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Polymorphous adenocarcinoma of the salivary glands: reappraisal and update
V. Vander Poorten, A. Triantafyllou, A. Skálová, G. Stenman, JA. Bishop, E. Hauben, JL. Hunt, H. Hellquist, S. Feys, R. De Bree, AA. Mäkitie, M. Quer, P. Strojan, O. Guntinas-Lichius, A. Rinaldo, A. Ferlito,
Language English Country Germany
Document type Journal Article, Review
- MeSH
- Adenocarcinoma pathology surgery therapy MeSH
- Humans MeSH
- Salivary Glands, Minor * MeSH
- Salivary Gland Neoplasms pathology therapy MeSH
- Prognosis MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
Although relatively rare, polymorphous adenocarcinoma (PAC) is likely the second most common malignancy of the minor salivary glands (MiSG). The diagnosis is mainly based on an incisional biopsy. The optimal treatment comprises wide surgical excision, often with adjuvant radiotherapy. In general, PAC has a good prognosis. Previously, PAC was referred to as polymorphous low-grade adenocarcinoma (PLGA), but the new WHO classification of salivary gland tumours has also included under the PAC subheading, the so-called cribriform adenocarcinoma of minor salivary glands (CAMSG). This approach raised controversy, predominantly because of possible differences in clinical behaviour. For example, PLGA (PAC, classical variant) only rarely metastasizes, whereas CAMSG often shows metastases to the neck lymph nodes. Given the controversy, this review reappraises the definition, epidemiology, clinical presentation, diagnostic work-up, genetics, treatment modalities, and prognosis of PAC of the salivary glands with a particular focus on contrasting differences with CAMSG.
Department of Imaging and Pathology University Hospitals Leuven KU Leuven Leuven Belgium
Department of Pathology University of Arkansas for Medical Sciences Little Rock AR USA
Department of Pathology University of Texas Southwestern Medical Center Dallas TX USA
Department of Radiation Oncology Institute of Oncology Ljubljana Slovenia
References provided by Crossref.org
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- $a Vander Poorten, Vincent $u Department of Oncology-Section Head and Neck Oncology, Otorhinolaryngology-Head and Neck Surgery and Leuven Cancer Institute, University Hospitals Leuven, KU Leuven, Leuven, Belgium. vincent.vanderpoorten@uzleuven.be. Multidisciplinary Salivary Gland Society, Geneva, Switzerland. vincent.vanderpoorten@uzleuven.be.
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