case_images: PMC509249_01
case_images: Photomicrograph showing small darkly stained cells with scanty cytoplasm arranged in nests fenestrated by round or oval spaces - cribriform pattern, H & E (x 100)
case_images: 1471-2407-4-41-1.jpg
case_images: PMC509249_01_1471-2407-4-41-1.jpg
case_images: F1
case_images: Histopathology revealed ACC with cribriform pattern and perineural invasion (Figure 1). 60 Gy adjuvant external beam radiotherapy was administered post-operatively to the parotid area and the neck.
case_images: Abdominal ultrasound showing multiple hypoechoiec (short arrow) and hyperechoeic lesions (long arrow) in the liver
case_images: 1471-2407-4-41-2.jpg
case_images: PMC509249_01_1471-2407-4-41-2.jpg
case_images: F2
case_images: Ultrasonography (US) of the abdomen revealed multiple metastatic lesions scattered in both lobes (Figure 2).
case_images: FNAC liver showing metastatic ACC, H & E (x 400)
case_images: 1471-2407-4-41-3.jpg
case_images: PMC509249_01_1471-2407-4-41-3.jpg
case_images: F3
case_images: Liver function tests were normal and an US guided FNAC revealed metastatic ACC (Figure 3).