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Maria Riedmeier University Children’s Hospital, Department of Pediatric Hematology, Oncology and Stem cell transplantation, University of Wuerzburg, Wuerzburg, Germany.

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Lester D R Thompson Head and Neck Pathology Consultations, Los Angeles, California, USA

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Carlos Augusto Fernandes Molina Department of Surgery and Anatomy, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil

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Boris Decarolis Department of Pediatric Oncology and Hematology, University Children’s Hospital of Cologne, Medical Faculty, Cologne, Germany

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Christoph Härtel University Children’s Hospital, Department of Pediatric Hematology, Oncology and Stem cell transplantation, University of Wuerzburg, Wuerzburg, Germany.

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Paul-G Schlegel University Children’s Hospital, Department of Pediatric Hematology, Oncology and Stem cell transplantation, University of Wuerzburg, Wuerzburg, Germany.
Comprehensive Cancer Centre Mainfranken, University of Wuerzburg Medical Centre, Wuerzburg, Germany

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Martin Fassnacht Comprehensive Cancer Centre Mainfranken, University of Wuerzburg Medical Centre, Wuerzburg, Germany
Department of Medicine, Division of Endocrinology and Diabetes, University Hospital, University of Wuerzburg, Wuerzburg, Germany

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Verena Wiegering University Children’s Hospital, Department of Pediatric Hematology, Oncology and Stem cell transplantation, University of Wuerzburg, Wuerzburg, Germany.
Comprehensive Cancer Centre Mainfranken, University of Wuerzburg Medical Centre, Wuerzburg, Germany

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systems for pediatric ACC: Wieneke score (AFIP) and Weiss score. AFIP score (Wieneke) Weiss score Criteria Tumor weight > 400 g High nuclear grade (Führman G3/G4) Tumor size > 10.5 cm >5 mitosis/50 HPF

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