A middle aged man with adenoid cystic lung carcinoma: not every dyspnoea is the novel coronavirus, even during a pandemic

Background:A middle-aged gentleman presenting with dyspnoea was presumptively assumed to be a novel coronavirus suspect Findings:Nasopharyngeal and oropharyngeal swabs were reported negative, and clinico-radiological workup revealed a case of adenoid cystic carcinoma (ACC) of the lung with metastases to the contralateral lung and the lumbar vertebrae Conclusion:ACC is a rare malignancy of exocrine glands Most commonly found in the minor salivary glands, they may rarely occur in other sites Primary ACC of the lung is a rare histologic subtype that is encountered infrequently in clinical practice for which standard guidelines do not exist © The Author(s), 2020 Published by Cambridge University Press