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The patient ultimately underwent local excision but suffered a recurrence of disease less than 2\u2009months later despite chemotherapy. She passed away 15 months after excision due to complications associated with a small bowel obstruction and decompensated respiratory status from pulmonary metastases. While metastatic salivary ACC to the breast is rare, it is important to be able to distinguish metastatic salivary ACC to the breast from primary ACC of the breast as the treatment considerations for the two disease processes differ significantly.<\/jats:p>","DOI":"10.1136\/bcr-2017-223345","type":"journal-article","created":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T15:05:37Z","timestamp":1533135937000},"page":"bcr-2017-223345","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rare breast metastasis from adenoid cystic carcinoma of the submandibular gland"],"prefix":"10.1136","volume":"2018","author":[{"given":"Kate Buretta","family":"Krucoff","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronnie 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