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Published on: August 15, 2025
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Intra-mandibular adenoid cystic carcinoma
A Bouaichi1, S Aimad-Eddine1, X-A Mommers1
1Department of Oral and Maxillofacial Surgery, Plastic Esthetic and Reconstructive Surgery, Hand Surgery, Faculté de Médecine, Université de Bourgogne, Hôpital du Bocage, CHU de Dijon, 14, rue Gaffarel, BP 77908, 21079 Dijon Cedex, France.
Summary
Adenoid cystic carcinoma (ACC) rarely occurs within the mandible. This aggressive cancer presents challenges due to limited data, treatment consensus, and poor prognosis.
Area of Science:
- Oncology
- Head and Neck Cancer
- Oral Pathology
Background:
- Adenoid cystic carcinoma (ACC) is a rare malignant neoplasm.
- Intra-mandibular localization of ACC is exceptionally infrequent.
- ACC exhibits significant local, regional, and distant aggressiveness.
Purpose of the Study:
- To review current literature on intra-mandibular adenoid cystic carcinoma.
- To highlight the rarity and aggressive nature of this specific cancer subtype.
- To discuss the challenges in diagnosis and treatment due to limited case reports.
Main Methods:
- Comprehensive literature search using medical databases.
- Review of case studies and clinical data on intra-mandibular ACC.
- Analysis of tumor characteristics, treatment modalities, and patient outcomes.
Main Results:
- Intra-mandibular ACC is a rare entity with a paucity of reported cases.
- The tumor demonstrates aggressive behavior with a propensity for recurrence and metastasis.
- A lack of established treatment guidelines and consensus exists for this condition.
Conclusions:
- Intra-mandibular ACC requires specialized management strategies.
- Further research is needed to improve understanding and treatment protocols.
- Early diagnosis and aggressive treatment are crucial for managing this rare and aggressive cancer.

