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P 62<br />
Title<br />
ADENOID CySTIC CARCINOMA (A CASE REPORT)<br />
Authors<br />
b. INCEOGLu 1 , E. yAKAR 1 , M. SENTuRK 2 , S. GORGuN 3<br />
Affiliations<br />
1 Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, ANKA-<br />
RA, TURKEY, 2 Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University,<br />
ANKARA, TURKEY, 3 Department of Dentomaxillofacial Surgery, Faculty of Dentistry,<br />
Ankara University, ANKARA, TURKEY, 4 Department of Dentomaxillofacial Radiology, Faculty of<br />
Dentistry, Ankara University, ANKARA, TURKEY<br />
Body<br />
Introduction: Adenoid Cystic Carcinoma (ACC) is a rare tumor entity and comprises about 1%<br />
of all malignant tumor of the oral and maxillofacial region. It is slow growing but a highly<br />
inv<strong>as</strong>ive cancer with a high recurrence rate. Lymphatic spread to local lymph nodes is rare.<br />
C<strong>as</strong>e report: A 41-year-old male patient w<strong>as</strong> referred to University of Ankara, Faculty<br />
of Dentistry, Department of Dentomaxillofacial Radiology, with a complaint of swelling,<br />
par<strong>as</strong>tesia, trismus and pain in the right ramus of the mandible. The patient had tuberculosis<br />
treatment 10 years ago. Following a detailed clinical examination it w<strong>as</strong> noted that<br />
right mandibulary first molar w<strong>as</strong> extracted 6 months ago with traumatic operation. After<br />
operation the dentist prescribed antibiotics and oral mouthw<strong>as</strong>h for two weeks. T<strong>here</strong> were no<br />
differences about complaints. Intraoral apperance of mandibulary molar region w<strong>as</strong> ulcerous.<br />
CBCT showed right ramus perforation of the mandible. Under local anestesia <strong>as</strong>piration biopsy<br />
w<strong>as</strong> performed. Histopathological examination showed adenoid cystic carcinoma(ACC).<br />
Conclusion: The dental practitioner h<strong>as</strong> an important role to play in the management<br />
of oral lesions without healing for long periods. It is important of taking a detailed medical<br />
and dental history followed by a more selective, individualized radiographic <strong>as</strong>sessment<br />
<strong>as</strong> necessary. Adenoid cystic carcinoma (ACC) can cause perforation in the cortical bone<br />
related with salivary gland. CBCT showed us lengths and location of perforation in the angle of<br />
mandible.<br />
Keywords<br />
Adenoid Cystic Carcinoma, Perforation mandible, CBCT<br />
POSTerS<br />
177
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