Primary Adenoid Cystic Carcinoma of the Liver: A Rare Case Report
Viraj Panda *
Centre for Liver and Biliary Sciences, Max Hospital, Saket, New Delhi, India.
Shashwat Sarin
Centre for Liver and Biliary Sciences, Max Hospital, Saket, New Delhi, India.
Abhishek Kumar
Department of Histopathology, Max Hospital, Saket, New Delhi, India.
Ruchi Rastogi
Department of Radiology, Max Hospital, Saket, New Delhi, India.
Peush Sahni
Centre for Liver and Biliary Sciences, Max Hospital, Saket, New Delhi, India.
Subhash Gupta
Centre for Liver and Biliary Sciences, Max Hospital, Saket, New Delhi, India.
*Author to whom correspondence should be addressed.
Abstract
Adenoid cystic carcinoma is a malignant epithelial tumor most commonly arising from the major and minor salivary glands and less frequently occurring in organs such as the trachea and breast. A 35 year old woman with no history of liver disease was found to have a large mass in the left lobe of her liver. Imaging suggested primary liver cancer such as intrahepatic cholangiocarcinoma. She underwent left hepatectomy with removal of suspected peritoneal implants. The final histopathology and immunohistochemistry confirmed adenoid cystic carcinoma, a tumor that almost never arises in the liver. We describe her presentation, investigations, surgery, and early outcomes and briefly review the diagnostic challenges of this rare entity.
Keywords: Adenoid cystic carcinoma; primary, hepatectomy, histopathology, immunohistochemistry