Abstract
Adenoid cystic carcinoma (ACC) is a rare malignant neoplasm of the salivary glands. Although it is a slow-growing malignant tumor, it carries a poor prognosis due to aggressive nature of tumor and a high rate of recurrence. It usually affects elderly patients, and the peak incidence is in the fifth and sixth decades with a female preponderance. Perineural invasion along cranial nerves is a pathognomonic feature of ACC and is believed to be responsible for the high rate of local recurrence. Surgery is the treatment of choice, but some cases may require radiation therapy after surgery. Rarely, chemotherapy may also be required to control the disease. This report pertains to a rare case of ACC of the upper lip managed by excision and primary reconstruction of the lip with gratifying postoperative results.
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