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Abstract
An elderly man had a large adenoid cystic carcinoma (ACC) of the upper lip. Because
of the patient's desire not to have a major surgical resection, the primary modality
of treatment was irradiation. A local recurrence following radiation therapy did require
surgery, however without morbidity. During the postoperative course extreme physical
deterioration of the patient necessitated a complete medical work-up. This revealed
lung nodules, not seen previously, which were suspected of being malignant. A barium
enema also revealed a sigmoid lesion suggestive of malignancy. Since none of the suspected
distant sites were histologically examined, the course of the ACC is left to conjecture.
Also, it is left to conjecture as to what course might have followed had the patient
been treated initially with a surgical resection. The patient died 20 months after
the original diagnosis of the lip tumor was made.
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References
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Article info
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© 1985 Published by Elsevier Inc.
