A rare case of pulmonary adenoid cystic carcinoma with liver metastases treated effectively with stereotactic body radiation therapy

Pulmonary adenoid cystic carcinoma (PACC) is an extremely rare neoplasm. Adenoid (ACC) usually occurs in the salivary glands of head and neck. Given its occurrence, there are no established guidelines for treatment progressive and/or relapsed disease. We herein report a case 57-year-old female who was incidentally found to have biopsy confirmed PACC following trauma diagnostic workup. She underwent pneumonectomy adjuvant radiation therapy with initial good response. On follow-up year later, she noted two metastatic liver lesions treated stereotactic body (SBRT) lenvatinib. This adds growing area research on PACC, especially among patients requiring SBRT oligometastatic