Adenoid cystic carcinoma of the base of the tongue: Late metastasis to the pancreas

Adenoid cystic carcinoma (ACC) is a relatively rare epithelial tumor of the salivary glands. We present a 64-year-old gentleman with ACC of the tongue who following resection and radiotherapy, presented 10 years later with a lung metastasis and underwent operative intervention and further radiotherapy. Five years later he presented with obstructive jaundice found to be metastatic ACC. We believe this to be the first report of an ACC metastasizing to the pancreas. c (C) 2010 Surgical Associates Ltd. Elsevier Ltd. Open access under CC BY-NC-ND license.