Q: Dear Doctors,
I have a male patient, age 57, who was diagnosed 2 1/2 years ago with adenoid cystic carcinoma r/o mets to left ear. The doctors excised it from the mastoid tissue, external ear canal, chorda tympani, deep mastoid, and Eustachian tube. The left neck nerves and parotid gland were biopsied, with no carcinoma identified in those areas. Post-operatively, the patient received 6 weeks of radiation 5 days a week, and the cancer went into remission.
A recent biopsy of the left mastoid, nerve near the stilomastoid formamen, and intory revealed multiple fragments of fibrous tissue with focal infiltration by carcinoma. Mitotic activity is low, but some tumor necrosis is present. The final pathologic diagnosis was recurrent carcinoma. Any suggestions for treatment?
In peace, love and joy,
Leigh Erin Connealy, MD
Center for New Medicine, Inc. http://www.centerfornewmedicine.com