Background. A retrospective study was performed on 51 patients with ad
enoid cystic carcinomas to see whether DNA ploidy, tumor stage, and hi
stopathologic grading correlated with prognosis. Methods. Histopatholo
gic grading was performed according to Szanto et al and DNA content wa
s estimated from archived material using the technique by Hedley et al
. Results. Thirty-nine tumors were DNA diploid and 12 were DNA aneuplo
id. Histologic grade III was more often associated with DNA aneuploidy
than the lower grades (p = 0.011). DNA ploidy also correlated with cl
inical stage (p = 0.011). Log-rank analysis and Cox regression analysi
s of treatment failures revealed significant findings for S-phase valu
e and DNA ploidy. Conclusions. Our results indicate that DNA ploidy es
timations, S-phase value, and histologic grading are prognostic factor
s in adenoid cystic carcinomas. These examinations should therefore be
incorporated in the evaluation of patients with adenoid cystic carcin
omas. (C) 1995 John Wiley & Sons, Inc.