High-dose rate brachytherapy for local recurrent adenoid cystic carcinoma of the tongue base following postoperative external beam radiotherapy
- Sun Young Lee
- Jung Soo Kim
- Hyoung Cheol Kwon
Affiliations: Department of Radiation Oncology, Chonbuk National University Hospital, Jeonju 561‑712, Republic of Korea
- Published online on: August 23, 2016 https://doi.org/10.3892/mco.2016.999
Copyright: © Lee
et al. This is an open access article distributed under the
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Commons Attribution License.
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Adenoid cystic carcinoma is a rare neoplasm commonly originating from the minor salivary glands. The clinical findings typical of this tumor include slow growth, perineural invasion and high frequency of local recurrence. In this study, a patient presented with a tongue base lesion that was treated with surgical excision and additional postoperative external beam radiotherapy. However, local recurrence occurred 8 months after radiotherapy. If recurrence occurs after radiation therapy, total glossectomy should be considered. However, the patient refused re‑operation and, considering the patient's age, brachytherapy was used to ensure organ preservation. Complete remission was achieved following brachytherapy, without serious side effects. There has been no progression of the lesion during a follow‑up period of 2 years.