Table 1 – Literature review of the reported cases of Adenoid Cystic
Carcinoma of the buccal mucosa (2010 – present)
Figure legends:
Figure 1- CT-scan view of the lesion demonstrates ill-defined mass of
right buccal area with invasion to the surrounding structures of the
skin and zygomatic bone.
Figure 2- Histopathologic views of the lesion. a) small basaloid tumoral
cells in various sized nests (H&E staining, ×100 magnification). b)
classic cribriform pattern in tumoral cells (H&E staining, ×100
magnification). c) immunohistochemistry results show severe diffuse
positive immunoreaction for C-kit (×100 magnification). d) ki67 was
positive in about 10% of tumoral cells.
Figure 3- Surgical intervention. a) whole excited lesion with safe
margin. b) excited zygomatic bone and maxillary tuberosity. c) pedicled
right temporalis muscle flap was used for reconstruction of the surgical
area. d) transferred flap to the surgical area.
Figure 4- Follow up of the patient after one and half year shows ideal
healing without significant problem.
Figure 5- a) microscopic examinations shows tubular pattern of small
basaloid tumoral cells (H&E staining, ×100 magnification). b) tumoral
cells demonstrate admixture of cribriform and tubular pattern (H&E
staining, ×100 magnification). c) diffuse positive C-kit immunoreaction
in tumoral cells (IHC, ×400 magnification). d) positive immunoreaction
for ki67 in about 10% of tumoral cells (IHC, ×400 magnification).