Management of salivary gland adenoid cystic carcinoma: institutional experience of a case series

São Paulo Medical Journal = Revista Paulista De Medicina
Alfio José TincaniGilson Barreto

Abstract

Salivary gland tumor management requires long-term follow-up because of tumor indolence and possible late recurrence and distant metastasis. Adenoid cystic carcinoma (ACC) accounts for 10-15% of such tumors. The aim here was to evaluate surgical and clinical management, staging and follow-up of ACC patients in one academic institution. Retrospective study at Head and Neck Service, Universidade Estadual de Campinas. Data on 21 patients treated between 1993 and 2003 were reviewed. Management utilized clinical staging, histology and imaging. Major salivary gland tumor extent was routinely assessed by preoperative ultrasonography. Diagnosis, surgery type, margin type (negative/positive), postoperative radiotherapy and recurrence (presence/absence) were evaluated. There were eleven major salivary gland tumors (52.3%), seven submandibular and four parotid. Ten patients (47.7%) had minor salivary gland ACC (all in palate), while the submandibular was the most frequently affected major one. Diagnoses were mostly via fine-needle aspiration (FNA) and incision biopsy. Frozen sections were used for six patients. There was good ultrasound/FNA correlation. Sixteen (76%) had postoperative radiotherapy. One (4.7%) died from ACC and five now ha...Continue Reading

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Citations

Feb 18, 2014·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Kaustuv Das BiswasSirshak Dutta
May 18, 2011·Zhonghua zhong liu za zhi [Chinese journal of oncology]·Lei DongFeng Yang
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May 13, 2015·Brazilian Journal of Otorhinolaryngology·Afonso Nóbrega DantasMaria de Lourdes Silva de Arruda Morais
Dec 21, 2007·São Paulo Medical Journal = Revista Paulista De Medicina·André Del NegroAntônio Santos Martins
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Jul 14, 2016·Journal of Maxillofacial and Oral Surgery·R Keerthi, Abhishek Dutta

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