Abstract

We reported a cas of a 60-year-old man with adenoid cystic carcinoma (ACC).
The patient had tumor on the jow, noticed form 3 month ago. The findings of histopathology at simple excision was a typical picture of ACC.
The tumor cells persented three distinct patterns : cribrif orm, tubular, solid.
The result of immunohistochemical study were as follows, S-100 protein (+), EMA (+), CEA (+) .
We think that primary lesion of ACC was esophargus and we could find multiple metastasis at skin, brain, lung and liver.