DOI: https://doi.org/10.36347/sjmcr.2025.v13i07.011

Pages: 1571-1573

Cribriform adenocarcinoma of the accessory salivary glands is a rare tumor, characterized by the frequence of cervical lymph node metastases, and a favorable prognosis. We report the observation of a patient treated by surgery followed by radiation therapy, to illustrate the crucial role of radiotherapy in the management of this disease, as well as the evolution after radiotherapy. This is a 79-year-old woman, without medical history, with a lesion of the soft palate, lateralized to the left, measuring 3 cm, with no cervical adenopathy. The histopathological point of view, cribriform carcinoma of the minor salivary glands presents similarities with papillary thyroid carcinomae. The patient was treated by surgery followed by adjuvant treatment based on local external radiotherapy, delivered by the intensity-modulated conformal radiotherapy technique of the arc therapy type, by photons with energy of 6 Mev in 2 arcs with a total dose of 66 to 70 Gray by a classic fractionation of 2 Gy/fraction, 5 days out of 7, for 7 weeks. In our case, the prognosis was good, with no recurrence or metastasis over an 18-month follow-up.