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Adenoid Cystic Carcinoma of the Head and Neck? literature review

Pinakapani R

Adenoid cystic carcinoma (ACC) is a rare salivary gland malignant neoplasm. Clinically it represents as an indolent yet a persistent lesion, which shows propensity for late distant metastases, involving vital tissues often leading to the death of the patient. Its innoceous clinical presentation remains a diagnostic challenge. Till date surgery and radiotherapy still remain the main course of treatment. Despite advanced successful therapies these tumors are notoriously associated with loco regional recurrences. In contrast to other epithelial malignancies with poor prognosis, ACCs have a good five year survival rate. Nevertheless, overall survival rate drops after 5-year followup period. This review paper attempts understanding ACC – it’s clinical presentation, management and factors affecting prognosis.

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