Abstract
Acinic cell carcinoma of minor salivary gland of the base of tongue is very rare. Squamous cell carcinoma is the most common tumor in the base of tongue. We present a patient with gigantic acinic cell carcinoma of the base of tongue. This patient required emergency tracheotomy before surgery, because he had dyspnea when he came to our hospital. We removed this tumor by pull-through method and performed reconstructive surgery using a rectus abdominis myocutaneous flap. It was a case that to preserved movement of the tongue and swallowing function by keeping lingual arteries and hypoglossal nerves. This case was an extremely rare case of ACC of the base of tongue that required reconstructive surgery.
Highlights
Primary neoplasms of minor salivary gland tissue are not common in addition neoplasm arising in minor salivary gland of the base of tongue is very rare
We removed this tumor by pull-through method and performed reconstructive surgery using a rectus abdominis myocutaneous flap
Acinar cell carcinoma (ACC) is a salivary gland tumor that is characterized by proliferation of cells resembling serous acinar cells [4], and Acinic cell carcinoma (ACC) is said to constitute 6∼10% of all salivary gland tumors [5, 6]
Summary
Primary neoplasms of minor salivary gland tissue are not common in addition neoplasm arising in minor salivary gland of the base of tongue is very rare. Squamous cell carcinoma is the most common tumor in the base of tongue [1]. Acinic cell carcinoma (ACC) of minor salivary gland of the base of an tongue is extremely rare tumor. We present the case of gigantic ACC of minor salivary gland of the base of tongue. This case required reconstructive surgery, because the resection resulted in a large deficit. Because we kept lingual arteries, hypoglossal nerves, it was a case that preserved movement of the tongue and swallowing function. This case was an extremely rare case of ACC of the base of tongue that required reconstructive surgery
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