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Parotid Adenoid Cystic Carcinoma
Bronwyn E. Hamilton, MD
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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

                                          1. Hirvonen K et al: Pattern of recurrent disease in major salivary gland adenocystic carcinoma. Virchows Arch. 467(1):19-25, 2015
                                          2. Shen TK et al: Salivary gland cancer in BRCA-positive families: a retrospective review. JAMA Otolaryngol Head Neck Surg. 140(12):1213-7, 2014
                                          3. 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
                                          4. 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
                                          5. 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
                                          6. 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
                                          7. Maroldi R et al: Perineural tumor spread. Neuroimaging Clin N Am. 18(2):413-29, xi, 2008
                                          8. Dodd RL et al: Salivary gland adenoid cystic carcinoma: a review of chemotherapy and molecular therapies. Oral Oncol. 42(8):759-69, 2006
                                          9. Bradley PJ: Adenoid cystic carcinoma of the head and neck: a review. Curr Opin Otolaryngol Head Neck Surg. 12(2):127-32, 2004
                                          10. Kinoshita T et al: MR imaging findings of parotid tumors with pathologic diagnostic clues: a pictorial essay. Clin Imaging. 28(2):93-101, 2004
                                          11. 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
                                          12. Okahara M et al: Parotid tumors: MR imaging with pathological correlation. Eur Radiol. 13 Suppl 4:L25-33, 2003
                                          13. Harbo G et al: Prognostic indicators for malignant tumours of the parotid gland. Clin Otolaryngol. 27(6):512-6, 2002
                                          14. Kim KH et al: Adenoid cystic carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg. 120(7):721-6, 1994
                                          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 (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

                                                                                  1. Hirvonen K et al: Pattern of recurrent disease in major salivary gland adenocystic carcinoma. Virchows Arch. 467(1):19-25, 2015
                                                                                  2. Shen TK et al: Salivary gland cancer in BRCA-positive families: a retrospective review. JAMA Otolaryngol Head Neck Surg. 140(12):1213-7, 2014
                                                                                  3. 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
                                                                                  4. 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
                                                                                  5. 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
                                                                                  6. 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
                                                                                  7. Maroldi R et al: Perineural tumor spread. Neuroimaging Clin N Am. 18(2):413-29, xi, 2008
                                                                                  8. Dodd RL et al: Salivary gland adenoid cystic carcinoma: a review of chemotherapy and molecular therapies. Oral Oncol. 42(8):759-69, 2006
                                                                                  9. Bradley PJ: Adenoid cystic carcinoma of the head and neck: a review. Curr Opin Otolaryngol Head Neck Surg. 12(2):127-32, 2004
                                                                                  10. Kinoshita T et al: MR imaging findings of parotid tumors with pathologic diagnostic clues: a pictorial essay. Clin Imaging. 28(2):93-101, 2004
                                                                                  11. 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
                                                                                  12. Okahara M et al: Parotid tumors: MR imaging with pathological correlation. Eur Radiol. 13 Suppl 4:L25-33, 2003
                                                                                  13. Harbo G et al: Prognostic indicators for malignant tumours of the parotid gland. Clin Otolaryngol. 27(6):512-6, 2002
                                                                                  14. Kim KH et al: Adenoid cystic carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg. 120(7):721-6, 1994