomus jugulare: A case report and review of
literature |
title_full | Posterior fossa giant adenoid cystic carcinoma with skull base
invasion mimicking glomus jugulare: A case report and review of
literature |
title_fullStr | Posterior fossa giant adenoid cystic carcinoma with skull base
invasion mimicking glomus jugulare: A case report and review of
literature |
title_full_unstemmed | Posterior fossa giant adenoid cystic carcinoma with skull base
invasion mimicking glomus jugulare: A case report and review of
literature |
title_short | Posterior fossa giant adenoid cystic carcinoma with skull base
invasion mimicking glomus jugulare: A case report and review of
literature |
title_sort | posterior fossa giant adenoid cystic carcinoma with skull base
invasion mimicking glomus jugulare: a case report and review of
literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830093/ https://www.ncbi.nlm.nih.gov/pubmed/36636105 http://dx.doi.org/10.1177/20363613221150218 |
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