Maruyama Kenji    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Assistant Professor
Article types	Original article
Language	English
Peer review	Peer reviewed
Title	A case of adenoid cyctic carcinoma presenting as Garcin's syndrome without mass formation
Journal	Formal name：Internal Medicine ISSN code：09182918
Volume, Issue, Page	51(1),pp.87-91
Author and coauthor	Inose Yuri†, Kobayashi Masaki, Hiroi Atsuko, Toi Sono, Maruyama Kenji, Shimizu Yuko, Shibata Noriyuki, Yoshihara Toshio, Uchiyama Shinichiro
Publication date	2012/01
Summary	Adenoid cystic carcinoma (ACC) is a malignant neoplasm that commonly arises in the major or minor salivary gland and usually forms mass lesions. Here, we report a case of ACC involving a 56-year-old man, who displayed right multiple cranial nerve palsies with ipsilateral severe facial pain but not any mass formation. Right submaxillary gland biopsy after repeated challenges at last revealed the primary focus of ACC with perineural invasion and without lymph node metastasis. The neurological manifestations were considered to be attributed to the perineural spread of ACC. It is extremely rare for ACC to show Garcin's syndrome without mass formation.
DOI	10.2169/internalmadicine.51.5917
PMID	22214630