Skip to main content
Top
Published in: European Archives of Oto-Rhino-Laryngology 9/2016

01-09-2016 | Head and Neck

Minor salivary gland carcinoma: a review of 35 cases

Authors: Georg Haymerle, Sven Schneider, Luke Harris, Theresia Häupl, Christian Schopper, Johannes Pammer, Matthaeus Ch. Grasl, Boban M. Erovic

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2016

Login to get access

Abstract

Minor salivary gland carcinomas represent a heterogeneous group of tumors with broad variation in clinical appearance and histopathology. Clinical data of patients with small salivary gland malignancies were collected from the medical records. Tissue microarray was constructed to determine the expression pattern of 24 proteins in 35 patients with minor salivary gland carcinomas. The choice of markers was based on involvement in neoangiogenesis, cell-to-cell contact, cell-cycle regulation and carcinogenesis. Protein expression data were correlated to patients’ clinical data. Overexpression of patched (p = 0.046) and Smo (p = 0.032) was linked to a better overall survival and Glutathione S-transferase π overexpression was linked to prolonged disease-free survival (p = 0.005). Cox-1 (p = 0.035) and VEGFR2 (p = 0.009) were significantly linked to decreased survival for recurrent disease. Bcl-x (84 %), β-catenin (87 %) and Cox-2 (87 %) were significantly overexpressed in minor salivary gland carcinomas. We have shown that Smo resulted in a better overall survival, whereas Gstπ in improved disease-free survival. VEGFR2 was a prognostic factor for survival after recurrence in patients with minor salivary gland carcinomas. Cyclooxygenase inhibitors and anti-Wnt-1 antibodies might be a potential therapeutic option in an adjuvant setting or for patients with unresectable tumors of the minor salivary glands.
Literature
1.
go back to reference Lopes MA, Santos GC, Kowalski LP (1998) Multivariate analysis of 128 cases of oral cavity minor salivary gland carcinomas. Head Neck 20:699–706CrossRefPubMed Lopes MA, Santos GC, Kowalski LP (1998) Multivariate analysis of 128 cases of oral cavity minor salivary gland carcinomas. Head Neck 20:699–706CrossRefPubMed
2.
go back to reference Barnes L, Eveson JW, Reichart P, Sidransky D (2005) Pathology and genetics of head and neck tumours. World Health Organization classification of tumours. IARC Press, Lyon Barnes L, Eveson JW, Reichart P, Sidransky D (2005) Pathology and genetics of head and neck tumours. World Health Organization classification of tumours. IARC Press, Lyon
3.
go back to reference Parsons JT, Mendenhall WM, Stringer SP, Cassisi NJ, Million RR (1996) Management of minor salivary gland carcinomas. Int J Rad Oncol Biol Phys 35:443–454CrossRef Parsons JT, Mendenhall WM, Stringer SP, Cassisi NJ, Million RR (1996) Management of minor salivary gland carcinomas. Int J Rad Oncol Biol Phys 35:443–454CrossRef
4.
go back to reference Carrillo JF, Maldonado F, Carrillo LC, Ramirez-Ortega MC, Pizano JG, Melo C et al (2011) Prognostic factors in patients with minor salivary gland carcinoma of the oral cavity and oropharynx. Head Neck 33:1406–1412CrossRefPubMed Carrillo JF, Maldonado F, Carrillo LC, Ramirez-Ortega MC, Pizano JG, Melo C et al (2011) Prognostic factors in patients with minor salivary gland carcinoma of the oral cavity and oropharynx. Head Neck 33:1406–1412CrossRefPubMed
5.
go back to reference Patel KJ, Pambuccian SE, Ondrey FG, Adams GL, Gaffney PM (2006) Genes associated with early development, apoptosis and cell cycle regulation define a gene expression profile of adenoid cystic carcinoma. Oral Oncol 42:994–1004CrossRefPubMed Patel KJ, Pambuccian SE, Ondrey FG, Adams GL, Gaffney PM (2006) Genes associated with early development, apoptosis and cell cycle regulation define a gene expression profile of adenoid cystic carcinoma. Oral Oncol 42:994–1004CrossRefPubMed
6.
go back to reference Russo G, Zamparelli A, Howard CM, Minimo C, Bellan C, Carillo G et al (2005) Expression of cell cycle-regulated proteins pRB2/p130, p107, E2F4, p27, and pCNA in salivary gland tumors: prognostic and diagnostic implications. Clin Cancer Res 11:3265–3273CrossRefPubMed Russo G, Zamparelli A, Howard CM, Minimo C, Bellan C, Carillo G et al (2005) Expression of cell cycle-regulated proteins pRB2/p130, p107, E2F4, p27, and pCNA in salivary gland tumors: prognostic and diagnostic implications. Clin Cancer Res 11:3265–3273CrossRefPubMed
7.
go back to reference Rao PH, Roberts D, Zhao YJ, Bell D, Harris CP, Weber RS et al (2008) Deletion of 1p32-p36 is the most frequent genetic change and poor prognostic marker in adenoid cystic carcinoma of the salivary glands. Clin Cancer Res 14:5181–5187CrossRefPubMed Rao PH, Roberts D, Zhao YJ, Bell D, Harris CP, Weber RS et al (2008) Deletion of 1p32-p36 is the most frequent genetic change and poor prognostic marker in adenoid cystic carcinoma of the salivary glands. Clin Cancer Res 14:5181–5187CrossRefPubMed
8.
go back to reference Miyabe S, Okabe M, Nagatsuka H, Hasegawa Y, Inagaki A, Ijichi K et al (2009) Prognostic significance of p27Kip1, Ki-67, and CRTC1-MAML2 fusion transcript in mucoepidermoid carcinoma: a molecular and clinicopathologic study of 101 cases. J Oral Maxillofac Surg 67:1432–1441CrossRefPubMed Miyabe S, Okabe M, Nagatsuka H, Hasegawa Y, Inagaki A, Ijichi K et al (2009) Prognostic significance of p27Kip1, Ki-67, and CRTC1-MAML2 fusion transcript in mucoepidermoid carcinoma: a molecular and clinicopathologic study of 101 cases. J Oral Maxillofac Surg 67:1432–1441CrossRefPubMed
9.
go back to reference Erovic BM, Schopper C, Pammer J, Vormittag L, Maleki A, Brunner M et al (2010) Multimodal treatment of patients with minor salivary gland cancer in case of recurrent disease. Head Neck 32:1167–1172CrossRefPubMed Erovic BM, Schopper C, Pammer J, Vormittag L, Maleki A, Brunner M et al (2010) Multimodal treatment of patients with minor salivary gland cancer in case of recurrent disease. Head Neck 32:1167–1172CrossRefPubMed
10.
go back to reference Jaskoll T, Leo T, Witcher D, Ormestad M, Astorga J, Bringas P Jr et al (2004) Sonic hedgehog signaling plays an essential role during embryonic salivary gland epithelial branching morphogenesis. Dev Dyn 229:722–732CrossRefPubMed Jaskoll T, Leo T, Witcher D, Ormestad M, Astorga J, Bringas P Jr et al (2004) Sonic hedgehog signaling plays an essential role during embryonic salivary gland epithelial branching morphogenesis. Dev Dyn 229:722–732CrossRefPubMed
11.
go back to reference Schneider S, Thurnher D, Kloimstein P, Leitner V, Petzelbauer P, Pammer J et al (2011) Expression of the Sonic hedgehog pathway in squamous cell carcinoma of the skin and the mucosa of the head and neck. Head Neck 33:244–250CrossRefPubMed Schneider S, Thurnher D, Kloimstein P, Leitner V, Petzelbauer P, Pammer J et al (2011) Expression of the Sonic hedgehog pathway in squamous cell carcinoma of the skin and the mucosa of the head and neck. Head Neck 33:244–250CrossRefPubMed
12.
go back to reference Kim TJ, Lee JY, Hwang TK, Kang CS, Choi YJ (2011) Hedgehog signaling protein expression and its association with prognostic parameters in prostate cancer: a retrospective study from the view point of new 2010 anatomic stage/prognostic groups. J Surg Oncol 104:472–479CrossRefPubMed Kim TJ, Lee JY, Hwang TK, Kang CS, Choi YJ (2011) Hedgehog signaling protein expression and its association with prognostic parameters in prostate cancer: a retrospective study from the view point of new 2010 anatomic stage/prognostic groups. J Surg Oncol 104:472–479CrossRefPubMed
13.
go back to reference Townsend DM, Tew KD (2003) The role of glutathione-S-transferase in anti-cancer drug resistance. Oncogene 22:7369–7375CrossRefPubMed Townsend DM, Tew KD (2003) The role of glutathione-S-transferase in anti-cancer drug resistance. Oncogene 22:7369–7375CrossRefPubMed
14.
go back to reference Shi H, Lu D, Shu Y, Shi W, Lu S, Wang K (2008) Expression of multidrug resistance-related proteins p-glycoprotein, glutathione-s-transferases, topoisomerase-II and lung resistance protein in primary gastric cardiac adenocarcinoma. Hepatogastroenterology 55:1530–1536PubMed Shi H, Lu D, Shu Y, Shi W, Lu S, Wang K (2008) Expression of multidrug resistance-related proteins p-glycoprotein, glutathione-s-transferases, topoisomerase-II and lung resistance protein in primary gastric cardiac adenocarcinoma. Hepatogastroenterology 55:1530–1536PubMed
15.
go back to reference Kumaraguruparan R, Chandra Mohan KV, Nagini S (2006) Xenobiotic-metabolising enzymes in patients with adenocarcinoma of the breast: correlation with clinical stage and menopausal status. Breast 15:58–63CrossRefPubMed Kumaraguruparan R, Chandra Mohan KV, Nagini S (2006) Xenobiotic-metabolising enzymes in patients with adenocarcinoma of the breast: correlation with clinical stage and menopausal status. Breast 15:58–63CrossRefPubMed
16.
go back to reference de Santa Carrillo, Pau E, Arias FC, Caso Peláez E, Muñoz Molina GM, Sánchez Hernández I, Muguruza Trueba I et al (2009) Prognostic significance of the expression of vascular endothelial growth factors A, B, C, and D and their receptors R1, R2, and R3 in patients with nonsmall cell lung cancer. Cancer 115:1701–1712CrossRef de Santa Carrillo, Pau E, Arias FC, Caso Peláez E, Muñoz Molina GM, Sánchez Hernández I, Muguruza Trueba I et al (2009) Prognostic significance of the expression of vascular endothelial growth factors A, B, C, and D and their receptors R1, R2, and R3 in patients with nonsmall cell lung cancer. Cancer 115:1701–1712CrossRef
17.
go back to reference Kim JJ, Vaziri SA, Rini BI, Elson P, Garcia JA, Wirka R et al (2011) Association of VEGF and VEGFR2 single nucleotide polymorphisms with hypertension and clinical outcome in metastatic clear cell renal cell carcinoma patients treated with sunitinib. Cancer 118:1946–1954CrossRefPubMedPubMedCentral Kim JJ, Vaziri SA, Rini BI, Elson P, Garcia JA, Wirka R et al (2011) Association of VEGF and VEGFR2 single nucleotide polymorphisms with hypertension and clinical outcome in metastatic clear cell renal cell carcinoma patients treated with sunitinib. Cancer 118:1946–1954CrossRefPubMedPubMedCentral
18.
go back to reference Erovic BM, Woegerbauer M, Pammer J, Selzer E, Grasl MCh, Thurnher D (2008) Strong evidence for up-regulation of cyclooxygenase-1 in head and neck cancer. Eur J Clin Invest 38:61–66CrossRefPubMed Erovic BM, Woegerbauer M, Pammer J, Selzer E, Grasl MCh, Thurnher D (2008) Strong evidence for up-regulation of cyclooxygenase-1 in head and neck cancer. Eur J Clin Invest 38:61–66CrossRefPubMed
19.
go back to reference Erovic BM, Pelzmann M, Turhani D, Pammer J, Niederberger V, Neuchrist C et al (2003) Differential expression pattern of cyclooxygenase-1 and -2 in head and neck squamous cell carcinoma. Acta Otolaryngol 123:950–953CrossRefPubMed Erovic BM, Pelzmann M, Turhani D, Pammer J, Niederberger V, Neuchrist C et al (2003) Differential expression pattern of cyclooxygenase-1 and -2 in head and neck squamous cell carcinoma. Acta Otolaryngol 123:950–953CrossRefPubMed
20.
go back to reference Loh KS, Barker E, Bruch G, O’Sullivan B, Brown DH, Goldstein DP et al (2009) Prognostic factors in malignancy of the minor salivary glands. Head Neck 1:58–63CrossRef Loh KS, Barker E, Bruch G, O’Sullivan B, Brown DH, Goldstein DP et al (2009) Prognostic factors in malignancy of the minor salivary glands. Head Neck 1:58–63CrossRef
21.
go back to reference Bradley PJ (2004) Adenoid cystic carcinoma of the head and neck: a review. Curr Opin Otolaryngol Head Neck Surg 12:127–132CrossRefPubMed Bradley PJ (2004) Adenoid cystic carcinoma of the head and neck: a review. Curr Opin Otolaryngol Head Neck Surg 12:127–132CrossRefPubMed
22.
go back to reference Le QT, Birdwell S, Terris DJ et al (1999) Postoperative irradiation of minor salivary gland malignancies of the head and neck. Radiother Oncol 52:165–171CrossRefPubMed Le QT, Birdwell S, Terris DJ et al (1999) Postoperative irradiation of minor salivary gland malignancies of the head and neck. Radiother Oncol 52:165–171CrossRefPubMed
23.
go back to reference Surakanti SG, Agulnik M (2008) Salivary gland malignancies: the role for chemotherapy and molecular targeted agents. Semin Oncol 35:309–319CrossRefPubMed Surakanti SG, Agulnik M (2008) Salivary gland malignancies: the role for chemotherapy and molecular targeted agents. Semin Oncol 35:309–319CrossRefPubMed
24.
go back to reference Lo Russo L, Lo Muzio L (2009) Combination chemotherapy for head and neck cancer: the addition of Bcl-2 inhibitors. Curr Opin Investig Drugs 10:1325–1333PubMed Lo Russo L, Lo Muzio L (2009) Combination chemotherapy for head and neck cancer: the addition of Bcl-2 inhibitors. Curr Opin Investig Drugs 10:1325–1333PubMed
26.
27.
go back to reference Couzin J (2004) Drug safety. Withdrawal of Vioxx casts a shadow over COX-2 inhibitors. Science 306:384–385CrossRefPubMed Couzin J (2004) Drug safety. Withdrawal of Vioxx casts a shadow over COX-2 inhibitors. Science 306:384–385CrossRefPubMed
28.
go back to reference Terhaard CH, Lubsen H, Van der Tweel I, Hilgers FJ, Eijkenboom WM, Marres HA et al (2004) Salivary gland carcinoma: independent prognostic factors for locoregional control, distant metastases, and overall survival: results of the Dutch head and neck oncology cooperative group. Head Neck 26:681–692CrossRefPubMed Terhaard CH, Lubsen H, Van der Tweel I, Hilgers FJ, Eijkenboom WM, Marres HA et al (2004) Salivary gland carcinoma: independent prognostic factors for locoregional control, distant metastases, and overall survival: results of the Dutch head and neck oncology cooperative group. Head Neck 26:681–692CrossRefPubMed
29.
go back to reference Chang JW, Hong HJ, Ban MJ, Shin YS, Kim WS, Koh YW et al (2015) Prognostic factors and treatment outcomes of parotid gland cancer: a 10-year single-center experience. Otolaryngol Head Neck Surg (Epub ahead of print) Chang JW, Hong HJ, Ban MJ, Shin YS, Kim WS, Koh YW et al (2015) Prognostic factors and treatment outcomes of parotid gland cancer: a 10-year single-center experience. Otolaryngol Head Neck Surg (Epub ahead of print)
Metadata
Title
Minor salivary gland carcinoma: a review of 35 cases
Authors
Georg Haymerle
Sven Schneider
Luke Harris
Theresia Häupl
Christian Schopper
Johannes Pammer
Matthaeus Ch. Grasl
Boban M. Erovic
Publication date
01-09-2016
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 9/2016
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-015-3805-4

Other articles of this Issue 9/2016

European Archives of Oto-Rhino-Laryngology 9/2016 Go to the issue