A molecular guide to systemic therapy in salivary gland carcinoma

Salivary gland carcinomas (SGC) are a rare and variable group of head and neck cancers with historically poor response to cytotoxic chemotherapy and immunotherapy in the recurrent, advanced, and metastatic settings. In the last decade, a number of targetable molecular alterations have been identifie...

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Published in:Head & neck Vol. 45; no. 5; pp. 1315 - 1326
Main Authors: Weaver, Alice N., Lakritz, Stephanie, Mandair, Divneet, Ulanja, Mark B., Bowles, Daniel W.
Format: Journal Article
Language:English
Published: Hoboken, USA John Wiley & Sons, Inc 01-05-2023
Wiley Subscription Services, Inc
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Abstract Salivary gland carcinomas (SGC) are a rare and variable group of head and neck cancers with historically poor response to cytotoxic chemotherapy and immunotherapy in the recurrent, advanced, and metastatic settings. In the last decade, a number of targetable molecular alterations have been identified in SGCs including HER2 upregulation, androgen receptor overexpression, Notch receptor activation, NTRK gene fusions, and RET alterations which have dramatically improved treatment outcomes in this disease. Here, we review the landscape of precision therapy in SGC including current options for systemic management, ongoing clinical trials, and promising future directions.
AbstractList Salivary gland carcinomas (SGC) are a rare and variable group of head and neck cancers with historically poor response to cytotoxic chemotherapy and immunotherapy in the recurrent, advanced, and metastatic settings. In the last decade, a number of targetable molecular alterations have been identified in SGCs including HER2 upregulation, androgen receptor overexpression, Notch receptor activation, NTRK gene fusions, and RET alterations which have dramatically improved treatment outcomes in this disease. Here, we review the landscape of precision therapy in SGC including current options for systemic management, ongoing clinical trials, and promising future directions.
Author Ulanja, Mark B.
Bowles, Daniel W.
Weaver, Alice N.
Mandair, Divneet
Lakritz, Stephanie
Author_xml – sequence: 1
  givenname: Alice N.
  orcidid: 0000-0002-9398-1471
  surname: Weaver
  fullname: Weaver, Alice N.
  organization: University of Colorado School of Medicine
– sequence: 2
  givenname: Stephanie
  surname: Lakritz
  fullname: Lakritz, Stephanie
  organization: University of Colorado School of Medicine
– sequence: 3
  givenname: Divneet
  surname: Mandair
  fullname: Mandair, Divneet
  organization: University of San Francisco California
– sequence: 4
  givenname: Mark B.
  surname: Ulanja
  fullname: Ulanja, Mark B.
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  givenname: Daniel W.
  orcidid: 0000-0003-1406-0963
  surname: Bowles
  fullname: Bowles, Daniel W.
  email: daniel.bowles@cuanschutz.edu
  organization: Rocky Mountain Regional Veterans Affairs Medical Center
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Copyright 2023 Wiley Periodicals LLC. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.
2023 Wiley Periodicals LLC.
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Issue 5
Keywords salivary gland cancer
adenoid cystic carcinoma
mucoepidermoid carcinoma
salivary duct carcinoma
precision therapy
Language English
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Snippet Salivary gland carcinomas (SGC) are a rare and variable group of head and neck cancers with historically poor response to cytotoxic chemotherapy and...
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SubjectTerms adenoid cystic carcinoma
Androgen receptors
Carcinoma
Chemotherapy
Clinical trials
Cytotoxicity
ErbB-2 protein
Gene Fusion
Head & neck cancer
Head and Neck Neoplasms
Humans
Immunotherapy
Metastases
mucoepidermoid carcinoma
Notch protein
Oral cancer
precision therapy
Receptor mechanisms
salivary duct carcinoma
Salivary gland
salivary gland cancer
Salivary Gland Neoplasms - pathology
Salivary Glands - pathology
Title A molecular guide to systemic therapy in salivary gland carcinoma
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fhed.27307
https://www.ncbi.nlm.nih.gov/pubmed/36859797
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Volume 45
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