Adenoid cystic carcinoma of the parotid gland often recurs locally, or
metastases develop, after initial treatment with surgery and radiothe
rapy. We report a patient with an inoperable local recurrence of previ
ously irradiated adenoid cystic carcinoma, who was treated with tamoxi
fen, an oestrogen receptor antagonist. After 18 months of treatment wi
th tamoxifen, MRI showed a partial response, and further clinical prog
ression of the disease was halted.