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  Vol. 133 No. 9, September 2007 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Pathology
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Pathology Quiz Case 2: Diagnosis

Arch Otolaryngol Head Neck Surg. 2007;133(9):949-950.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Salivary duct carcinoma (SDC)

Kleinsasser et al1 first described SDC in 1968. However, this pathologic entity was largely overlooked until the 1990s. In 1991, the World Health Organization included SDC in their salivary neoplasm classification.2 In recent years, numerous clinicopathologic studies have shed new light on this uncommon, high-grade salivary gland malignancy. Salivary duct carcinoma affects a preponderance of men (4:1), usually in the fourth to sixth decades of life. It has been described in both major and minor salivary glands, but more than 80% of cases occur in the parotid gland.3-4 Patients commonly present with a history of a painless, rapidly enlarging mass, although though 25% to 60% have facial palsy and as many as a third may have associated pain.3-4 While SDC usually begins de novo, studies suggest that it can arise as a component of carcinoma ex pleomorphic adenoma. This theory is supported by the fact that the most common histologic . . . [Full Text of this Article]


RELATED ARTICLE

Pathology Quiz Case 2
Scot D. Hirschi, Jerry W. Templer, Ronald Miick, and Shellaine R. Frazier
Arch Otolaryngol Head Neck Surg. 2007;133(9):947.
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