Management Of Salivary Gland Adenoid Cystic Carcinoma: Institutional Experience Of A Case Series.

dc.creatorTincani, Alfio José
dc.creatorDel Negro, André
dc.creatorAraújo, Priscila Pereira Costa
dc.creatorAkashi, Hugo Kenzo
dc.creatorMartins, Antonio Santos
dc.creatorAltemani, Albina Milani
dc.creatorBarreto, Gilson
dc.date2006-Jan
dc.date2015-11-27T13:05:19Z
dc.date2015-11-27T13:05:19Z
dc.date.accessioned2018-03-29T01:02:34Z
dc.date.available2018-03-29T01:02:34Z
dc.identifierSão Paulo Medical Journal = Revista Paulista De Medicina. v. 124, n. 1, p. 26-30, 2006-Jan.
dc.identifier1516-3180
dc.identifier/S1516-31802006000100006
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/16612459
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/196712
dc.identifier16612459
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1296945
dc.descriptionSalivary 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 have recurrent disease: three (14.2%) locoregional and two (9.5%) distant metastases. Adenoid cystic carcinoma has locally aggressive behavior. In 21 cases, of ACC, the facial nerve was preserved in all except in the few with gross tumor involvement. Treatment was defined from physical examination, imaging, staging and histology.
dc.description124
dc.description26-30
dc.languageeng
dc.relationSão Paulo Medical Journal = Revista Paulista De Medicina
dc.relationSao Paulo Med J
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectAged
dc.subjectBiopsy, Fine-needle
dc.subjectCarcinoma, Adenoid Cystic
dc.subjectFemale
dc.subjectHospitals, Teaching
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectNeoplasm Invasiveness
dc.subjectNeoplasm Staging
dc.subjectRetrospective Studies
dc.subjectSalivary Gland Neoplasms
dc.titleManagement Of Salivary Gland Adenoid Cystic Carcinoma: Institutional Experience Of A Case Series.
dc.typeArtículos de revistas


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