SALIVARY GLAND CARCINOMAS IN CHILDREN AND ADOLESCENTS: A POPULATION-BASED STUDY, WITH COMPARISON TO ADULT CASES

被引:98
作者
Sultan, Iyad [1 ]
Rodriguez-Galindo, Carlos [2 ,3 ]
Al-Sharabati, Sereen [4 ]
Guzzo, Marco [5 ]
Casanova, Michela [6 ]
Ferrari, Andrea [6 ]
机构
[1] King Hussein Canc Ctr, Dept Pediat Oncol, Amman, Jordan
[2] Harvard Univ, Sch Med, Dana Farber Canc Inst, Dept Pediat Oncol, Boston, MA 02115 USA
[3] Harvard Univ, Childrens Hosp, Sch Med, Boston, MA 02115 USA
[4] Private Dent Clin, Amman, Jordan
[5] Ist Nazl Tumori, Otorhinolaryngol Unit, I-20133 Milan, Italy
[6] Ist Nazl Tumori, Pediat Oncol Unit, I-20133 Milan, Italy
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2011年 / 33卷 / 10期
关键词
salivary glands; carcinoma; children; adolescents; SEER; prognosis; MUCOEPIDERMOID CARCINOMA; TREP PROJECT; RARE TUMORS; NEOPLASMS; CHILDHOOD; EXPERIENCE; CLASSIFICATION; CANCER;
D O I
10.1002/hed.21629
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background. Salivary gland carcinomas are rare malignancies, particularly in young individuals in whom only scanty data are available from published studies. Methods. We searched the SEER database (1973-2006) for patients with a reported diagnosis of salivary gland carcinoma; children/adolescents (< 20 years old) were compared with adults. Results. We identified 263 children/adolescents (58% girls) and 12,571 adults (43% women). The most common histology was mucoepidermoid carcinoma in both groups, but the percentages of other histologies were different. Children/adolescents had more favorable features with most tumors being localized, with no extension to adjacent tissues or lymphatic spread (76% vs 50% in adults, p < .001). Also most tumors were well differentiated or moderately differentiated (88% vs 49% in adults, p < .001). The 5-year overall survival for children/adolescents was 95% +/- 1.5%, compared with 59% +/- 0.5% for adults (p < .001). Conclusion. When compared with adults, salivary gland carcinomas in children/adolescents are less advanced, and have more favorable features and better outcome. Head Neck 33: 1476-1481, 2011
引用
收藏
页码:1476 / 1481
页数:6
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