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Causes, Risk Factors, and Prevention of Salivary Gland Cancer
The exact cause of most salivary gland cancers is not known. Learn more about risk factors for salivary gland cancer and how you might help lower your risk.
What causes salivary gland cancer?
A risk factor is anything that affects a person’s chance of getting a disease such as cancer.
Researchers have found some risk factors for salivary gland cancer. But for the most part, it’s not clear exactly how these risk factors might cause salivary gland cancers to develop. Research is underway to learn more.
We do know that certain gene changes (mutations) in normal salivary gland cells are seen more often in certain types of salivary gland cancer. These changes happen in genes that control cell growth or repair damaged DNA.
Gene changes found in salivary gland cancer
Certain gene changes in normal cells can alter the way the gene works. When this happens, it can promote cancer growth and lead to a person developing cancer.
Certain gene changes are seen more commonly in certain types of salivary gland cancer. When doctors find certain gene changes in cancer cells, they can use this information to diagnose and treat your cancer.
Some examples of gene changes in salivary gland tumors include:
- MECT1:MAML2 gene fusion, in many mucoepidermoid carcinomas
- MYB:NFIB gene fusion, in more than half of adenoid cystic carcinomas
- ETV-NTRK3 fusion genes, in some secretory carcinomas. Sometimes targeted drugs called TRK inhibitors can be used to block the tumor growth signal from NTRK3.
Still, in many cases, a specific gene change causing salivary gland cancer is not found.
Are these gene changes inherited or acquired?
Gene changes that cause cancer can be:
- Inherited, passed on from a parent
- Acquired, happen either because of damage or by chance.
Most gene changes in salivary gland cancer are acquired.
Acquired gene changes can result from exposure to cancer-causing chemicals, like those found in tobacco smoke or chemicals at work. In other cases, gene changes might not have a clear cause. Several different gene changes are usually needed for cancer to develop, but not all these changes are understood.
Inherited gene changes rarely directly cause these cancers. But some people might be more sensitive to the effects of cancer-causing chemicals (carcinogens) than others because of their genes.
Risk factors for salivary gland cancer
A few risk factors are known to make a person more likely to develop salivary gland cancer, but most salivary gland cancers start without any clear cause. Having a risk factor, or even many, does not mean that you will get the disease.
Some risk factors, like smoking, can be changed. Others, like a person’s age or family history, cannot be changed.
The risk of salivary gland cancer goes up as people get older. While rare, salivary gland cancers are more common in people in their 50s, 60s, and older.
Radiation treatment to the head and neck area for other medical reasons increases your risk of salivary gland cancer, especially if your salivary glands were not protected during the radiation.
Workplace exposure to certain radioactive substances might also increase the risk of salivary gland cancer.
Some viral infections might be associated with certain salivary gland tumors.
Epstein Barr Virus: Lymphoepithelial cancer, a very rare type of salivary gland cancer, is associated with the Epstein-Barr virus.
Human Immunodeficiency Virus (HIV): People with HIV infection are also at risk for salivary gland cancers. This could be because people with HIV have weakened immune systems, but more research is needed.
Human Papillomavirus (HPV): Certain high-risk types of HPV have been found in some mucoepidermoid cancers, but scientists aren’t sure if there’s a link. More studies are needed.
Vaccines to help prevent HPV infection are available and can help prevent six types of HPV cancers, including other cancers of the head and neck.
Other possible risk factors
Smoking cigarettes has been linked to a higher risk of Warthin tumor, a benign salivary gland tumor. Results of studies of salivary gland cancers and smoking have been mixed. Smoking is a known risk factor for other cancers of the head and neck and should be avoided.
Some studies have suggested that people who work with certain metals, such as nickel alloy dust, and people who work in asbestos mining, plumbing, rubber products manufacturing, and some types of woodworking might be at increased risk of salivary gland cancer, but these links are not certain. The rarity of these cancers makes this hard to study.
One study suggested an increased risk of parotid gland tumors among heavy cell phone users. In this study, most of the tumors seen were benign (not cancerous). Other studies looking at this issue have not found such a link. Research is still being done in this area.
Can salivary gland cancer be prevented?
Because we don’t know what causes most salivary gland cancers, we don’t yet know how to prevent many of them.
Avoid exposure to certain infections
Certain viral infections, such as EBV, HIV, and HPV, might be linked to an increased risk of salivary gland cancers. Avoiding exposure to these viruses might help lower your risk. And although more research is needed to understand finding HPV in some salivary gland cancers, there are vaccines available to help prevent 6 HPV cancers.
Avoid tobacco
The link between tobacco and salivary gland cancer is not clear, but avoiding tobacco is a good idea. It might also help lower your risk of tobacco-related cancers, including other head and neck cancers and lung cancers. Tobacco use has also been associated with many other diseases.
Avoid certain workplace exposures
People who have an increased risk of salivary gland cancer because they work in certain industries should take precautions to protect themselves to help lower their risk.
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- References
Developed by the 黑料大湿Posts Cancer Society medical and editorial content team with medical review and contribution by the 黑料大湿Posts Society of Clinical Oncology (ASCO).
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Leeman JE, Katabi N, Wong RJ, Lee NY, Romesser PB. Chapter 65: Cancer of the Head and Neck. In: Niederhuber JE, Armitage JO, Dorshow JH, Kastan MB, Tepper JE, eds. Abeloff’s Clinical Oncology. 6th ed. Philadelphia, Pa. Elsevier: 2020.
National Cancer Institute. Salivary Gland Cancer Treatment. Accessed at https://www.cancer.gov/types/head-and-neck/hp/adult/salivary-gland-treatment-pdq on January 8, 2025.
Sadetzki S, Chetrit A, Jarus-Hakak A, et al. Cellular phone use and risk of benign and malignant parotid gland tumors--a nationwide case-control study. Am J Epidemiol. 2008; 167:457-467.
Sawabe M, Ito H, Takahara T, et al. Heterogeneous impact of smoking on major salivary gland cancer according to histopathological subtype: A case-control study. Cancer. 2018;124(1):118-124.
Last Revised: March 11, 2026
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