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El adenocarcinoma salival primario de cabeza y cuello es raro. En casos donde las metástasis cervicales son evidentes o sospechosas, la disección del cuello es probable que juegue un papel en el manejo. Sin embargo, hay escasa información en la literatura con respecto a los hallazgos y resultados de la disección del cuello en estos pacientes.
El presente estudio comprendió una revisión de 12 pacientes con adenocarcinoma salival de alto grado (carcinoma salival ductal o adenocarcinoma no específico (NS)). Se realizaron ocho disecciones de cuello (cuatro radicales modificadas, cuatro selectivas). El estudio histológico mostró evidencia de metástasis cervicales en cinco.
La prevalencia de metástasis ocultas en el cuello de NS fue del 40 por ciento. La tomografía computada (TC) y la resonancia magnética (RM) no fueron útiles en detectar enfermedad oculta del cuello. Cinco pacientes no tenían evidencia de enfermedad en el momento de seguimiento más reciente.
La disección del cuello está indicada en pacientes con adenocarcinoma salival de alto grado, y puede dar información para planificar un tratamiento adjuvante.