Epidemiology

Adenoid cystic carcinomas (AdCC) comprise approximately 10% of all epithelial salivary neoplasms and most frequently involve the parotid, submandibular and minor salivary glands. They comprise 30% of epithelial minor salivary gland tumours with the highest frequency in the palate, followed by the tongue, buccal mucosa, lip and floor of mouth. The tumour occurs in all age groups with a high frequency in middle-aged and older patients. There is no apparent sex predilection except for a high incidence in women with submandibular tumours

{1663,1849,2016,2444}. Clinical features

The most common symptom is a slow growing mass followed by pain due to the propensity of these tumours for per-ineural invasion. Facial nerve paralysis may also occur {1849,2016,2444,2519}.

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