open access

Vol 22, No 6 (2017)
Published online: 2017-11-01
Submitted: 2017-04-26
Get Citation

Adaptive radiotherapy in a case of adenoid cystic carcinoma of bronchus and its favourable impact on treatment outcome: A case report

Suman Das, Yogaraja Dorairaja, Anandakrishnan Kuppusamy
DOI: 10.1016/j.rpor.2017.08.007
·
Rep Pract Oncol Radiother 2017;22(6):482-484.

open access

Vol 22, No 6 (2017)
Published online: 2017-11-01
Submitted: 2017-04-26

Abstract

Adenoid cystic carcinoma is a very rare malignancy commonly originating from the salivary glands of the head and neck. It is again very scantily seen in sites like the bronchus. Surgical resection is the mainstay of treatment but many a times the tumour site and size preclude a favourable outcome of surgery and the patient is advised for other forms of local treatment like Radiotherapy. Here, we present a case report of a young female with primary adenoid cystic carcinoma of the bronchus. The tumour was located in the carina and the left bronchus which was obstructing the airway resulting in collapse of the left lung, this resulted in shifting the mediastinum and abdominal structures in to the thorax. The tumour was inoperable and was advised for radiotherapy. The adenoid cystic carcinoma of the bronchus with such presentation and mediastinal shift is a rare and special situation. During radiotherapy the collapsed lung was inflated which resulted in the shifting of the tumour and other normal structures. The use of adaptive radiotherapy in such situation helped us to achieve improved dose delivery to the tumour and this resulted in an improved survival for the patient as compared to the available literature.

Abstract

Adenoid cystic carcinoma is a very rare malignancy commonly originating from the salivary glands of the head and neck. It is again very scantily seen in sites like the bronchus. Surgical resection is the mainstay of treatment but many a times the tumour site and size preclude a favourable outcome of surgery and the patient is advised for other forms of local treatment like Radiotherapy. Here, we present a case report of a young female with primary adenoid cystic carcinoma of the bronchus. The tumour was located in the carina and the left bronchus which was obstructing the airway resulting in collapse of the left lung, this resulted in shifting the mediastinum and abdominal structures in to the thorax. The tumour was inoperable and was advised for radiotherapy. The adenoid cystic carcinoma of the bronchus with such presentation and mediastinal shift is a rare and special situation. During radiotherapy the collapsed lung was inflated which resulted in the shifting of the tumour and other normal structures. The use of adaptive radiotherapy in such situation helped us to achieve improved dose delivery to the tumour and this resulted in an improved survival for the patient as compared to the available literature.

Get Citation

Keywords

Adenoid cystic carcinoma bronchus; Adaptive radiotherapy; Thoracic malignancy

About this article
Title

Adaptive radiotherapy in a case of adenoid cystic carcinoma of bronchus and its favourable impact on treatment outcome: A case report

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 22, No 6 (2017)

Pages

482-484

Published online

2017-11-01

DOI

10.1016/j.rpor.2017.08.007

Bibliographic record

Rep Pract Oncol Radiother 2017;22(6):482-484.

Keywords

Adenoid cystic carcinoma bronchus
Adaptive radiotherapy
Thoracic malignancy

Authors

Suman Das
Yogaraja Dorairaja
Anandakrishnan Kuppusamy

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: journals@viamedica.pl