Clinicopathological analysis of oral and maxillofacial acinic cell carcinoma: A systematic review.

Abstract

The aim of the present systematic review was to analyze the available data regarding acinic cell carcinoma of the oral and maxillofacial region. A search strategy was performed using PubMed, Web of Science, Scopus, and Embase electronic databases. Available data revealed a slight female preference (54.73%) and a mean age at diagnosis of 47.51±19.85years. The parotid glands (67.72%) were most frequently affected, and most cases were asymptomatic (69.54%). A microcystic histopathological pattern was reported in 21.56% of the cases, and the Periodic acid-Schiff was the staining method most frequently used, after the hematoxylin and eosin staining, in the tumors analyzed. The lesions were mainly treated by surgical removal (72.32%). Recurrence was reported in 81 cases (27.83%) and metastasis in 100 (42.91%). Statistical data analysis revealed that tumors located in major salivary glands and exhibiting high-grade histology were associated with local recurrence (P=.01). In addition, the patients older than 57years, lesions with bone involvement, the high-grade tumors and the cases with a history of recurrence and metastasis were associated with a lower overall survival (P<.05). By assembling all eligible cases in the literature, the present systematic review determined the most common clinicopathological profile of acinic cell carcinoma and the most relevant prognostic factors in a distinctly representative sample. The survey demonstrated the importance of considering the histopathological grading in order to better define the treatment for each case.