Weber approach for retromolar adenoid cyst carcinoma: case report and literature review

Emmanuel Stephano Bracho Ruíz; Daniel Benito Castillo Martínez; Sergio Sandoval Tapia; Daniela Rodríguez Ramírez; Cuautemoc Aguilar Barragán; Luis Bernardo Gómez Avendaño; Laura Yossune León Aguilar; Miguel Angel Monroy Ramírez; Rafael Silva Flores

doi:10.18203/2320-6012.ijrms20232443

Authors

Emmanuel Stephano Bracho Ruíz Department of General Surgery, North Central PEMEX Hospital, Mexico
Daniel Benito Castillo Martínez Department of General Surgery, North Central PEMEX Hospital, Mexico
Sergio Sandoval Tapia Department of General Surgery, North Central PEMEX Hospital, Mexico
Daniela Rodríguez Ramírez Department of General Surgery, North Central PEMEX Hospital, Mexico
Cuautemoc Aguilar Barragán Department of General Surgery, North Central PEMEX Hospital, Mexico
Luis Bernardo Gómez Avendaño Department of General Surgery, North Central PEMEX Hospital, Mexico
Laura Yossune León Aguilar Department of Gynecology, North Central PEMEX Hospital, Mexico
Miguel Angel Monroy Ramírez Department of Oncology, North Central PEMEX Hospital, Mexico
Rafael Silva Flores Department of Pathology, North Central PEMEX Hospital, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20232443

Keywords:

ACC, Weber-Fergusson surgical approach, Modified radical hemimaxillectomy

Abstract

Adenoid cyst carcinoma (ACC) is an uncommon facial tumor and challenging to treat; surgical treatment is challenging due to its localization. A 49-year-old Latin female patient with a one-year history of soft tissue-depending mass of slow growth in the right maxillary region. Laboratory tests reported normal. Contrast-enhanced computed tomography showed a maxillary tumor. Patient underwent to surgical resection by Weber-Fergusson approach. The patient received postoperative adjuvant radiotherapy. ACC is a challenging entity to treat, surgical resection, and radiotherapy is required. The combination of surgery and radiotherapy represents the definitive treatment for ACC. Chemotherapy remains controversial and is reserved for palliation in selected cases.

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