Abstract

AbstractThe aim of this study was to describe the clinical and histological feature of intraosseous adenoid cystic carcinoma (IACC) and the treatment modalities with review of the literature. The authors report a case of intraosseous cystic carcinoma of the anterior mandible in an otherwise healthy 47‐year‐old patient along with a brief review of the literature. The main complaint was swelling and numbness of the right side of the lower lip. Clinically and radiologically, IACC is indistinguishable from benign odontogenic tumours and cyst. Routine histopathological examination and immunohistochemistry of incisional biopsy revealed adenoid cystic carcinoma. The lesion was surgically excised with surgical margins, which subsequently reconstructed using an iliac crest bone graft and followed by denture construction. On clinical and radiographic review 3 years post‐operatively, the patient was well, free of symptoms with complete oral rehabilitation. The case demonstrates the features of IACC. Surgical excision with bone reconstruction and removable prosthetic replacement was effective in the treatment of this case. Regular follow‐up was recommended.

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