Retrospective study and review of polymorphous low‐grade adenocarcinoma

Objectives/Hypothesis: We review a single institution's experience with polymorphous low‐grade adenocarcinoma. To our knowledge, this is the largest patient series of polymorphous low‐grade adenocarcinoma with clinical follow‐up in the otolaryngology literature. Study Design: We retrospectively...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Pogodzinski, Matthew S. (author)
مؤلفون آخرون: Sabri, Alain (author), Lewis, Jean E. (author), Oslen, Kerry D. (author)
التنسيق: article
منشور في: 2006
الوصول للمادة أونلاين:http://hdl.handle.net/10725/10653
https://doi.org/10.1097/01.mlg.0000243200.35033.2b
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://onlinelibrary.wiley.com/doi/full/10.1097/01.mlg.0000243200.35033.2b
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author Pogodzinski, Matthew S.
author2 Sabri, Alain
Lewis, Jean E.
Oslen, Kerry D.
author2_role author
author
author
author_facet Pogodzinski, Matthew S.
Sabri, Alain
Lewis, Jean E.
Oslen, Kerry D.
author_role author
dc.creator.none.fl_str_mv Pogodzinski, Matthew S.
Sabri, Alain
Lewis, Jean E.
Oslen, Kerry D.
dc.date.none.fl_str_mv 2006
2019-05-22T12:28:30Z
2019-05-22T12:28:30Z
2019-05-22
dc.identifier.none.fl_str_mv 1531-4995
http://hdl.handle.net/10725/10653
https://doi.org/10.1097/01.mlg.0000243200.35033.2b
Pogodzinski, M. S., Sabri, A. N., Lewis, J. E., & Olsen, K. D. (2006). Retrospective study and review of polymorphous low‐grade adenocarcinoma. The Laryngoscope, 116(12), 2145-2149.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://onlinelibrary.wiley.com/doi/full/10.1097/01.mlg.0000243200.35033.2b
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Laryngoscope
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Retrospective study and review of polymorphous low‐grade adenocarcinoma
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Objectives/Hypothesis: We review a single institution's experience with polymorphous low‐grade adenocarcinoma. To our knowledge, this is the largest patient series of polymorphous low‐grade adenocarcinoma with clinical follow‐up in the otolaryngology literature. Study Design: We retrospectively identified 19 patients with polymorphous low‐grade adenocarcinoma who had adequate clinical follow‐up and pathologic specimens available for examination. Methods: All pathologic materials were reviewed by one head and neck pathologist. Results: The median follow‐up was 9.6 years. The most frequently affected sites were the hard palate (12 patients) and soft palate (9 patients). Fifteen patients had their initial treatment at our institution, and four patients presented with a recurrent tumor. Five patients had a local recurrence after surgery; of those patients, two had initially presented with recurrent tumors. Local tumors recurred as late as 15 years after the initial surgery. One patient had regional nodal disease 20 years after the initial procedure, and another had lung metastasis. No patients received chemotherapy. The most common initial diagnoses were polymorphous low‐grade adenocarcinoma, adenoid cystic carcinoma, and pleomorphic adenoma. Conclusions: Polymorphous low‐grade adenocarcinoma is an increasingly recognized malignancy that originates predominantly in the minor salivary gland. Our experience confirms good local control after a wide local excision is performed, but local recurrences can occur despite having negative margins after surgery. The delayed local recurrences and regional nodal metastases noted in our series show that prolonged follow‐up is needed. This series also reports one of the first pathologically confirmed cases of distant metastasis.
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identifier_str_mv 1531-4995
Pogodzinski, M. S., Sabri, A. N., Lewis, J. E., & Olsen, K. D. (2006). Retrospective study and review of polymorphous low‐grade adenocarcinoma. The Laryngoscope, 116(12), 2145-2149.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/10653
publishDate 2006
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spelling Retrospective study and review of polymorphous low‐grade adenocarcinomaPogodzinski, Matthew S.Sabri, AlainLewis, Jean E.Oslen, Kerry D.Objectives/Hypothesis: We review a single institution's experience with polymorphous low‐grade adenocarcinoma. To our knowledge, this is the largest patient series of polymorphous low‐grade adenocarcinoma with clinical follow‐up in the otolaryngology literature. Study Design: We retrospectively identified 19 patients with polymorphous low‐grade adenocarcinoma who had adequate clinical follow‐up and pathologic specimens available for examination. Methods: All pathologic materials were reviewed by one head and neck pathologist. Results: The median follow‐up was 9.6 years. The most frequently affected sites were the hard palate (12 patients) and soft palate (9 patients). Fifteen patients had their initial treatment at our institution, and four patients presented with a recurrent tumor. Five patients had a local recurrence after surgery; of those patients, two had initially presented with recurrent tumors. Local tumors recurred as late as 15 years after the initial surgery. One patient had regional nodal disease 20 years after the initial procedure, and another had lung metastasis. No patients received chemotherapy. The most common initial diagnoses were polymorphous low‐grade adenocarcinoma, adenoid cystic carcinoma, and pleomorphic adenoma. Conclusions: Polymorphous low‐grade adenocarcinoma is an increasingly recognized malignancy that originates predominantly in the minor salivary gland. Our experience confirms good local control after a wide local excision is performed, but local recurrences can occur despite having negative margins after surgery. The delayed local recurrences and regional nodal metastases noted in our series show that prolonged follow‐up is needed. This series also reports one of the first pathologically confirmed cases of distant metastasis.PublishedN/A2019-05-22T12:28:30Z2019-05-22T12:28:30Z20062019-05-22Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1531-4995http://hdl.handle.net/10725/10653https://doi.org/10.1097/01.mlg.0000243200.35033.2bPogodzinski, M. S., Sabri, A. N., Lewis, J. E., & Olsen, K. D. (2006). Retrospective study and review of polymorphous low‐grade adenocarcinoma. The Laryngoscope, 116(12), 2145-2149.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://onlinelibrary.wiley.com/doi/full/10.1097/01.mlg.0000243200.35033.2benLaryngoscopeinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/106532021-03-19T10:45:25Z
spellingShingle Retrospective study and review of polymorphous low‐grade adenocarcinoma
Pogodzinski, Matthew S.
status_str publishedVersion
title Retrospective study and review of polymorphous low‐grade adenocarcinoma
title_full Retrospective study and review of polymorphous low‐grade adenocarcinoma
title_fullStr Retrospective study and review of polymorphous low‐grade adenocarcinoma
title_full_unstemmed Retrospective study and review of polymorphous low‐grade adenocarcinoma
title_short Retrospective study and review of polymorphous low‐grade adenocarcinoma
title_sort Retrospective study and review of polymorphous low‐grade adenocarcinoma
url http://hdl.handle.net/10725/10653
https://doi.org/10.1097/01.mlg.0000243200.35033.2b
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://onlinelibrary.wiley.com/doi/full/10.1097/01.mlg.0000243200.35033.2b