Onco Wiki / Krankheit

Speicheldrüsenkarzinom

Deterministische Ansicht der Quelle YAML Entität. Klinische Autorität bleibt mit den zitierten Quell-IDs und Rezensenten Sign-off Zustand.

IDDIS-SALIVARY
ArtErkrankung
Aliase
Adenoides zystisches KarzinomMASC (Analoges Sekretorkarzinom der Säugetiere)SpeichelkanalkarzinomSpeicheldrüsenkrebsКарцинома слинних залоз
Statusreviewed 2026-04-27 | pending_clinical_signoff
ErkrankungenNone declared
QuellenSRC-NCCN-NSCLC-2025

Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.

Quelle: YAML

icd_o_3_morphology8500/3
icd_o_3_topography["C07", "C08"]
icd_10C07, C08
who_classificationWHO-Kopf- und Halstumore 5 ed (2024): Speicheldrüsentumore (> 25 verschiedene histologische Einheiten)

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Anmerkungen

Umbrella disease; therapy is HISTOLOGY-driven. Two histologies are highly actionable: - Mammary analogue secretory carcinoma (MASC, parotid most common): near-100% ETV6-NTRK3 fusion (or NTRK1/2 partner variants); larotrectinib / entrectinib transformative in advanced disease (FDA tumor-agnostic). - Salivary duct carcinoma (SDC): aggressive, often parotid; molecular profile mimics breast / prostate: * AR-positive (~70-80%): bicalutamide + LHRH agonist (EORTC-1206); active even without prior antiandrogen exposure. * HER2-amplified (~30-40%): trastuzumab + docetaxel (Takahashi et al, JCO 2019); trastuzumab deruxtecan in DESTINY-PanTumor02; zanidatamab. * HRAS mutant (~10-15%): tipifarnib (KO-TIP-007). * PIK3CA / PI3K pathway: alpelisib + tipifarnib in KURRENT-HN. - Adenoid cystic carcinoma (ACC): MYB-NFIB fusion ~60% (not currently drugged); NOTCH1 mutation ~15% (gamma-secretase inhibitors — AL101 / ACCURACY trial). Indolent course with late distant relapses (lung most common). Chemotherapy generally low-yield; multikinase TKIs (lenvatinib) modest activity. - Mucoepidermoid carcinoma: CRTC1-MAML2 fusion ~50% (prognostic, not therapeutic). Surgery + adjuvant RT for high-grade.

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