| CASE REPORT |
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| Year : 2018 | Volume
: 1
| Issue : 1 | Page : 51-53 |
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Late recurrence and metastasis in a case of acinic cell carcinoma of parotid
Nikhila K Radhakrishna1, Kannan Periasamy1, Ashutosh Mukherji1, Bhawana A Badhe2
1 Department of Radiotherapy, Regional Cancer Centre, Puducherry, India
2 Department of Pathology, JIPMER, Puducherry, India
Correspondence Address:
Dr. Nikhila K Radhakrishna
Department of Radiotherapy, Regional Cancer Centre, JIPMER, Puducherry - 605 006
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/jco.jco_2_18
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Acinic cell carcinoma (ACC) of the salivary glands is a low grade malignancy which can present with late recurrences and distant metastasis. Being relatively resistant to chemotherapy, managing metastatic ACC is a clinical challenge, especially considering the long duration of survival of these patients. A 33-year-old female presented with recurrent ACC of the left parotid, eighteen years after initial presentation; with incidentally detected asymptomatic lung metastases. She remained stable after six cycles of triple agent chemotherapy and continues to be clinically asymptomatic at nine months post chemotherapy. We hereby, report this case to highlight the late recurrence and metastatic pattern of ACC and the benefit of achieving stable disease with triple agent chemotherapy. Further clinical studies on other anticancer agents are required to achieve better treatment outcomes.
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