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Review
. 2019 Jan-Mar;9(1):96-110.
doi: 10.1016/j.jobcr.2018.11.003. Epub 2018 Nov 25.

Low-grade intraductal carcinoma of salivary glands: A systematic review of this rare entity

Affiliations
Review

Low-grade intraductal carcinoma of salivary glands: A systematic review of this rare entity

Francesco Giovacchini et al. J Oral Biol Craniofac Res. 2019 Jan-Mar.

Abstract

Background: Low-grade intraductal carcinomas are rare, malign tumors of salivary glands most commonly affecting parotid gland. It is a slow-growing tumor considered with a favourable prognosis after surgical excision.

Methods: To define the characteristics and management of low-grade intraductal carcinoma a systematic review was performed using the electronic databases Pubmed, Cochrane and Scopus. A new case report was also described.

Results: Including this case the review of literature identified only 54 cases reported thus far. Demographics, clinical presentation, diagnostic tools, treatment, follow-up and recurrence rate, histological and immunohistochemical patterns of this kind of tumor were summarized.

Conclusion: Low-grade intraductal carcinoma has already been well defined but is important to focus on the fact that in few cases component of high-grade infiltrations have been reported: this may modify surgical approach because a simple tumorectomy may not be enough.

Keywords: Low-grade cribriform cystadenocarcinoma; Low-grade intraductal carcinoma; Low-grade salivary duct carcinoma; Salivary glands tumor; Systematic review.

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Figures

Fig. 1
Fig. 1
a–d: low-grade intraductal carcinoma; e–f: intradermal infiltrating carcinoma, NOS; a. H&E; b p63; c Cytokeratin 14; d S100; e H&E; f Cytokeratin pool (CK5/6/8/18). Original Magnification ×20 (a, b, c, d), ×4 (e, f).
Fig. 2
Fig. 2
PRISMA flow chart of included studies.

References

    1. Seethala R.R., Stenman G. Update from the 4th edition of the world health organization classification of Head and neck tumours: tumors of the salivary gland. Head Neck Pathol. 2017;11:55–67. - PMC - PubMed
    1. Delgado R., Klimstra D., Albores-Saavedra J. Low grade salivary duct carcinoma. A distinctive variant with a low grade histology and a predominant intraductal growth pattern. Cancer. 1996;78:958–967. - PubMed
    1. Brandwein-Gensler M., Wei S. Envisioning the next WHO Head and neck classification. Head Neck Pathol. 2014;8:1–15. - PMC - PubMed
    1. Brandwein-Gensler M., Hille J., Wang B.Y. Low-grade salivary duct carcinoma: description of 16 cases. Am J Surg Pathol. 2004;28:1040–1044. - PubMed
    1. Kusafuka K., Itoh H., Sugiyama C., Nakajima T. Low-grade salivary duct carcinoma of the parotid gland: report of a case with immunohistochemical analysis. Med Mol Morphol. 2010;43:178–184. - PubMed