Radiation-induced salivary gland tumors: A report of 18 cases and a review of the literature Journal Article


Authors: Beal, K. P.; Singh, B.; Kraus, D.; Yahalom, J.; Portlock, C.; Wolden, S. L.
Article Title: Radiation-induced salivary gland tumors: A report of 18 cases and a review of the literature
Abstract: PURPOSE: The purpose of this study was to examine the relationship between radiation exposure and subsequent development of salivary gland tumors (SGTs). MATERIALS AND METHODS: Eighteen patients with SGTs as second cancers after head and neck irradiation were identified from chart review of institutional databases of 3025 patients with SGTs evaluated between 1986 and 2001. RESULTS: The median age at the time of initial radiation therapy was 22 years (range, 5-74 years). The median age of the group at the time of their diagnosis of a SGT was 54 years (range, 21-79 years). The median interval between radiation exposure and diagnosis of the SGT was 21 years (range, 4-64 years). The most common initial diagnosis for which patients received radiation therapy was Hodgkin's disease. Histology of the secondary SGT was varied, but most were malignant (N = 15), and mucoepidermoid carcinoma was the most common histology (N = 9). CONCLUSION: There is an association between radiation exposure and the risk of developing an SGT. There was a wide range in the dose of radiation and the age at exposure, suggesting that exposure to head and neck radiation at any age and dose may increase the risk for SGT. This series also suggests an increased risk for developing malignant (versus benign) SGT after radiation exposure. Copyright © 2003 Jones and Bartlett Publishers, Inc.
Keywords: adult; clinical article; controlled study; aged; middle aged; survival rate; retrospective studies; histopathology; mortality; review; cancer radiotherapy; radiation; age factors; radiation injury; retrospective study; hodgkin disease; radiation exposure; radiation response; time; time factors; age; dose-response relationship, radiation; neoplasms, radiation-induced; medical literature; adenosquamous carcinoma; salivary gland; salivary gland tumor; carcinoma, mucoepidermoid; salivary gland neoplasms; salivary glands; salivary gland cancer; tumor growth; second cancers; humans; human; male; female; priority journal; article; salivary gland tumors
Journal Title: The Cancer Journal
Volume: 9
Issue: 6
ISSN: 1528-9117
Publisher: Lippincott Williams & Wilkins  
Date Published: 2003-11-01
Start Page: 467
End Page: 471
Language: English
DOI: 10.1097/00130404-200311000-00006
PUBMED: 14740975
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 25 September 2014 -- Source: Scopus
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MSK Authors
  1. Joachim Yahalom
    625 Yahalom
  2. Carol Portlock
    204 Portlock
  3. Dennis Kraus
    268 Kraus
  4. Bhuvanesh Singh
    242 Singh
  5. Suzanne L Wolden
    560 Wolden
  6. Kathryn Beal
    221 Beal