title: [Nasopharyngeal adenoid cystic carcinoma, a rare but highly challenging disease with unmet therapeutic needs: A case-report and review of the literature].
abstract: Nasopharyngeal adenoid cystic carcinoma is a rare tumour. Compared with others nasopharyngeal tumours, it is characterised by slow evolution but it is locally aggressive and has a high tendency to recurrences. Due to the rarity of cases, no consensus exists about treatment approaches. We report the case of 45-year-old-man with a locally advanced adenoid cystic carcinoma. The patient received concurrent chemoradiation and had a good objective response. After one year, he developed a paucisymptomatic lung metastasis. The follow-up showed local recurrence after 3 years. One cycle of chemotherapy was given but poorly supported. Carbon ion radiotherapy was proposed. The aim of this work is to review the literature concerning this rare malignancy and discusses treatment approaches in initial situations and during recurrences.
authors.affiliation: Service d'oncologie médicale, institut Jules-Bordet, boulevard de Waterloo, 121, 1000 Bruxelles, Belgique. Electronic address: afanileila@gmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Afani
authors.affiliation: Service d'oncologie médicale, institut national d'oncologie, BP 6213 RI, Rabat, Maroc.
authors.forename: H
authors.initials: H
authors.lastname: Errihani
authors.affiliation: Service d'ORL, hôpital militaire d'instruction Mohammed-V, Rabat, Maroc.
authors.forename: I
authors.initials: I
authors.lastname: Benchafai
authors.affiliation: Service d'oncologie médicale, institut Jules-Bordet, boulevard de Waterloo, 121, 1000 Bruxelles, Belgique.
authors.forename: Y
authors.initials: Y
authors.lastname: Lalami
mesh_terms: D003528:Carcinoma, Adenoid Cystic / Q000473:pathology* / Q000628:therapy; D059248:Chemoradiotherapy; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000473:pathology* / Q000628:therapy; D009364:Neoplasm Recurrence, Local; D035583:Rare Diseases / Q000473:pathology
keywords: Adenoid cystic carcinoma; Carcinome adénoïde kystique; Hadrontherapy; Hadronthérapie; Nasopharynx; Radiotherapy; Radiothérapie