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This study presents a 27-year-old patient who was found to have ACC of the lacrimal gland and was treated with surgical resection and adjuvant radiotherapy, came back with metastatic disease to the parotid gland and the lungs. This review explores the clinical, radiographic, and pathological characteristics of these uncommon malignant tumors, along with available treatment approaches.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf216","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T16:30:11Z","timestamp":1743438611000},"source":"Crossref","is-referenced-by-count":1,"title":["Metastatic adenoid cystic carcinoma of the lacrimal gland with parotid and pulmonary involvement: a rare case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Elias Edward","family":"Lahham","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology, Augusta Victoria Hospital , Martin Buber Jerusalem 9119101, East Jerusalem, Palestinian Authority ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana Abu","family":"Naji","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Main Campus, Abu Dis, PO Box 89 ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Diab","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Main Campus, Abu Dis, PO Box 89 ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harun","family":"Awadallah","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Main Campus, Abu Dis, PO Box 89 ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shorok","family":"Mahajna","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Main Campus, Abu Dis, PO Box 89 ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Dacca","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Main Campus, Abu Dis, PO Box 89 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