Immunohistochemical findings in tubular pattern of adenoid cystic carcinoma affecting the palate: a pathological perspective

Authors

  • Nikita Kashyap Department of Oral and Maxillofacial Pathology, Post Graduate Institute of Dental Sciences and Research, Rohtak, Haryana, India
  • Aravindan S. Department of Oral and Maxillofacial Pathology, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India
  • Sudipta Rakshit Department of Oral and Maxillofacial Pathology, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India
  • Jay G. Ray Department of Oral and Maxillofacial Pathology, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20251338

Keywords:

Adenoid cystic carcinoma, CD-117, Palate, Perineural invasion, Tubular pattern

Abstract

Adenoid cystic carcinoma (ADCC) is a rare and aggressive epithelial neoplasm of the major and minor salivary glands. It affects 1% of all malignant neoplasms of the oral and maxillofacial region and 22% of all salivary gland malignancies. Most common site affected is palate followed by parotid region, tongue and floor of mouth. It is commonly seen in middle aged population with slight female predilection. Clinically, it is characterized by asymptomatic and slow growth with high propensity for local recurrence and distant metastasis. Diagnosis of ADCC is usually with the help of clinical features, radiographic features and histologic features. It is characterized by the proliferation of ductal (luminal) and myoepithelial cells showing 3 histopathological patterns i. e., cribriform, tubular and solid. We report a case of a 74-year-old male diagnosed with ADCC of the palate, focusing on the clinical presentation, histopathological features, and immunohistochemical profile.

Metrics

Metrics Loading ...

References

Dutta NN, Baruah R, Das L. Adenoid cystic carcinoma - Clinical presentation and cytological diagnosis. Indian J Otolaryngol Head Neck Surg. 2002;54(1):62-4. DOI: https://doi.org/10.1007/BF02911012

Dockerty MB, Mayo CW. Primary tumors of the submaxillary gland with special reference to mixed tumors. Surg Gynecol Obstet. 1942;74:1033-45.

Kim KH, Sung MW, Chung PS, Rhee CS, Park CI, Kim WH. Adenoid cystic carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg. 1994;120(7):721-6. DOI: https://doi.org/10.1001/archotol.1994.01880310027006

Khafif A, Anavi Y, Aviv J, Fienmesser R, Calderon S, Marshak G. Adenoid cystic carcinoma of the salivary glands: a 20-year review with long term follow-up. Ear Nose Throat J. 2005;84(10):662-7. DOI: https://doi.org/10.1177/014556130508401016

Luna-Ortiz K, Carmona-Luna T, Cano-Valdez AM, Mosqueda-Taylor A, Herrera-Gómez A, Villavicencio-Valencia V. Adenoid cystic carcinoma of the tongue–clinicopathological study and survival analysis. Head Neck Oncol. 2009;1(1):1-6. DOI: https://doi.org/10.1186/1758-3284-1-15

Karimi A, Parhiz A, Eslamiamirabadi N, Moradzadeh Khiavi M, Derakhshan S. Adenoid cystic carcinoma of buccal mucosa: A report of two rare cases and review of literature. Clin Case Rep. 2020;9(1):1-8. DOI: https://doi.org/10.1002/ccr3.3375

Pushpanjali M, Sujata DN, Subramanyam SB, Jyothsna M. Adenoid cystic carcinoma: An unusual presentation. J Oral Maxillofac Pathol. 2014;18(2):286-90. DOI: https://doi.org/10.4103/0973-029X.140796

Perzin KH, Gullane P, Conley J. Adenoid cystic carcinoma involving the external auditory canal. clinicopathologic study 16 cases. Cancer. 1982;50(12):2873-83. DOI: https://doi.org/10.1002/1097-0142(19821215)50:12<2873::AID-CNCR2820501230>3.0.CO;2-R

Silva FJ, Azevedo Junior JC, Ralph AC, Pinheiro JD, Calcagno DQ, Freitas VM. Salivary glands adenoid cystic carcinoma: a molecular profile update and potential implications. Front Oncol. 2023;13:1-4. DOI: https://doi.org/10.3389/fonc.2023.1191218

Seethala RR, Hunt JL, Baloch ZW, Livolsi VA, Leon Barnes E. Adenoid cystic carcinoma with high-grade transformation: a report of 11 cases and a review of the literature. Am J Surg Pathol. 2007;31(11):1683-94. DOI: https://doi.org/10.1097/PAS.0b013e3180dc928c

Andreadis D, Epivatianos A, Poulopoulos A, Nomikos A, Papazoglou G, Antoniades D, et al. Detection of c-kit (CD 117) molecule in benign and malignant salivary gland tumours. Oral Oncol. 2006;42(1):57-65. DOI: https://doi.org/10.1016/j.oraloncology.2005.06.014

Aslan DL, Oprea GM, Jagush SM, Gulbahce HE, Adams GL, Gaffney PM, et al. C-kit expression in adenoid cystic carcinoma does not have an impact on local or distant tumor recurrence. Head Neck. 2004;27(12):1028-34. DOI: https://doi.org/10.1002/hed.20306

Alcedo JC, Fabrega JM, Arosemena JR, Urrutia A. Imatinib mesylate as treatment for adenoid cystic carcinoma of the salivary glands: report of two successfully treated cases. Head Neck. 2004;26(9):829-31. DOI: https://doi.org/10.1002/hed.20094

WHO Classification of Tumours Editorial Board. Head and Neck Tumours. 5th ed. Lyon: IARC. 2023.

Bjørndal K, Krogdahl A, Therkildsen MH, Overgaard J, Johansen J, Kristensen CA, et al. Salivary gland carcinoma in Denmark 1990-2005: a national study of incidence, site and histology. Results of the Danish Head and Neck Cancer Group (DAHANCA). Oral Oncol. 2011;47(7):677-82. DOI: https://doi.org/10.1016/j.oraloncology.2011.04.020

Vander Poorten VL, Balm AJ, Hilgers FJ, Tan IB, Loftus-Coll BM, Keus RB, et al. Prognostic factors for long term results of the treatment of patients with malignant submandibular gland tumors. Cancer. 1999;85(10):2255-64. DOI: https://doi.org/10.1002/(SICI)1097-0142(19990515)85:10<2255::AID-CNCR22>3.0.CO;2-D

Azar T, Abdul-Karim FW, Tucker HM. Adenoid cystic carcinoma of the trachea. Laryngoscope 1998;108(9):1297-300. DOI: https://doi.org/10.1097/00005537-199809000-00006

Stell PM. Adenoid cystic carcinoma. Clin Otolaryngol Allied Sci. 1986;11(4):267-91. DOI: https://doi.org/10.1111/j.1365-2273.1986.tb01928.x

Yaga US, Gollamudi N, Mengji AK, Besta R, Panta P, Prakash B, et al. Adenoid cystic carcinoma of the palate: Case report and review of literature. Pan Afr Med J. 2016;24:106. DOI: https://doi.org/10.11604/pamj.2016.24.106.8596

Conley J, Dingman DL. Adenoid cystic carcinoma in the head and neck (cylindroma). Arch Otolaryngol. 1974;100(2):81-90. DOI: https://doi.org/10.1001/archotol.1974.00780040087001

Coca-Pelaz A, Rodrigo JP, Bradley PJ, Vander Poorten V, Triantafyllou A, Hunt JL, et al. Adenoid cystic carcinoma of the head and neck--An update. Oral Oncol. 2015;51(7):652-61. DOI: https://doi.org/10.1016/j.oraloncology.2015.04.005

Xia Y, He X. Adenoid cystic carcinoma with high-grade transformation. Pathology. 2024;56(1):136-8. DOI: https://doi.org/10.1016/j.pathol.2023.06.012

Downloads

Published

2025-04-29

How to Cite

Kashyap, N., S., A., Rakshit, S., & Ray, J. G. (2025). Immunohistochemical findings in tubular pattern of adenoid cystic carcinoma affecting the palate: a pathological perspective. International Journal of Research in Medical Sciences, 13(5), 2207–2210. https://doi.org/10.18203/2320-6012.ijrms20251338

Issue

Section

Case Reports