title: A report of laryngeal adenocystic carcinoma metastatic to the spleen and the role of splenectomy in the management of metastatic disease: a case report.
abstract: BACKGROUND
  Adenoid cystic carcinoma (ACC) of the larynx is a rare malignancy characterized by an indolent course and late pulmonary metastases. Metastases from the larynx to the spleen are an unusual event. In the present report, we discuss a patient with adenoid cystic carcinoma of the larynx metastatic to the spleen. A review of the literature did not yield any other such incidents. We review the clinical presentation and course of adenoid cystic carcinoma, as well as the role of splenectomy for metastases.
  
  
  METHODS
  We present a case of laryngeal adenoid cystic carcinoma in a 26-year-old Caucasian man treated with total laryngectomy and ionizing radiation. He initially developed asynchronous pulmonary metastases, which were resected. Our patient subsequently presented with a symptomatic splenic lesion consistent with metastatic disease, for which he underwent laparoscopic splenectomy.
  
  
  CONCLUSIONS
  Splenectomy might be indicated for isolated metastases. A splenectomy effectively addresses symptoms and serves as a cytoreduction modality.
authors.affiliation: Dallas VA Medical Center, Surgical Services (112), 4500 S Lancaster Road, Dallas, TX 75216, USA. brycew.murray@va.gov.
authors.forename: Bryce W
authors.initials: BW
authors.lastname: Murray
authors.forename: Lewis C
authors.initials: LC
authors.lastname: Lyons
authors.forename: Anne T
authors.initials: AT
authors.lastname: Mancino
authors.forename: Sergio
authors.initials: S
authors.lastname: Huerta