Abstract
Adenoid cystic carcinoma (ACC) is one of the most common malignant tumors of the minor salivary glands, which may uncommonly affect the ventral surface of the tongue. In this report, we describe the case of a 48-year-old female patient who was referred to us due to a swelling in the ventral of the tongue on the right side. The patient reported approximately 12 months growing history, and the intraoral exam revealed a normochromic painful tumor and submandibular lymphadenopathy. Her medical history was noncontributory, and no harmful habits were reported. The working diagnosis was salivary gland neoplasm, and an incisional biopsy, which revealed a gelatinous lesion yellowish in color, was performed. The histopathologic examination of the excised lesion revealed hyperchromatic cells surrounding cyst-like spaces in a cribriform pattern. Despite the unusual location, the final diagnosis was adenoid cystic carcinoma, and the patient was submitted to total excision of the lesion with surgical margins.
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