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Salivary duct carcinoma: Clinical characteristics and treatment strategies
Author(s) -
Guzzo Marco,
Palma Silvana Di,
Grandi Cesare,
Molinari Roberto
Publication year - 1997
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199703)19:2<126::aid-hed7>3.0.co;2-6
Subject(s) - medicine , neck dissection , stage (stratigraphy) , lymph node , head and neck , salivary gland , distant metastasis , parotid gland , radiation therapy , salivary duct carcinoma , lymphatic system , dissection (medical) , carcinoma , surgery , radiology , metastasis , pathology , cancer , paleontology , biology
Background Salivary duct carcinoma (SDC) is a highly malignant tumor of the salivary gland. Methods Twenty‐six cases observed during the period 1975 to 1994 were selected from the pathology archives of the Instituto Nazionale Tumori of Milan. A review of all the similar cases published in the literature and comparison with the present series was performed. Results SDC was mainly a parotid gland tumor diagnosed at an advanced stage. Lymphatic involvement seems to be related to T stage. Distant spread was evidently related to the presence of lymph node metastasis. Surgery with radiotherapy was the standard treatment. The only demonstrable negative prognostic factor was the presence of node metastases ( p = 0.01). Conclusions Most patients died of disseminated disease in spite of an aggressive and often successful local—regional treatment. The role of a prophylactic ipsilateral neck dissection and adjunctive systemic treatment should be investigated. © 1997 John Wiley & Sons, Inc. Head Neck 19 : 126–133, 1997.