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Adenoid Cystic Carcinoma
Melissa Durand, MD; Wei Tse Yang, MBBS
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Adenoid cystic carcinoma (ACC)
            • Synonyms

              • Cylindroma, adenocystic basal cell carcinoma
            • Definitions

              • Rare malignant invasive breast tumor, indistinguishable from ACC found elsewhere, especially salivary glands

            IMAGING

            • General Features

              • Mammographic Findings

                • Ultrasonographic Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        Selected References

                                        1. Huang M et al: Breast adenoid cystic carcinoma: report of a case with emphasis on routine sonographic findings and shear wave elastography. J Med Ultrason (2001). 45(1):181-184, 2018
                                        2. Treitl D et al: Adenoid cystic carcinoma of the breast, 20 years of experience in a single center with review of literature. Breast Cancer. 25(1):28-33, 2018
                                        3. Sun JY et al: Adjuvant radiation therapy and survival for adenoid cystic carcinoma of the breast. Breast. 31:214-218, 2017
                                        4. Welsh JL et al: Is axillary surgery beneficial for patients with adenoid cystic carcinoma of the breast? J Surg Oncol. 116(6):690-695, 2017
                                        5. Tang W et al: Imaging manifestation of adenoid cystic carcinoma of the breast. J Comput Assist Tomogr. 39(4):523-30, 2015
                                        6. D'Alfonso TM et al: MYB-NFIB gene fusion in adenoid cystic carcinoma of the breast with special focus paid to the solid variant with basaloid features. Hum Pathol. 45(11):2270-80, 2014
                                        7. Kulkarni N et al: Rare breast cancer: 933 adenoid cystic carcinomas from the National Cancer Data Base. Ann Surg Oncol. 20(7):2236-41, 2013
                                        8. Ghabach B et al: Adenoid cystic carcinoma of the breast in the United States (1977 to 2006): a population-based cohort study. Breast Cancer Res. 12(4):R54, 2010
                                        9. Glazebrook KN et al: Adenoid cystic carcinoma of the breast. AJR Am J Roentgenol. 194(5):1391-6, 2010
                                        10. Law YM et al: Adenoid cystic carcinoma of the breast. Singapore Med J. 50(1):e8-11, 2009
                                        11. Persson M et al: Recurrent fusion of MYB and NFIB transcription factor genes in carcinomas of the breast and head and neck. Proc Natl Acad Sci U S A. 106(44):18740-4, 2009
                                        12. Youk JH et al: Recurrence of adenoid cystic carcinoma in the breast after lumpectomy and adjuvant therapy. J Ultrasound Med. 25(7):921-4, 2006
                                        13. Page DL: Adenoid cystic carcinoma of breast, a special histopathologic type with excellent prognosis. Breast Cancer Res Treat. 93(3):189-90, 2005
                                        14. Arpino G et al: Adenoid cystic carcinoma of the breast: molecular markers, treatment, and clinical outcome. Cancer. 94(8):2119-27, 2002
                                        15. Dinkel HP et al: Role of sonography in detecting recurrence in adenoid cystic carcinoma of the breast. AJR Am J Roentgenol. 173(2):497-8, 1999
                                        16. Santamaria G et al: Adenoid cystic carcinoma of the breast: mammographic appearance and pathologic correlation. AJR Am J Roentgenol. 171(6):1679-83, 1998
                                        17. Ro JY et al: Adenoid cystic carcinoma of the breast. Hum Pathol. 18(12):1276-81, 1987
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Adenoid cystic carcinoma (ACC)
                                                  • Synonyms

                                                    • Cylindroma, adenocystic basal cell carcinoma
                                                  • Definitions

                                                    • Rare malignant invasive breast tumor, indistinguishable from ACC found elsewhere, especially salivary glands

                                                  IMAGING

                                                  • General Features

                                                    • Mammographic Findings

                                                      • Ultrasonographic Findings

                                                        • MR Findings

                                                          • Nuclear Medicine Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              Selected References

                                                                              1. Huang M et al: Breast adenoid cystic carcinoma: report of a case with emphasis on routine sonographic findings and shear wave elastography. J Med Ultrason (2001). 45(1):181-184, 2018
                                                                              2. Treitl D et al: Adenoid cystic carcinoma of the breast, 20 years of experience in a single center with review of literature. Breast Cancer. 25(1):28-33, 2018
                                                                              3. Sun JY et al: Adjuvant radiation therapy and survival for adenoid cystic carcinoma of the breast. Breast. 31:214-218, 2017
                                                                              4. Welsh JL et al: Is axillary surgery beneficial for patients with adenoid cystic carcinoma of the breast? J Surg Oncol. 116(6):690-695, 2017
                                                                              5. Tang W et al: Imaging manifestation of adenoid cystic carcinoma of the breast. J Comput Assist Tomogr. 39(4):523-30, 2015
                                                                              6. D'Alfonso TM et al: MYB-NFIB gene fusion in adenoid cystic carcinoma of the breast with special focus paid to the solid variant with basaloid features. Hum Pathol. 45(11):2270-80, 2014
                                                                              7. Kulkarni N et al: Rare breast cancer: 933 adenoid cystic carcinomas from the National Cancer Data Base. Ann Surg Oncol. 20(7):2236-41, 2013
                                                                              8. Ghabach B et al: Adenoid cystic carcinoma of the breast in the United States (1977 to 2006): a population-based cohort study. Breast Cancer Res. 12(4):R54, 2010
                                                                              9. Glazebrook KN et al: Adenoid cystic carcinoma of the breast. AJR Am J Roentgenol. 194(5):1391-6, 2010
                                                                              10. Law YM et al: Adenoid cystic carcinoma of the breast. Singapore Med J. 50(1):e8-11, 2009
                                                                              11. Persson M et al: Recurrent fusion of MYB and NFIB transcription factor genes in carcinomas of the breast and head and neck. Proc Natl Acad Sci U S A. 106(44):18740-4, 2009
                                                                              12. Youk JH et al: Recurrence of adenoid cystic carcinoma in the breast after lumpectomy and adjuvant therapy. J Ultrasound Med. 25(7):921-4, 2006
                                                                              13. Page DL: Adenoid cystic carcinoma of breast, a special histopathologic type with excellent prognosis. Breast Cancer Res Treat. 93(3):189-90, 2005
                                                                              14. Arpino G et al: Adenoid cystic carcinoma of the breast: molecular markers, treatment, and clinical outcome. Cancer. 94(8):2119-27, 2002
                                                                              15. Dinkel HP et al: Role of sonography in detecting recurrence in adenoid cystic carcinoma of the breast. AJR Am J Roentgenol. 173(2):497-8, 1999
                                                                              16. Santamaria G et al: Adenoid cystic carcinoma of the breast: mammographic appearance and pathologic correlation. AJR Am J Roentgenol. 171(6):1679-83, 1998
                                                                              17. Ro JY et al: Adenoid cystic carcinoma of the breast. Hum Pathol. 18(12):1276-81, 1987