Salivary Tumor Types/Patterns Favored Age Gender Presentation Capsule Frequency/ Treatment
Gland Presence Prognosis
Pleomorphic Adenoma Nests, Sheets, Ducts, or Parotid 4th 6th F:M Slow-Growing, No True The most common Complete Trabeculae (Epithelial Cells) (70% of its decade 3:1 Painless Mass Capsule of all salivary tumors Surgical Myxoid, Chondroid, Fibroid, tumors) or Excision or Osteoid (Stroma) 4:1 Facial Nerve Preservation Warthin's Tumor Parotid Older Males Slow-Growing, Encapsulated Recurrence & (Papillary Cystadenoma (6-10% of its Caucasian Painless Mass Malignant Lymphomatosum) tumors) Transformation are RARE 3% associated neoplasms Benign Tumors
Oncocytoma Parotid 6th decade F:M Enlarging, Encapsulated Rare (2.3% of
(Mitochondrial (78%) 1:1 Pianless Mass benign salivary Hyperplasia) Submandi- Mitochondrial tumors) bular (9%) Hyperplasia Monomorphic Adenomas 1- Basal Cell Adenoma Parotid 6th deca- F:M Painless Freely BCA is the most Solid(most common) (BCA) de (BCA) 1:1 Movable common between Trabicular Minor Caucasian (BCA) Submucosal benign epithelial Tubular Glands 1.8 : 1 Mass (CA) salivary tumors Membranous (Upper Lip) 7th deca- (CA) 2- Canalicular Adenoma de (CA) 3- Sebaceous Adenoma 4- Glycogen-Rich Aden. 5- Clear Cell Adenoma Myoepithelioma Histologically: Parotid> 3rd 6th Females Asymptomatic <1% of all salivary 1- Spindle Cell (70%) Minor decade Mass tumors 2- Plasmacytoid (20%) Glands> Prognosis is 3- Both (10%) Submandi- excellent, recurrence bular not expected Mucoepidermoid Parotid (45- 3rd 8th Females Low-Grade: Encapsulated The most common Stage I, II: Carcinoma 70%) decade Slow-Growing Or: malignant salivary WLE Palate (18%) Caucasian Painless Mass Partially tumors Stage III, IV: High-Grade: Or: Not 5-9% of Salivary Radical E. Malignant Tumors
Enlarging, +/- Encapsulated Neoplasm +/- N. D.
Pain +/- P.O. XRT Adenoid Cystic Minor Glands 5th decade F:M Enlarging Mass Recurrence 42% Facial Nerve Carcinoma (Palate) 1:1 Pain is common Metastasis to Lungs Sacrifice Acinic Cell Carcinoma Parotid 5th decade Females Slow-Growing, Complete L.E Painless Mass +/- P.O. XRT Adenocarcinoma Parotid & 5th 8th Females Enlarging Mass L. Recurrence 51% Complete L.E Minor Salivary decade 25% Pain, F.W. R. Metastasis 27% N. D. Glands D. Metastasis 26% P.O. XRT Malignant Mixed Tumors 1- Carcinoma Ex- Parotid> 6th 8th Painless Mass, 2-4% of all S. tumors Radical E Pleomorphic Adenoma Submandi- decade Sudden 4-6% of mixed tumor N. D. 2- Carcinasarcoma bular> Enlargement (C. Ex-P. A.) P.O. XRT 3- Metastatic Mixed Tumors Palate