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Liver Metastases Incidentally Found on Bone Scan in a Patient with Adenoid Cystic Carcinoma of the Lacrimal Gland

The case of adenoid cystic carcinoma of the lacrimal gland with hepatic metastases shown on bone scintigraphy had been rarely reported. We present a patient with adenoid cystic carcinoma of the left lacrimal gland whose bone scintigraphy demonstrated two foci of increased uptake in the liver in addition to abnormally increased uptake in the left orbit. The patient was further examined by abdominal computerized tomography and revealed a feature of liver metastatic lesion. Histologic examination of the biopsy of hepatic lesions confirmed the presence of metastatic adenoid cystic carcinoma.