salivary duct carcinoma salivary duct carcinoma salivary duct carcinoma (sdc) is a rare type of aggressive cancer that arises from the salivary glands. it is predominantly seen in men and, generally, has a poor prognosis. other high grade carcinomas can mimic sdc. about 40-60% of sdc arise in pleomorphic adenomas. most, if not all, sdcs express androgen receptor by immunohistochemistry. therapeutically relevant genetic alterations include erbb2/her2 amplification, pik3ca and/or hras mutations. salivary duct carcinomalow magnification micrograph of a salivary duct carcinoma with characteristic comedonecrosis (left of image) adjacent to normal parotid gland (right of image). h&e stain.specialtyent surgery signs and symptoms the typical presentation is a rapidly growing mass with associated pain. this may be seen in association with neck lymph node swelling (cervical lymphadenopathy), due to metastases, and facial nerve paralysis. diagnosis sdc are diagnosed by examination of tissue, e.g. a biopsy. their histologic appearance is similar to ductal breast carcinoma. very low mag. intermed. mag. very high mag.