Primary Pulmonary Adenoid Cystic Carcinoma with Lumbar Vertebral Metastasis: Response to Gefitinib.

Primary adenoid cystic carcinoma of lungs with vertebral metastases at presentation is a rare entity with very few treatment options. We report a case of 78-year old non-smoker female who was investigated for low backache and found to have adenoid cystic carcinoma of right lung with lumbar vertebral metastasis. She refused palliative radiation therapy to lumbar spine because of her inability to move and severe pain. She received oral gefitinib and reported remarkable relief in symptoms.