Abordagem clínica e prognóstico de carcinoma adenoide cístico: relato de caso

Abstract

Adenoid cystic carcinoma (ACC) is a rare malignant tumor of the salivary glands, characterized by slow growth, invasive behavior, and a high recurrence rate, often requiring extensive surgical treatments and radiotherapy. This work presents the case report of a 27- year-old patient diagnosed with palatine adenoid cystic carcinoma, who underwent right partial maxillectomy, reconstruction with a left forearm flap (Chinese flap), and radiotherapy. Subsequently, the patient sought the Faculty of Dentistry at Unicesumar for oral rehabilitation due to the loss of dental elements 18, 17, and 16. However, the rehabilitation with a prosthesis was postponed due to the short time after treatment. This study discusses the importance of multidisciplinary treatment and continuous follow-up to ensure the functional and aesthetic adaptation of the patient. Clinically, adenoid cystic carcinoma is known for its perineural infiltration, meaning the tumor tends to invade the nerves, which contributes to pain and the silent spread of the disease. Even with treatment, the long-term prognosis tends to be reserved, and prolonged follow-up is essential for the early detection of recurrences.