Prognosis and predictive factors

Cystadenocarcinoma is a low-grade adenocarcinoma treated by superficial parotidectomy, glandectomy of sub-mandibular and sublingual tumours, and wide excision of minor gland tumours. Bone resection is performed only when it is directly involved by tumour {411,535, 790,2350}. In a study of 40 patients with follow-up data, all were alive or had died of other causes, four suffered metastasis to regional lymph nodes, one at the time of diagnosis and one after 55 months, and three experienced a recurrence at a mean interval of 76 months {790}.

Fig. 5.19 Cystadenocarcinoma. A Focal collections of lymphoid tissue are present. No significant papillary luminal growth. B Cystic spaces are lined by morphologically bland low cuboidal epithelium, and are separated by loosely arranged fibrous stroma. C Papillary cystadenocarcinoma.

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