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Androgen deprivation therapy for androgen receptor-positive advanced salivary duct carcinoma: A nationwide case series of 35 patients in The Netherlands.

Eline Boon ,
Wim van Boxtel ,
Jan Buter ,
Robert J Baatenburg de Jong ,
Robert J J van Es ,
Miranda Bel ,
Edward Fiets ,
Sjoukje F Oosting ,
Marije Slingerland ,
Ann Hoeben ,
Margot E T Tesselaar ,
Marianne A Jonker ,
Uta E Flucke ,
,
Winette T A van der Graaf ,
Carla M L van Herpen

Abstract

METHODS

Patients with advanced androgen receptor-positive salivary duct carcinoma treated with first-line ADT were retrospectively evaluated for clinical benefit (ie, partial response [PR] and stable disease, progression-free survival [PFS] and overall survival [OS]). The OS was compared with patients with advanced salivary duct carcinoma who received best supportive care.

CONCLUSION

We recommend ADT in advanced androgen receptor-positive salivary duct carcinoma given its response and clinical benefit. © 2017 Wiley Periodicals, Inc. Head Neck, 2017.

RESULTS

Thirty-four of 35 patients who were ADT-treated were evaluable: 6 patients had a PR (18%) and 11 had stable disease (32%) leading to a clinical benefit ratio of 50%. The median PFS for the ADT-treated patients was 4 months and the median duration of clinical benefit was 11 months. The median OS was 17 months versus 5 months in 43 patients receiving best supportive care (P = .02).

BACKGROUND

Salivary duct carcinoma, an aggressive subtype of salivary gland cancer, is mostly androgen receptor-positive. Only limited data are available on androgen deprivation therapy (ADT).

More about this publication

Head & neck

Volume 40
Issue nr. 3
Pages 605-613
Publication date 01-03-2018

Full text links

Publisher website (DOI) 10.1002/hed.25035
Europe PubMed Central 29272069
Pubmed 29272069

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