Individualized Homeopathic Management of Adenoid Cystic Carcinoma of the Nasal Cavity: A Long Term Follow up

Background: Adenoid cystic carcinoma (ACC) of the nasal cavity is an uncommon but locally aggressive malignancy with perineural spread and frequent late recurrence. Surgery followed by radiotherapy is considered standard, yet many patients experience persistent symptoms and impaired quality of life. Individualised homeopathic prescribing seeks to improve general health and symptom burden. Case Summary: A 55‑year‑old rural schoolteacher presented on 7 December 2021 with persistent epistaxis and maxillary pain despite completing surgery and radiotherapy for histologically confirmed ACC (cribriform type). He had weakness, dizziness, headaches (worse after banana), chronic hard stool with occasional rectal bleeding, flatulence, heartburn, aggravation after perspiration, and a marked tendency to take cold. Mentally he was optimistic yet irritable and intolerant of disorder. Totality of symptoms indicated Calcarea carbonica. Nux vomica 200C was used first to mitigate drug and radiation effects, followed by Calcarea carbonica in ascending potencies (200C → 1M → 10M → 50M) over long intervals; Carcinosin and Sulphur were used intercurrently. Acute needs were addressed with Ammonium carbonicum 200C (14 April 2024) and Carbo animalis 200C (10 April 2025). Results: Epistaxis ceased after Calcarea carbonica 200C (20 July 2022). Over almost four years the patient achieved stable improvement in general health, digestion, sleep, stamina and mood, with no return of severe nasal bleeding. As of 09 October 2025, he remained clinically well. Conclusion: This long‑term follow‑up suggests that individualised homeopathy, centred on Calcarea carbonica and supported by judicious intercurrents, may contribute to durable symptomatic improvement after conventional management of sinonasal ACC. Further systematic research is warranted.