Malignant salivary gland neoplasm arising in peripheral parotid ducts; 2nd most frequent parotid malignancy (after mucoepidermoid carcinoma)
IMAGING
General Features
CT Findings
MR 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
Selected References
Morassi M et al: Late intracranial metastasis from adenoid-cystic carcinoma of the parotid gland: Imaging, histologic and molecular features. Curr Probl Cancer. 100564, 2020
Bakst RL et al: Perineural invasion and perineural tumor spread in head and neck cancer. Int J Radiat Oncol Biol Phys. 103(5):1109-24, 2019
Has Simsek D et al: Radionuclide therapy With 177Lu-PSMA in a case of metastatic adenoid cystic carcinoma of the parotid. Clin Nucl Med. 44(9):764-6, 2019
Wu WL et al: Multiphase contrast-enhanced computed tomography imaging features of salivary duct carcinoma: differentiation from other salivary gland malignancies. Oral Surg Oral Med Oral Pathol Oral Radiol. 128(5):543-551, 2019
Bhardwaj M et al: Dedifferentiated adenoid cystic carcinoma ex pleomorphic adenoma of the parotid. J Cancer Res Ther. 14(3):706-708, 2018
ElBeltagi MN: Parotid adenoid cystic carcinoma: Retrospective single institute analysis. Am J Otolaryngol. 39(3):369, 2018
Matsusue E et al: Vanishing parotid tumors on MR imaging. Yonago Acta Med. 61(1):33-9, 2018
Shalley S et al: Diagnostic accuracy of fine needle aspiration cytology in lesions of oral cavity and salivary glands: A clinico-pathological study. Open Dent J. 12:782-90, 2018
Mannelli G et al: Parotid adenoid cystic carcinoma: Retrospective single institute analysis. Am J Otolaryngol. 38(4):394-400, 2017
Xia NG et al: Garcin syndrome caused by parotid gland adenoid cystic carcinoma: A case report. Medicine (Baltimore). 96(45):e8508, 2017
Das S et al: Adenoid Cystic Carcinoma of Accessory Parotid Gland: A Case Report. J Oral Maxillofac Surg. 74(5):1097.e1-5, 2016
Hirvonen K et al: Pattern of recurrent disease in major salivary gland adenocystic carcinoma. Virchows Arch. 467(1):19-25, 2015
Tartaglione T et al: Differential diagnosis of parotid gland tumours: which magnetic resonance findings should be taken in account? Acta Otorhinolaryngol Ital. 35(5):314-20, 2015
Shen TK et al: Salivary gland cancer in BRCA-positive families: a retrospective review. JAMA Otolaryngol Head Neck Surg. 140(12):1213-7, 2014
Ellington CL et al: Adenoid cystic carcinoma of the head and neck: incidence and survival trends based on 1973-2007 Surveillance, Epidemiology, and End Results data. Cancer. 118(18):4444-51, 2012
Min R et al: Salivary gland adenoid cystic carcinoma with cervical lymph node metastasis: a preliminary study of 62 cases. Int J Oral Maxillofac Surg. 41(8):952-7, 2012
Christe A et al: MR imaging of parotid tumors: typical lesion characteristics in MR imaging improve discrimination between benign and malignant disease. AJNR Am J Neuroradiol. 32(7):1202-7, 2011
Boukheris H et al: Incidence of carcinoma of the major salivary glands according to the WHO classification, 1992 to 2006: a population-based study in the United States. Cancer Epidemiol Biomarkers Prev. 18(11):2899-906, 2009
Maroldi R et al: Perineural tumor spread. Neuroimaging Clin N Am. 18(2):413-29, xi, 2008
Hanna E et al: The sensitivity and specificity of high-resolution imaging in evaluating perineural spread of adenoid cystic carcinoma to the skull base. Arch Otolaryngol Head Neck Surg. 133(6):541-5, 2007
Dodd RL et al: Salivary gland adenoid cystic carcinoma: a review of chemotherapy and molecular therapies. Oral Oncol. 42(8):759-69, 2006
Bradley PJ: Adenoid cystic carcinoma of the head and neck: a review. Curr Opin Otolaryngol Head Neck Surg. 12(2):127-32, 2004
Kinoshita T et al: MR imaging findings of parotid tumors with pathologic diagnostic clues: a pictorial essay. Clin Imaging. 28(2):93-101, 2004
Kokemueller H et al: Adenoid cystic carcinoma of the head and neck--a 20 years experience. Int J Oral Maxillofac Surg. 33(1):25-31, 2004
Okahara M et al: Parotid tumors: MR imaging with pathological correlation. Eur Radiol. 13 Suppl 4:L25-33, 2003
Harbo G et al: Prognostic indicators for malignant tumours of the parotid gland. Clin Otolaryngol. 27(6):512-6, 2002
Kim KH et al: Adenoid cystic carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg. 120(7):721-6, 1994
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References
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Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Adenoid cystic carcinoma (ACCa)
Synonyms
Previously called cylindroma
Definitions
Malignant salivary gland neoplasm arising in peripheral parotid ducts; 2nd most frequent parotid malignancy (after mucoepidermoid carcinoma)
IMAGING
General Features
CT Findings
MR 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
Selected References
Morassi M et al: Late intracranial metastasis from adenoid-cystic carcinoma of the parotid gland: Imaging, histologic and molecular features. Curr Probl Cancer. 100564, 2020
Bakst RL et al: Perineural invasion and perineural tumor spread in head and neck cancer. Int J Radiat Oncol Biol Phys. 103(5):1109-24, 2019
Has Simsek D et al: Radionuclide therapy With 177Lu-PSMA in a case of metastatic adenoid cystic carcinoma of the parotid. Clin Nucl Med. 44(9):764-6, 2019
Wu WL et al: Multiphase contrast-enhanced computed tomography imaging features of salivary duct carcinoma: differentiation from other salivary gland malignancies. Oral Surg Oral Med Oral Pathol Oral Radiol. 128(5):543-551, 2019
Bhardwaj M et al: Dedifferentiated adenoid cystic carcinoma ex pleomorphic adenoma of the parotid. J Cancer Res Ther. 14(3):706-708, 2018
ElBeltagi MN: Parotid adenoid cystic carcinoma: Retrospective single institute analysis. Am J Otolaryngol. 39(3):369, 2018
Matsusue E et al: Vanishing parotid tumors on MR imaging. Yonago Acta Med. 61(1):33-9, 2018
Shalley S et al: Diagnostic accuracy of fine needle aspiration cytology in lesions of oral cavity and salivary glands: A clinico-pathological study. Open Dent J. 12:782-90, 2018
Mannelli G et al: Parotid adenoid cystic carcinoma: Retrospective single institute analysis. Am J Otolaryngol. 38(4):394-400, 2017
Xia NG et al: Garcin syndrome caused by parotid gland adenoid cystic carcinoma: A case report. Medicine (Baltimore). 96(45):e8508, 2017
Das S et al: Adenoid Cystic Carcinoma of Accessory Parotid Gland: A Case Report. J Oral Maxillofac Surg. 74(5):1097.e1-5, 2016
Hirvonen K et al: Pattern of recurrent disease in major salivary gland adenocystic carcinoma. Virchows Arch. 467(1):19-25, 2015
Tartaglione T et al: Differential diagnosis of parotid gland tumours: which magnetic resonance findings should be taken in account? Acta Otorhinolaryngol Ital. 35(5):314-20, 2015
Shen TK et al: Salivary gland cancer in BRCA-positive families: a retrospective review. JAMA Otolaryngol Head Neck Surg. 140(12):1213-7, 2014
Ellington CL et al: Adenoid cystic carcinoma of the head and neck: incidence and survival trends based on 1973-2007 Surveillance, Epidemiology, and End Results data. Cancer. 118(18):4444-51, 2012
Min R et al: Salivary gland adenoid cystic carcinoma with cervical lymph node metastasis: a preliminary study of 62 cases. Int J Oral Maxillofac Surg. 41(8):952-7, 2012
Christe A et al: MR imaging of parotid tumors: typical lesion characteristics in MR imaging improve discrimination between benign and malignant disease. AJNR Am J Neuroradiol. 32(7):1202-7, 2011
Boukheris H et al: Incidence of carcinoma of the major salivary glands according to the WHO classification, 1992 to 2006: a population-based study in the United States. Cancer Epidemiol Biomarkers Prev. 18(11):2899-906, 2009
Maroldi R et al: Perineural tumor spread. Neuroimaging Clin N Am. 18(2):413-29, xi, 2008
Hanna E et al: The sensitivity and specificity of high-resolution imaging in evaluating perineural spread of adenoid cystic carcinoma to the skull base. Arch Otolaryngol Head Neck Surg. 133(6):541-5, 2007
Dodd RL et al: Salivary gland adenoid cystic carcinoma: a review of chemotherapy and molecular therapies. Oral Oncol. 42(8):759-69, 2006
Bradley PJ: Adenoid cystic carcinoma of the head and neck: a review. Curr Opin Otolaryngol Head Neck Surg. 12(2):127-32, 2004
Kinoshita T et al: MR imaging findings of parotid tumors with pathologic diagnostic clues: a pictorial essay. Clin Imaging. 28(2):93-101, 2004
Kokemueller H et al: Adenoid cystic carcinoma of the head and neck--a 20 years experience. Int J Oral Maxillofac Surg. 33(1):25-31, 2004
Okahara M et al: Parotid tumors: MR imaging with pathological correlation. Eur Radiol. 13 Suppl 4:L25-33, 2003
Harbo G et al: Prognostic indicators for malignant tumours of the parotid gland. Clin Otolaryngol. 27(6):512-6, 2002
Kim KH et al: Adenoid cystic carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg. 120(7):721-6, 1994
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