“…A detailed review of the recent literature on ACC located in sites other than major and minor salivary glands, such as the oesophagus [Nelms and Luna, 1972;Kabuto et al, 1979;Sweeney and Cooney, 1980]; the female breast [McLellan et al, 1953;Galloway ei al., 1966;Groshong, 1966;Hayes and Brooks, 1967;Wilson and Spell, 1967;Cavanzo and Taylor, 1969;Friedman and Oberman, 1970;Lusted, 1970;Weitzner et al, 1970;Haagensen, 1971;Lerner et al, 1974;Qizilbash et al, 1977;Prioleau et al, 1979;Rosai, 1981;O 'Connor ei al., 1982]; the male breast [Ferlilo, 1969;Ferlito and Di Bonito, 1974]; the uterine cervix [Tchertkoff and Sedlis, 1962;Gallager et al, 1971 ;Gordon et al, 1972]; uterus [Ferlito and Spanio, 1970], and vulva [Abell, 1963], indicates that there is no well-documented case of lymph node metastasis, even in cases where widespread visceral métastasés were present. As Allen and Marsh [1976], we excluded the case of lymph node métastasés from ACC of the breast reported by Verani and van der Bel-Kahn [1973] because the diagnosis of ACC was doubtful.…”