Home/Quiz/Adenoid Cystic Carcinoma MCQs Quiz Adenoid Cystic Carcinoma MCQs Quiz Welcome to your Adenoid Cystic Carcinoma MCQs Quiz 1. A 52-year-old female presents with a slow-growing, painful mass on the posterior hard palate. On examination, the lesion is ulcerated and firm. The patient reports chronic dull pain that has worsened over time. Which of the following characteristics of AdCC best explains the pain associated with this lesion? Rapid proliferation of tumor cells Perineural invasion High-grade cellular pleomorphism Extensive necrosis within the tumor None 2. A 55-year-old male presents with a parotid gland mass and facial nerve paralysis. A biopsy confirms adenoid cystic carcinoma. Which of the following histologic features is most likely seen in this tumor? Tumor cells surrounding the perineurium Presence of mucous-producing cells Papillary cystic spaces lined by cuboidal cells Sheets of anaplastic squamous cells None 3. A 60-year-old female is diagnosed with adenoid cystic carcinoma of the submandibular gland. The tumor exhibits a cribriform histologic pattern. What does this histologic pattern indicate regarding prognosis? Best prognosis compared to other patterns Intermediate prognosis with moderate metastatic potential Worst prognosis with high metastatic potential No impact on prognosis None 4. A 45-year-old male presents with a slow-growing swelling on the hard palate. A biopsy reveals cribriform and tubular histologic patterns. The tumor is surgically excised. Which additional treatment might improve local control? Chemotherapy Radiotherapy Targeted therapy with tyrosine kinase inhibitors Immunotherapy None 5. A 49-year-old woman with adenoid cystic carcinoma of the minor salivary glands presents with pulmonary metastases but no lymph node involvement. Which of the following best explains this metastatic pattern? Hematogenous spread is more common than lymphatic spread Lymphatic spread precedes distant metastases Perineural invasion leads to bone metastases before lung involvement Direct local invasion is the only route of metastasis None 6. A 51-year-old male with a history of adenoid cystic carcinoma of the palate presents 8 years after surgery with lung metastases. Which of the following best explains this late recurrence? Aggressive tumor with rapid progression Slow-growing nature of AdCC with delayed metastasis Radiation-induced transformation of normal cells Development of a second primary lung tumor None 7. A 40-year-old female presents with a slow-growing mass in the parotid gland. FNAC reveals cribriform and tubular patterns. Which of the following findings would be most concerning for poor prognosis? Presence of necrosis Perineural invasion Tubular histologic pattern Tumor size None 8. Which of the following locations is most commonly affected by AdCC in the minor salivary glands? Buccal mucosa Lips Hard palate Floor of the mouth None 9. A 47-year-old male with adenoid cystic carcinoma of the submandibular gland undergoes surgical excision. The pathology report shows cribriform and solid histologic patterns. What does the presence of a solid pattern suggest? No significant impact on prognosis Increased risk of distant metastasis and poor survival Indicates complete surgical excision Suggests an inflammatory reaction None 10. A 55-year-old female is diagnosed with adenoid cystic carcinoma of the parotid gland. Imaging reveals local nerve invasion but no distant metastasis. Which of the following is the most appropriate initial treatment? Chemotherapy alone Surgery with possible postoperative radiotherapy Radiotherapy alone Observation without intervention None 1 out of 5 Time's up
