Table 4.
Patients with adenoid cystic carcinoma (ACC) as primary head and neck cancer
| Author, year | Patient no. | Patient age | Primary site, grade | Primary stage | Intervention for primary site | Location of spinal metastasis | Time frame of spinal metastasis | Signs + symptoms of spinal metastasis | Intervention for spinal metastasis | Outcome | Other metastases | Mortality | Cause of death |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Riela, 1983 [15] |
1 |
54 |
Submandibular ACC |
- |
Operation, RT |
T12-L1 |
17 yr |
Back pain, weakness, numbness |
Laminectomy, complete resection |
Improved symptoms at 6 mo |
- |
- |
- |
| Preciado, 2002 [20] |
2 |
31 |
Tongue base ACC |
T3 N2b |
- |
T10-L2 |
52 mo |
Low back pain |
CT (etoposide), RT (36 Gy), steroids |
Continued pain, worsening; improved pain |
Lung |
5 mo |
- |
| Birkeland, 2003 [14] | 3 | 55 | Submandibular gland ACC | - | Resection, adjuvant RT | L3-L4 | 7 yr | Low back pain with radiation to left groin | Decompression, RT | Paresis, numbness at all extremities | Cranial, skin | - | - |
“ACC”: Adenoid cystic carcinoma. “RT”: Radiation therapy. “CT”: Chemotherapy. “CR”: Chemoradiation.” Grade”: Greenberg Grade. “Gy”: Gray. “yr”: year(s). “mo”: month(s). “wk”: week(s). “d”: day(s). “-“: Not given.