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It is really not only unusual but its medical training course can also be very heterogeneous. An overall total of 22 different subtypes is distinguished, signs and symptoms, therapy and prognosis of that may vary considerably. Which means both the diagnosis and treatment of the condition are prone to mistake. This will be illustrated by two situations a 62-year-old guy with a salivary duct carcinoma, and a 56-year-old guy with an adenoid cystic carcinoma. These instances are