Journal
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
Volume 34, Issue 11, Pages 1665-1677Publisher
WILEY
DOI: 10.1002/hed.21849
Keywords
molecular; genetics; DNA; adenoid cystic carcinoma
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Funding
- National Institutes of Health [NIDCR K08-DE018463]
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Background Adenoid cystic carcinoma (ACC) is an unusual salivary gland malignancy that remains poorly understood. Standard treatment, including surgery with postoperative radiation therapy, has attained reasonable local control rates, but the propensity for distant metastases has limited any improvement in survival over time. Our understanding of the molecular mechanisms driving ACC is quite rudimentary, due to the infrequent nature of its occurrence. Methods An extensive literature review was performed on salivary gland ACCs and basic science research findings. Results This review highlights many findings that are emerging about the carcinogenesis of ACC including cytogenetics, tumor suppressor genes, oncogenes, epigenetic alterations, mitochondrial alterations, and biomarker studies. Conclusion Although there have been many discoveries, much still remains unknown about this rare malignancy. (C) 2011 Wiley Periodicals, Inc. Head Neck, 2011
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