1999
DOI: 10.1016/s1079-2104(99)70065-x
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Tumor-doubling time and onset of pulmonary metastasis from adenoid cystic carcinoma of the salivary gland

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Cited by 39 publications
(30 citation statements)
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“…The estimated doubling time of pulmonal metastasis in ACC ranges from 86 to 1064 days with an average of 393 days. These findings suggest that metastasis at the cellular level could occur prior (average, 227 months) to clinical presentation of primary cancer (Umeda et al 1999). Due to the high incidence of occult pulmonary metastases they should be included in the therapy of the primary cancer.…”
Section: Discussionmentioning
confidence: 95%
“…The estimated doubling time of pulmonal metastasis in ACC ranges from 86 to 1064 days with an average of 393 days. These findings suggest that metastasis at the cellular level could occur prior (average, 227 months) to clinical presentation of primary cancer (Umeda et al 1999). Due to the high incidence of occult pulmonary metastases they should be included in the therapy of the primary cancer.…”
Section: Discussionmentioning
confidence: 95%
“…11 The number of patients with metastases elsewhere in the body might, however, be higher than reported, because these can be``silent'' metastases that have not been detected at the time of death. In only a few patients, an autopsy was performed.…”
Section: Discussionmentioning
confidence: 99%
“…Without recurrence, the 5-year os in our cohort was 77%; with recurrence, it was 43%, indicating that, although recurrence is associated with mortality, the disease is not rapidly fatal. The reported tumour doubling time in acc ranges from 86 days to 1064 days, with an average of 393 days, explaining why subclinical metastatic deposits can manifest as disease 10-15 years after initial treatment 31 . In addition, 10% of the recurrences presented after 5 years of follow-up, suggesting the importance of long-term clinical follow-up given the indolent nature of acc and its potential for late recurrences.…”
Section: Discussionmentioning
confidence: 99%