Sinonasal Adenoid Cystic Carcinoma-Role of On-site FNAC: A Case report
17.05.2018 Posted By : Dr. Tummidi Santosh Share :
Background: Adenoid cystic carcinoma (ACC), a rare tumor of epithelial cell origin, commonly
arises from the major salivary glands. Uncommonly it may be found outside the salivary glands and
it's especially rare in the nasal cavity.
Case presentation: A 71-year female had complaints of swelling at the base of nose, Fine needle
aspiration (FNA) from the swelling revealed features of adenoid cystic carcinoma; cell block & IHC
for CD-117 was positive.
Conclusions: Sino-nasal ACC (SNACC) continues to pose diagnostic and therapeutic challenges to
clinicians. Due to its rarity & vague presentation, early diagnosis requires a high index of suspicion.
FNA can be used as an invaluable diagnostic tool in the evaluation of these lesions. Since it’s
incidence in sinonasal region is rare; our attempt to report this case will heighten the physician’s
awareness of this disease, helping further treatment.