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Research Article Open access CC BY 4.0

Primary Adenoid Cystic Carcinoma of the Liver: A Rare Case Report

Viraj Panda, Shashwat Sarin, Abhishek Kumar, Ruchi Rastogi, Peush Sahni, Subhash Gupta

Asian Journal of Case Reports in Surgery · pp. 323–328 · Published 22 Apr 2026

10.9734/ajcrs/2026/v9i1781

Abstract

Adenoid cystic carcinoma is a malignant epithelial tumor most commonly arising from the major and minor salivary glands and less frequently occurring in organs such as the trachea and breast. A 35 year old woman with no history of liver disease was found to have a large mass in the left lobe of her liver. Imaging suggested primary liver cancer such as intrahepatic cholangiocarcinoma. She underwent left hepatectomy with removal of suspected peritoneal implants. The final histopathology and immunohistochemistry confirmed adenoid cystic carcinoma, a tumor that almost never arises in the liver. We describe her presentation, investigations, surgery, and early outcomes and briefly review the diagnostic challenges of this rare entity.

Adenoid cystic carcinoma; primary hepatectomy histopathology immunohistochemistry

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