Primary squamous cell carcinoma of major salivary gland: “Sapienza Head and Neck Unit” clinical recommendations

Primary squamous cell carcinoma of salivary gland (SCG) is an extremely rare type of malignant salivary gland tumor, which in turn results in scarcity of data available regarding both its treatment and associated genetic alterations. A retrospective analysis of 12 patients with primary SCG was condu...

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Main Authors: Silvia Mezi, Giulia Pomati, Andrea Botticelli, Francesca De Felice, Daniela Musio, Marco della Monaca, Sasan Amirhassankhani, Francesco Vullo, Bruna Cerbelli, Raffaella Carletti, Cira Di Gioia, Carlo Catalano, Valentino Valentini, Vincenzo Tombolini, Carlo Della Rocca, Paolo Marchetti
Format: Article
Language:English
Published: SAGE Publishing 2020-11-01
Series:Rare Tumors
Online Access:https://doi.org/10.1177/2036361320973526
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author Silvia Mezi
Giulia Pomati
Andrea Botticelli
Francesca De Felice
Daniela Musio
Marco della Monaca
Sasan Amirhassankhani
Francesco Vullo
Bruna Cerbelli
Raffaella Carletti
Cira Di Gioia
Carlo Catalano
Valentino Valentini
Vincenzo Tombolini
Carlo Della Rocca
Paolo Marchetti
author_facet Silvia Mezi
Giulia Pomati
Andrea Botticelli
Francesca De Felice
Daniela Musio
Marco della Monaca
Sasan Amirhassankhani
Francesco Vullo
Bruna Cerbelli
Raffaella Carletti
Cira Di Gioia
Carlo Catalano
Valentino Valentini
Vincenzo Tombolini
Carlo Della Rocca
Paolo Marchetti
author_sort Silvia Mezi
collection DOAJ
description Primary squamous cell carcinoma of salivary gland (SCG) is an extremely rare type of malignant salivary gland tumor, which in turn results in scarcity of data available regarding both its treatment and associated genetic alterations. A retrospective analysis of 12 patients with primary SCG was conducted, along with analysis of the association between treatment, clinical/pathological characteristics, and outcomes. Most patients (8) were staged IVa, with the majority of them (10) having G3 fast growing cancer. Local and systemic recurrence were reported in only three out of nine parotid cases (0 out of 2 submandibular SCGs). In two out of eight patients local relapse occurred after integrated treatment, while recurrence occurred in two out of three patients undergoing exclusive surgery. Five patients eventually died. Treatment of resectable disease must be aggressive and multimodal, with achievement of loco-regional control in order to reduce rate of recurrence and improve outcomes. Metastatic disease would require a therapeutic strategy tailored to the molecular profile in order to improve the currently disappointing results.
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spelling doaj.art-d14197239fd64c5a948b6def47e73d5d2022-12-21T22:00:46ZengSAGE PublishingRare Tumors2036-36132020-11-011210.1177/2036361320973526Primary squamous cell carcinoma of major salivary gland: “Sapienza Head and Neck Unit” clinical recommendationsSilvia Mezi0Giulia Pomati1Andrea Botticelli2Francesca De Felice3Daniela Musio4Marco della Monaca5Sasan Amirhassankhani6Francesco Vullo7Bruna Cerbelli8Raffaella Carletti9Cira Di Gioia10Carlo Catalano11Valentino Valentini12Vincenzo Tombolini13Carlo Della Rocca14Paolo Marchetti15Department of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Clinical and Molecular Medicine, “Sapienza” University of Rome, Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Odontostomatological and Maxillo-Facial Science “Sapienza” University of Rome, Rome, ItalyMSc Guy’s & St Thomas’ NHS Foundation Trust, London, UKDepartment of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Odontostomatological and Maxillo-Facial Science “Sapienza” University of Rome, Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, “Sapienza” University of Rome, Rome, ItalyDepartment of Medical-Surgical Sciences and Biotechnologies, “Sapienza” University of Rome, Latina, ItalyDepartment of Clinical and Molecular Medicine, “Sapienza” University of Rome, Rome, ItalyPrimary squamous cell carcinoma of salivary gland (SCG) is an extremely rare type of malignant salivary gland tumor, which in turn results in scarcity of data available regarding both its treatment and associated genetic alterations. A retrospective analysis of 12 patients with primary SCG was conducted, along with analysis of the association between treatment, clinical/pathological characteristics, and outcomes. Most patients (8) were staged IVa, with the majority of them (10) having G3 fast growing cancer. Local and systemic recurrence were reported in only three out of nine parotid cases (0 out of 2 submandibular SCGs). In two out of eight patients local relapse occurred after integrated treatment, while recurrence occurred in two out of three patients undergoing exclusive surgery. Five patients eventually died. Treatment of resectable disease must be aggressive and multimodal, with achievement of loco-regional control in order to reduce rate of recurrence and improve outcomes. Metastatic disease would require a therapeutic strategy tailored to the molecular profile in order to improve the currently disappointing results.https://doi.org/10.1177/2036361320973526
spellingShingle Silvia Mezi
Giulia Pomati
Andrea Botticelli
Francesca De Felice
Daniela Musio
Marco della Monaca
Sasan Amirhassankhani
Francesco Vullo
Bruna Cerbelli
Raffaella Carletti
Cira Di Gioia
Carlo Catalano
Valentino Valentini
Vincenzo Tombolini
Carlo Della Rocca
Paolo Marchetti
Primary squamous cell carcinoma of major salivary gland: “Sapienza Head and Neck Unit” clinical recommendations
Rare Tumors
title Primary squamous cell carcinoma of major salivary gland: “Sapienza Head and Neck Unit” clinical recommendations
title_full Primary squamous cell carcinoma of major salivary gland: “Sapienza Head and Neck Unit” clinical recommendations
title_fullStr Primary squamous cell carcinoma of major salivary gland: “Sapienza Head and Neck Unit” clinical recommendations
title_full_unstemmed Primary squamous cell carcinoma of major salivary gland: “Sapienza Head and Neck Unit” clinical recommendations
title_short Primary squamous cell carcinoma of major salivary gland: “Sapienza Head and Neck Unit” clinical recommendations
title_sort primary squamous cell carcinoma of major salivary gland sapienza head and neck unit clinical recommendations
url https://doi.org/10.1177/2036361320973526
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