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Adenoid Cystic Carcinoma Head and Neck Cancer Parotidectomy Patient Stories Surgery Treatments

The Power of Holly’s Self-Advocacy in Rare Cancer Detection

Holly A., Adenoid Cystic Carcinoma, Stage 1

Symptom: Persistent jaw pain
Treatment: Surgeries: two parotidectomies (second with intraoperative ultrasound guidance)

The Power of Holly’s Self-Advocacy in Rare Cancer Detection

When Holly started feeling a nagging pressure in her jaw back in 2021, she never imagined it would lead to a diagnosis of stage 1 adenoid cystic carcinoma. The pain was subtle at first, almost like a pinch, but persistent. Like many, she turned to Google. She initially suspected a temporomandibular joint (TMJ) disorder and saw her dentist, but he said it wasn’t and thought it was stiff muscles or tension.

Due to Holly’s history of vertigo and dizziness, she saw her ENT. After a thorough exam, he said it didn’t seem to be anything to worry about. He offered to do a CT scan, but Holly thought it might be an inner ear issue, so she didn’t pursue that path. She even went to see a rheumatologist in case it was an autoimmune issue.

Interviewed by: Nikki Murphy
Edited by: Katrina Villareal

Holly knew something wasn’t right. Her inner voice kept nudging her, so she continued pushing for answers. The rheumatologist suggested that she see a maxillofacial surgeon, who ordered an MRI, revealing a 0.5 mm mass in her parotid gland.

The mass was originally thought of as a lymph node, but Holly pressed forward. She found a specialist who finally offered a needle biopsy, a decision that changed everything. The pathology report came back with the official diagnosis of stage 1 adenoid cystic carcinoma. The news felt overwhelming. Holly had never heard of this rare cancer before.

Holly A. adenoid cystic carcinoma

Researching online only amplified her fears. What stood out most wasn’t the medical terminology, but the realization that many people discover this disease far too late. Holly caught it early, which her surgeon said was almost unheard of, especially given the tumor’s minuscule size.

Surgery followed, but the first attempt missed the tumor. Undeterred, Holly advocated for a second surgery with an ultrasound used in real-time. It worked. The tumor was finally removed and margins were clear.

Because it was stage 1 adenoid cystic carcinoma, her team decided against radiation due to the clean surgical outcome and the harsh side effects of facial radiation. Instead, they began a rigorous scan schedule. She now gets checked every six months, and so far, everything’s been clear.

Through her entire experience, Holly emphasizes one powerful message: self-advocacy is everything. She was persistent. She didn’t doubt the professionals, but she trusted herself, too. Her story is a powerful reminder that knowing your body, trusting your instincts, and refusing to settle for vague answers can make all the difference, especially with a rare diagnosis like stage 1 adenoid cystic carcinoma.

Today, Holly works full-time, volunteers, and spends every possible moment with the people she loves. She’s not taking anything for granted. Her gratitude is real, her perspective is grounded, and her story might just empower someone else to speak up — and speak out — when something feels off.

Watch the full video of Holly’s interview to find out more about her story:

  • What to do when every doctor says wait and see, but your gut says to keep pushing.
  • How Holly spotted stage 1 adenoid cystic carcinoma before anyone else even suspected cancer.
  • Why she chose to skip radiation and what gave her the confidence to say no.
  • What convinced her to keep advocating when the scans looked “normal.”

  • Name: Holly A.
  • Age at Diagnosis:
    • 49
  • Diagnosis:
    • Adenoid Cystic Carcinoma
  • Staging:
    • Stage 1
  • Symptom:
    • Persistent jaw pain
  • Treatment:
    • Surgeries: two parotidectomies (second with intraoperative ultrasound guidance)
Holly A. adenoid cystic carcinoma
Holly A. adenoid cystic carcinoma
Holly A. adenoid cystic carcinoma
Holly A. adenoid cystic carcinoma
Holly A. adenoid cystic carcinoma
Holly A. adenoid cystic carcinoma
Holly A. adenoid cystic carcinoma

This interview has been edited for clarity. This is not medical advice. Please consult with your healthcare provider to make treatment decisions.


Holly A. adenoid cystic carcinoma
Thank you for sharing your story, Holly!

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