Hassouneh Ammar, Sawafta Omar, Jaber Osama, Ali Abd Alkarim, Rahhal Mhd Osama, Sawaftah Zaid, Milhem Fathi, Anabseh Yaqoot
Department of Radiology, Hebron Governmental Hospital, Hebron, Palestine.
Department of Medicine, An Najah National University, Nablus, Palestine.
Radiol Case Rep. 2025 Mar 8;20(5):2346-2350. doi: 10.1016/j.radcr.2025.02.049. eCollection 2025 May.
Being rare malignancies, parotid gland adenocarcinomas are most significantly represented by the ACC subtype due to their aggressive nature and propensity for PNI. We present a case of a 56-year-old male with right-sided trigeminal neuralgia and facial palsy, diagnosed with ACC of the parotid gland with intracranial extension. Tumor progression occurred with brain, lung, and liver metastases, so he was placed on palliative care despite chemotherapy. This case underscores the diagnostic and management challenges associated with ACC with PNI.
腮腺腺癌是罕见的恶性肿瘤，其中腺样囊性癌（ACC）亚型最为常见，因其具有侵袭性和易发生神经周浸润（PNI）的特性。我们报告一例56岁男性患者，患有右侧三叉神经痛和面神经麻痹，诊断为腮腺腺样囊性癌伴颅内侵犯。肿瘤进展出现脑、肺和肝转移，因此尽管进行了化疗，他仍接受了姑息治疗。该病例强调了与伴有神经周浸润的腺样囊性癌相关的诊断和管理挑战。
