Adenoid cystic carcinoma of the nose, paranasal sinuses, and palate.

A retrospective study was performed on 18 cases of adenoid cystic carcinoma involving the nose, paranasal sinuses, or palate. The most common symptoms seen initially were referable to a mass or epistaxis. Surgery was the only form of therapy associated with long survival, although the addition of postoperative radiation therapy appears to prolong survival. All recurrences were first noted in the primary area. Factors that correlated best with surgical were clear surgical margins and absence of cranial nerve involvement.