2000 Volume 20 Issue 4 Pages 470-475
A case of adenoid cystic carcinoma successfully treated with systemic chemotherapy and radiation is reported. The patient was a 66-year-old woman with a large adenoid cystic carcinoma in the left pharynx that had recurred from the left mandibular region. The tumor invasion of the cranial basis was revealed by a coronal plane view of magnetic resonance imaging (MRI). She denied surgical excision, so treatment with chemotherapy and radiation therapy was selected. Systemic chemotherapy using cisplatin, 5-fluorouracil, pilarubicin, and cyclophosphamide was performed with occasional radiotherapy. After 4 such treatments, clinical and MRI findings disclosed a complete disappearance of the tumor.