Clinicopathologic characterization of secretory carcinoma of salivary gland.


Journal

World journal of surgical oncology
ISSN: 1477-7819
Titre abrégé: World J Surg Oncol
Pays: England
ID NLM: 101170544

Informations de publication

Date de publication:
25 Oct 2024
Historique:
received: 29 07 2024
accepted: 16 10 2024
medline: 26 10 2024
pubmed: 26 10 2024
entrez: 25 10 2024
Statut: epublish

Résumé

To investigate the clinicopathologic characteristics, therapeutic methods, and prognosis of secretory carcinoma of salivary gland (SCSG). The clinicopathologic data of 13 patients with SCSG admitted to Shanxi Cancer Hospital from January 2018 to June 2023 were retrospectively analyzed, and a literature review was performed. A total of eight males and five females aged 22-78 years old were enrolled, and they commonly presented with painless masses in the parotid or submandibular gland. They all underwent surgical treatment, accompanied by typical pathological examinations postoperatively. Fluorescence in situ hybridization (FISH) was conducted in seven cases, the results were all positive, and no gene fusion other than ETV6-NTRK3 was found. Two patients developed local relapse during follow-up, both of which were in the surgical area. By the end of the follow-up, 12 patients survived and one patient died. SCSG is a rare low-grade malignancy with a good prognosis. Pathological and immunohistochemical characteristics are the key to secretory carcinoma (SC) diagnosis, and surgical excision is the major treatment means for SCSG. Whether to perform simultaneous cervical lymph node dissection and other adjuvant therapies should be determined based on the pathological stage and the presence or absence of high-risk factors.

Sections du résumé

BACKGROUND BACKGROUND
To investigate the clinicopathologic characteristics, therapeutic methods, and prognosis of secretory carcinoma of salivary gland (SCSG).
METHODS METHODS
The clinicopathologic data of 13 patients with SCSG admitted to Shanxi Cancer Hospital from January 2018 to June 2023 were retrospectively analyzed, and a literature review was performed.
RESULTS RESULTS
A total of eight males and five females aged 22-78 years old were enrolled, and they commonly presented with painless masses in the parotid or submandibular gland. They all underwent surgical treatment, accompanied by typical pathological examinations postoperatively. Fluorescence in situ hybridization (FISH) was conducted in seven cases, the results were all positive, and no gene fusion other than ETV6-NTRK3 was found. Two patients developed local relapse during follow-up, both of which were in the surgical area. By the end of the follow-up, 12 patients survived and one patient died.
CONCLUSIONS CONCLUSIONS
SCSG is a rare low-grade malignancy with a good prognosis. Pathological and immunohistochemical characteristics are the key to secretory carcinoma (SC) diagnosis, and surgical excision is the major treatment means for SCSG. Whether to perform simultaneous cervical lymph node dissection and other adjuvant therapies should be determined based on the pathological stage and the presence or absence of high-risk factors.

Identifiants

pubmed: 39456022
doi: 10.1186/s12957-024-03561-9
pii: 10.1186/s12957-024-03561-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

282

Informations de copyright

© 2024. The Author(s).

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Auteurs

Fei Han (F)

First Clinical Medical School, Shanxi Medical University, Taiyuan, 030001, China.
Department of Head and Neck Surgery, Shanxi Hospital Affiliated to Cancer Hospital, Shanxi Provincial Cancer Hospital, Chinese Academy of Medical Sciences/Cancer HospitalAffiliated to Shanxi Medical University, Taiyuan, 031000, Shanxi Province, China.

Feng Liu (F)

Department of Head and Neck Surgery, Shanxi Hospital Affiliated to Cancer Hospital, Shanxi Provincial Cancer Hospital, Chinese Academy of Medical Sciences/Cancer HospitalAffiliated to Shanxi Medical University, Taiyuan, 031000, Shanxi Province, China.

Hao Wang (H)

First Clinical Medical School, Shanxi Medical University, Taiyuan, 030001, China.

Yanchao Qin (Y)

Department of Head and Neck Surgery, Shanxi Hospital Affiliated to Cancer Hospital, Shanxi Provincial Cancer Hospital, Chinese Academy of Medical Sciences/Cancer HospitalAffiliated to Shanxi Medical University, Taiyuan, 031000, Shanxi Province, China.

Qian Lu (Q)

Second Clinical Medical School, Shanxi Medical University, Taiyuan, 030001, China.

Xuesong Wu (X)

Department of Head and Neck Surgery, Shanxi Hospital Affiliated to Cancer Hospital, Shanxi Provincial Cancer Hospital, Chinese Academy of Medical Sciences/Cancer HospitalAffiliated to Shanxi Medical University, Taiyuan, 031000, Shanxi Province, China.

Zhen Guo (Z)

Department of Head and Neck Surgery, Shanxi Hospital Affiliated to Cancer Hospital, Shanxi Provincial Cancer Hospital, Chinese Academy of Medical Sciences/Cancer HospitalAffiliated to Shanxi Medical University, Taiyuan, 031000, Shanxi Province, China.

Xinrong Nan (X)

Department of Oral and Maxillofacial Surgery, First Hospital of Shanxi Medical University, No. 56 Jiefang South Road, Taiyuan, 030001, Shanxi Province, China. xr_nan@sina.com.

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