{Reference Type}: Letter {Title}: Letter to editor: Comment on "Clinical disease course and survival outcomes following disease recurrence in adenoid cystic carcinoma with and without NOTCH signaling pathway activation". {Author}: Sudhakaran G; {Journal}: Oral Oncol {Volume}: 156 {Issue}: 0 {Year}: 2024 Sep 13 {Factor}: 5.972 {DOI}: 10.1016/j.oraloncology.2024.106953 {Abstract}: The study by Feeney et al. provides critical insights into the prognostic implications of NOTCH pathway activation in adenoid cystic carcinoma (ACC), particularly after disease recurrence. Utilizing both next-generation sequencing and immunohistochemistry, the research delineates the survival outcomes between NOTCH-activated and non-activated ACC groups, highlighting poorer outcomes in the former. The findings advocate for the targeted therapeutic approach and suggest a potential for personalized treatment strategies, emphasizing the need for further research into NOTCH pathway inhibitors and their clinical applications.