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Kirschnick LB, Silveira FM, Schuch LF, Vasconcelos ACU, Gomes AP, Santos JND, Santana DA, Fonseca FP, Mesquita RA, Mendonça EFD, Sousa-Neto SS, Pontes HAR, Robinson L, Heerden WV, Carlos-Bregni R, Tager EMJR, Silva LCD, Zanella VG, Rivero LF, Bittencourt R, Martins MAT, Lopes MA, Wagner VP, Vargas PA, Martins MD. Acinic cell carcinoma of the oral and maxillofacial region: an international multicenter study. Braz Oral Res 2023; 37:e050. [PMID: 37255070 DOI: 10.1590/1807-3107bor-2023.vol37.0050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 12/12/2022] [Indexed: 06/01/2023] Open
Abstract
The aim of this study was to describe the prevalence, clinicopathological, and prognostic features of acinic cell carcinoma (AciCC) of the oral and maxillofacial region. AciCC cases were retrospectively retrieved from 11 pathology centers of three different countries. Medical records were examined to extract demographic, clinical, pathologic, and follow-up information. A total of 75 cases were included. Females (65.33%) with a mean age of 45.51 years were mostly affected. The lesions usually presented as an asymptomatic (64.28%) nodule (95.66%) in the parotid gland (70.68%). The association of two histopathological patterns was the most common finding (48.93%) and the tumors presented mainly conventional histopathological grades (86.11%). Surgical treatment was performed in the majority of the cases (59.19%). Local recurrence was observed in 20% of the informed cases, regional metastasis in 30.43%, and distant metastasis in 12.50%. The statistical analysis showed that the cases with a solid histopathological pattern (p=0.01), high-grade transformation (p=0.008), recurrence (p=0.007), and regional metastasis (p=0.03) were associated with poor survival. In conclusion, high histopathological transformation, presence of nodal metastasis, and recurrence were prognostic factors for AciCC of the oral and maxillofacial region.
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Affiliation(s)
- Laura Borges Kirschnick
- Universidade Estadual de Campinas - UNICAMP, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Felipe Martins Silveira
- Universidad de la República - UDELAR, School of Dentistry, Division of Molecular Pathology, Montevideo, Uruguay
| | - Lauren Frenzel Schuch
- Universidade Estadual de Campinas - UNICAMP, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | | | - Ana Paula Gomes
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Diagnostic Center for Oral Diseases, Pelotas, RS, Brazil
| | - Jean Nunes Dos Santos
- Universidade Federal da Bahia - UFBA, School of Dentistry, Department of Pathology, Graduate Program in Dentistry and Health, Salvador, BA, Brazil
| | - Dandara Andrade Santana
- Universidade Federal da Bahia - UFBA, School of Dentistry, Department of Pathology, Graduate Program in Dentistry and Health, Salvador, BA, Brazil
| | - Felipe Paiva Fonseca
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Oral Surgery and Pathology, Belo Horizonte, MG, Brazil
| | - Ricardo Alves Mesquita
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Oral Surgery and Pathology, Belo Horizonte, MG, Brazil
| | | | | | - Hélder Antônio Rebelo Pontes
- Universidade Federal do Pará - UFPA, João de Barros Barreto University Hospital, Department of Oral Pathology, Belém, PA, Brazil
| | - Liam Robinson
- University of Pretoria - UP, School of Dentistry, Department of Oral Pathology and Oral Biology, Pretoria, South Africa
| | - Willie van Heerden
- University of Pretoria - UP, School of Dentistry, Department of Oral Pathology and Oral Biology, Pretoria, South Africa
| | - Román Carlos-Bregni
- Clinical Center of Head and Neck/Hospital Herrera Llerandi, Division of Pathology, Guatemala City, Guatemala
| | | | - Luan César da Silva
- Universidade Estadual de Campinas - UNICAMP, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Virgílio Gonzales Zanella
- Santa Casa de Misericórdia de Porto Alegre, Santa Rita Hospital, Department of Head and Neck Surgery, Porto Alegre, RS, Brazil
| | - Luis Fernando Rivero
- Universidade Federal do Rio Grande do Sul - UFRGS, Faculty of Medicine, Department of Pathology, Porto Alegre, RS, Brazil
| | - Raquel Bittencourt
- Universidade Federal do Rio Grande do Sul - UFRGS, Faculty of Medicine, Department of Pathology, Porto Alegre, RS, Brazil
| | - Marco Antonio Trevizani Martins
- Universidade Federal do Rio Grande do Sul - UFRGS, Hospital de Clínicas de Porto Alegre, Department of Oral Medicine, Porto Alegre, RS, Brazil
| | - Márcio Ajudarte Lopes
- Universidade Estadual de Campinas - UNICAMP, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Vivian Petersen Wagner
- University of Sheffield, Academic Unit of Oral and Maxillofacial Medicine and Pathology, Department of Clinical Dentistry, Sheffield, UK
| | - Pablo Agustin Vargas
- Universidade Estadual de Campinas - UNICAMP, Piracicaba Dental School, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Manoela Domingues Martins
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Oral Pathology, Porto Alegre, RS, Brazil
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Kirschnick LB, Silveira FM, Schuch LF, Fonseca FP, Martins MAT, Lopes MA, Santos-Silva AR, Carrard VC, Dos Santos JN, Vargas PA, Wagner VP, Martins MD. Clinicopathological analysis of oral and maxillofacial acinic cell carcinoma: A systematic review. J Oral Pathol Med 2021; 50:741-749. [PMID: 33455041 DOI: 10.1111/jop.13159] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 01/13/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND The aim of the present systematic review was to analyze the available data regarding acinic cell carcinoma of the oral and maxillofacial region. METHODS A search strategy was performed using PubMed, Web of Science, Scopus, and Embase electronic databases. RESULTS Available data revealed a slight female preference (54.73%) and a mean age at diagnosis of 47.51 ± 19.85 years. The parotid glands (67.72%) were most frequently affected, and most cases were asymptomatic (69.54%). A microcystic histopathological pattern was reported in 21.56% of the cases, and the Periodic acid-Schiff was the staining method most frequently used, after the hematoxylin and eosin staining, in the tumors analyzed. The lesions were mainly treated by surgical removal (72.32%). Recurrence was reported in 81 cases (27.83%) and metastasis in 100 (42.91%). Statistical data analysis revealed that tumors located in major salivary glands and exhibiting high-grade histology were associated with local recurrence (P = .01). In addition, the patients older than 57 years, lesions with bone involvement, the high-grade tumors and the cases with a history of recurrence and metastasis were associated with a lower overall survival (P < .05). CONCLUSION By assembling all eligible cases in the literature, the present systematic review determined the most common clinicopathological profile of acinic cell carcinoma and the most relevant prognostic factors in a distinctly representative sample. The survey demonstrated the importance of considering the histopathological grading in order to better define the treatment for each case.
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Affiliation(s)
- Laura Borges Kirschnick
- Oral Diagnosis Department, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Felipe Martins Silveira
- Oral Diagnosis Department, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Lauren Frenzel Schuch
- Oral Diagnosis Department, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Felipe Paiva Fonseca
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | | | - Márcio Ajudarte Lopes
- Oral Diagnosis Department, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Alan Roger Santos-Silva
- Oral Diagnosis Department, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Vinicius Coelho Carrard
- Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Jean Nunes Dos Santos
- Department of Pathology, Postgraduate Program in Dentistry and Health, School of Dentistry, Universidade Federal da Bahia, Salvador, BA, Brazil
| | - Pablo Agustin Vargas
- Oral Diagnosis Department, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Vivian Petersen Wagner
- Oral Diagnosis Department, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil.,Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Manoela Domingues Martins
- Oral Diagnosis Department, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, SP, Brazil.,Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
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