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Oral Cavity Minor Salivary Gland Malignancy
Bronwyn E. Hamilton, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Oral cavity minor salivary gland malignancy (MSGM)
              • Definitions

                • Primary minor salivary gland malignancy
                  • Located in submucosa upper aerodigestive tract
                • Most common MSGM: Adenoid cystic carcinoma (ACCa) & mucoepidermoid carcinoma (MECa)

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              • Reporting Tips

                                                Selected References

                                                1. Aydil U et al: Neoplasms of the hard palate. J Oral Maxillofac Surg. 72(3):619-26, 2014
                                                2. Kato H et al: CT and MR imaging findings of palatal tumors. Eur J Radiol. 83(3):e137-46, 2014
                                                3. Kimple AJ et al: Polymorphous low-grade adenocarcinoma: a case series and determination of recurrence. Laryngoscope. 124(12):2714-9, 2014
                                                4. Chuiwa H et al: Minor salivary gland carcinomas of oral cavity and oropharynx. J Laryngol Otol Suppl. (31):52-7, 2009
                                                5. Dhanuthai K et al: A clinico-pathologic study of 311 intra-oral salivary gland tumors in Thais. J Oral Pathol Med. 38(6):495-500, 2009
                                                6. Mücke T et al: Advanced malignant minor salivary glands tumors of the oral cavity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 108(1):81-9, 2009
                                                7. Agarwal JP et al: Intraoral adenoid cystic carcinoma: prognostic factors and outcome. Oral Oncol. 44(10):986-93, 2008
                                                8. Lee YY et al: Imaging of salivary gland tumours. Eur J Radiol. 66(3):419-36, 2008
                                                9. Buchner A et al: Relative frequency of intra-oral minor salivary gland tumors: a study of 380 cases from northern California and comparison to reports from other parts of the world. J Oral Pathol Med. 36(4):207-14, 2007
                                                10. Pires FR et al: Intra-oral minor salivary gland tumors: a clinicopathological study of 546 cases. Oral Oncol. 43(5):463-70, 2007
                                                11. Wang D et al: Intraoral minor salivary gland tumors in a Chinese population: a retrospective study on 737 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 104(1):94-100, 2007
                                                12. Yih WY et al: Intraoral minor salivary gland neoplasms: review of 213 cases. J Oral Maxillofac Surg. 63(6):805-10, 2005
                                                13. Kolude B et al: Mucoepidermoid carcinoma of the oral cavity. J Natl Med Assoc. 93(5):178-84, 2001
                                                14. Lopes MA et al: A clinicopathologic study of 196 intraoral minor salivary gland tumours. J Oral Pathol Med. 28(6):264-7, 1999
                                                15. Jones AS et al: Tumours of the minor salivary glands. Clin Otolaryngol Allied Sci. 23(1):27-33, 1998
                                                16. Kurabayashi T et al: Differential diagnosis of tumours of the minor salivary glands of the palate by computed tomography. Dentomaxillofac Radiol. 26(1):16-21, 1997
                                                17. Parsons JT et al: Management of minor salivary gland carcinomas. Int J Radiat Oncol Biol Phys. 35(3):443-54, 1996
                                                18. Beckhardt RN et al: Minor salivary gland tumors of the palate: clinical and pathologic correlates of outcome. Laryngoscope. 105(11):1155-60, 1995
                                                19. Garden AS et al: Postoperative radiation therapy for malignant tumors of minor salivary glands. Outcome and patterns of failure. Cancer. 73(10):2563-9, 1994
                                                20. Sadeghi A et al: Minor salivary gland tumors of the head and neck: treatment strategies and prognosis. Am J Clin Oncol. 16(1):3-8, 1993
                                                21. Spiro RH et al: The importance of clinical staging of minor salivary gland carcinoma. Am J Surg. 162(4):330-6, 1991
                                                22. Weber RS et al: Minor salivary gland tumors of the lip and buccal mucosa. Laryngoscope. 99(1):6-9, 1989
                                                23. Ellis ER et al: The use of radiation therapy in the management of minor salivary gland tumors. Int J Radiat Oncol Biol Phys. 15(3):613-7, 1988
                                                24. Evans HL et al: Polymorphous low-grade adenocarcinoma of minor salivary glands. A study of 14 cases of a distinctive neoplasm. Cancer. 53(4):935-42, 1984
                                                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

                                                          • Diagnostic Checklist

                                                            TERMINOLOGY

                                                            • Abbreviations

                                                              • Oral cavity minor salivary gland malignancy (MSGM)
                                                            • Definitions

                                                              • Primary minor salivary gland malignancy
                                                                • Located in submucosa upper aerodigestive tract
                                                              • Most common MSGM: Adenoid cystic carcinoma (ACCa) & mucoepidermoid carcinoma (MECa)

                                                            IMAGING

                                                            • General Features

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Staging, Grading, & Classification

                                                                            • Gross Pathologic & Surgical Features

                                                                              • Microscopic Features

                                                                                CLINICAL ISSUES

                                                                                • Presentation

                                                                                  • Demographics

                                                                                    • Natural History & Prognosis

                                                                                      • Treatment

                                                                                        DIAGNOSTIC CHECKLIST

                                                                                        • Consider

                                                                                          • Image Interpretation Pearls

                                                                                            • Reporting Tips

                                                                                              Selected References

                                                                                              1. Aydil U et al: Neoplasms of the hard palate. J Oral Maxillofac Surg. 72(3):619-26, 2014
                                                                                              2. Kato H et al: CT and MR imaging findings of palatal tumors. Eur J Radiol. 83(3):e137-46, 2014
                                                                                              3. Kimple AJ et al: Polymorphous low-grade adenocarcinoma: a case series and determination of recurrence. Laryngoscope. 124(12):2714-9, 2014
                                                                                              4. Chuiwa H et al: Minor salivary gland carcinomas of oral cavity and oropharynx. J Laryngol Otol Suppl. (31):52-7, 2009
                                                                                              5. Dhanuthai K et al: A clinico-pathologic study of 311 intra-oral salivary gland tumors in Thais. J Oral Pathol Med. 38(6):495-500, 2009
                                                                                              6. Mücke T et al: Advanced malignant minor salivary glands tumors of the oral cavity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 108(1):81-9, 2009
                                                                                              7. Agarwal JP et al: Intraoral adenoid cystic carcinoma: prognostic factors and outcome. Oral Oncol. 44(10):986-93, 2008
                                                                                              8. Lee YY et al: Imaging of salivary gland tumours. Eur J Radiol. 66(3):419-36, 2008
                                                                                              9. Buchner A et al: Relative frequency of intra-oral minor salivary gland tumors: a study of 380 cases from northern California and comparison to reports from other parts of the world. J Oral Pathol Med. 36(4):207-14, 2007
                                                                                              10. Pires FR et al: Intra-oral minor salivary gland tumors: a clinicopathological study of 546 cases. Oral Oncol. 43(5):463-70, 2007
                                                                                              11. Wang D et al: Intraoral minor salivary gland tumors in a Chinese population: a retrospective study on 737 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 104(1):94-100, 2007
                                                                                              12. Yih WY et al: Intraoral minor salivary gland neoplasms: review of 213 cases. J Oral Maxillofac Surg. 63(6):805-10, 2005
                                                                                              13. Kolude B et al: Mucoepidermoid carcinoma of the oral cavity. J Natl Med Assoc. 93(5):178-84, 2001
                                                                                              14. Lopes MA et al: A clinicopathologic study of 196 intraoral minor salivary gland tumours. J Oral Pathol Med. 28(6):264-7, 1999
                                                                                              15. Jones AS et al: Tumours of the minor salivary glands. Clin Otolaryngol Allied Sci. 23(1):27-33, 1998
                                                                                              16. Kurabayashi T et al: Differential diagnosis of tumours of the minor salivary glands of the palate by computed tomography. Dentomaxillofac Radiol. 26(1):16-21, 1997
                                                                                              17. Parsons JT et al: Management of minor salivary gland carcinomas. Int J Radiat Oncol Biol Phys. 35(3):443-54, 1996
                                                                                              18. Beckhardt RN et al: Minor salivary gland tumors of the palate: clinical and pathologic correlates of outcome. Laryngoscope. 105(11):1155-60, 1995
                                                                                              19. Garden AS et al: Postoperative radiation therapy for malignant tumors of minor salivary glands. Outcome and patterns of failure. Cancer. 73(10):2563-9, 1994
                                                                                              20. Sadeghi A et al: Minor salivary gland tumors of the head and neck: treatment strategies and prognosis. Am J Clin Oncol. 16(1):3-8, 1993
                                                                                              21. Spiro RH et al: The importance of clinical staging of minor salivary gland carcinoma. Am J Surg. 162(4):330-6, 1991
                                                                                              22. Weber RS et al: Minor salivary gland tumors of the lip and buccal mucosa. Laryngoscope. 99(1):6-9, 1989
                                                                                              23. Ellis ER et al: The use of radiation therapy in the management of minor salivary gland tumors. Int J Radiat Oncol Biol Phys. 15(3):613-7, 1988
                                                                                              24. Evans HL et al: Polymorphous low-grade adenocarcinoma of minor salivary glands. A study of 14 cases of a distinctive neoplasm. Cancer. 53(4):935-42, 1984