Case Report: A rare case of over 45 years’ survival in a patient with tonsillar adenoid cystic carcinoma - Summary - MDSpire

Case Report: A rare case of over 45 years’ survival in a patient with tonsillar adenoid cystic carcinoma

  • By

  • Mingzhu Wang

  • Tingyao Ma

  • Yue Zhao

  • Shujing Zhang

  • Xuelian Wang

  • Guoliang Yang

  • Xi Zhao

  • Yixuan Liu

  • Tian Ye

  • Mengmeng Li

  • Jun Wu

  • Lanlan Xuan

  • Xiaohong Chen

  • Zheng Yang

  • June 2, 2026

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Objective:

To report an unusual case of tonsillar adenoid cystic carcinoma (TACC) with a 47-year disease trajectory.

Key Findings:
  • The patient exhibited a prolonged indolent phase of over 40 years before experiencing rapid disease progression in the last 6 years.
  • Molecular profiling indicated genomic alterations.
Interpretation:

Limitations:
  • Detailed treatment records from the initial diagnosis in 1977 were unavailable.
  • The exact chemotherapy regimen during the 2018 treatment could not be fully retrieved.
Conclusion:

This case represents one of the longest documented clinical courses of TACC.

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