Clinicopathological characteristics and perineural invasion in adenoid cystic carcinoma: a systematic review.

Autor: Dantas AN; Universidade Potiguar (UnP), Natal, RN, Brazil., Morais EF; Universidade Potiguar (UnP), Natal, RN, Brazil., Macedo RA; Universidade Potiguar (UnP), Natal, RN, Brazil., Tinôco JM; Universidade Potiguar (UnP), Natal, RN, Brazil. Electronic address: joao-tinoco@hotmail.com., Morais Mde L; Universidade Potiguar (UnP), Natal, RN, Brazil; Universidade do Estado do Rio Grande do Norte (UERN), Natal, RN, Brazil; Liga Norte-Riogradense contra o Câncer, Natal, RN, Brazil; Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil.
Jazyk: angličtina
Zdroj: Brazilian journal of otorhinolaryngology [Braz J Otorhinolaryngol] 2015 May-Jun; Vol. 81 (3), pp. 329-35. Date of Electronic Publication: 2015 Mar 30.
DOI: 10.1016/j.bjorl.2014.07.016
Abstrakt: Introduction: Adenoid cystic carcinoma is the most frequent malignant tumor of the submandibular gland and the minor salivary glands. It is a malignant neoplasm that, despite its slow growth, shows an unfavorable prognosis.
Objectives: The aim of this study was to perform a systematic review of the literature on Adenoid cystic carcinoma in the head and neck region and its clinicopathological characteristics, with emphasis on the perineural invasion capacity of the tumor.
Methods: A systematic search of articles published between January 2000 and January 2014 was performed in the PubMed/MEDLINE, SciELO, Science Direct, and Scopus databases.
Results: Nine articles were selected for this systematic review. These demonstrated that the female gender was more often affected and that malignant tumors showed a high rate of distant metastasis, recurrence, and a low survival rate. The presence of perineural invasion ranged from 29.4% to 62.5% and was associated with local tumor recurrence.
Conclusion: Adenoid cystic carcinoma is commonly characterized by the presence of pain, high rate of recurrence, metastasis, and a low survival rate. Reporting studies with patient follow-up is of utmost importance for a better clinical-pathological understanding and to improve the prognosis of this pathology.
(Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.)
Databáze: MEDLINE