PMID- 17563907 OWN - NLM STAT- MEDLINE DCOM- 20080124 LR - 20220408 IS - 1043-3074 (Print) IS - 1043-3074 (Linking) VI - 29 IP - 10 DP - 2007 Oct TI - Salivary duct carcinoma: a clinical and histologic review with implications for trastuzumab therapy. PG - 907-12 AB - BACKGROUND: Salivary duct carcinoma (SDC) is an aggressive tumor of the head and neck with a poor prognosis. The objective was to study SDC and recommend the use of trastuzumab as adjuvant therapy. METHODS: A retrospective chart review of patients seen between 1993 and 2006 was performed. Tumor specimens were examined for HER-2 protein overexpression via immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) methods. RESULTS: Of the 7 patients with SDC, 57% had tumors arising in the parotid gland, the majority having facial nerve paralysis, 71% with nodal disease, and 43% having recurrence. All samples were HER-2 positive on IHC. Three patients had FISH-positive tumors, recurrent disease, and received trastuzumab therapy; 1 of the 3 died after 20 months and a second has shown disappearance of metastatic disease. CONCLUSIONS: Trastuzumab is effective in treating HER-2-positive breast cancer. Given immunohistochemical similarities between SDC and ductal carcinoma of the breast, patients with FISH-positive HER-2/neu SDC should be considered for trastuzumab therapy. FAU - Nabili, Vishad AU - Nabili V AD - Division of Head and Neck Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, 10833 LeConte Avenue, Los Angeles, California 90095, USA. FAU - Tan, Jesse W AU - Tan JW FAU - Bhuta, Sunita AU - Bhuta S FAU - Sercarz, Joel A AU - Sercarz JA FAU - Head, Christian S AU - Head CS LA - eng PT - Journal Article PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - BG3F62OND5 (Carboplatin) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) RN - P88XT4IS4D (Paclitaxel) SB - IM MH - Aged MH - Aged, 80 and over MH - Antibodies, Monoclonal/*administration & dosage MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/*administration & dosage MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Carboplatin/administration & dosage MH - Carcinoma, Ductal/metabolism/mortality/therapy MH - Carcinoma, Intraductal, Noninfiltrating/metabolism/mortality/therapy MH - Chemotherapy, Adjuvant MH - Facial Paralysis/etiology MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/mortality/*therapy MH - Paclitaxel/administration & dosage MH - Radiotherapy, Adjuvant MH - Receptor, ErbB-2/metabolism MH - Retrospective Studies MH - Salivary Gland Neoplasms/metabolism/mortality/*therapy MH - Trastuzumab EDAT- 2007/06/15 09:00 MHDA- 2008/01/25 09:00 CRDT- 2007/06/15 09:00 PHST- 2007/06/15 09:00 [pubmed] PHST- 2008/01/25 09:00 [medline] PHST- 2007/06/15 09:00 [entrez] AID - 10.1002/hed.20614 [doi] PST - ppublish SO - Head Neck. 2007 Oct;29(10):907-12. doi: 10.1002/hed.20614.