Salivary gland tumor surgery: Difference between revisions

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{{Salivary gland tumor}}
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==Overview==
==Overview==
The mainstay of therapy for salivary gland tumor is surgery.<ref name="CCS">  Salivary gland cancer. Canadian cancer society(2015)http://www.cancer.ca/en/cancer-information/cancer-type/salivary-gland/treatment/?region=sk Accessed on November 8, 2015</ref><ref name="NIH">  Salivary gland cancer. National cancer institute(2015)http://www.cancer.gov/types/head-and-neck/hp/salivary-gland-treatment-pdq#section/_45 Accessed on November 8, 2015</ref>
==Surgery==
==Surgery==
===Stage I Salivary Gland Cancer ===
Surgery for salivary gland tumors includes the following procedures:<ref name="CCS">  Salivary gland cancer. Canadian cancer society(2015)http://www.cancer.ca/en/cancer-information/cancer-type/salivary-gland/treatment/?region=sk Accessed on November 8, 2015</ref><ref name="NIH">  Salivary gland cancer. National cancer institute(2015)http://www.cancer.gov/types/head-and-neck/hp/salivary-gland-treatment-pdq#section/_45 Accessed on November 8, 2015</ref>
Treatment for stage I salivary gland cancer depends on whether the cancer is low-grade (slow growing) or high-grade (fast growing).
*Superficial parotidectomy (removal of part of the parotid gland) is done to treat low-grade tumors of the superficial portion of the parotid gland.
If the cancer is low-grade, treatment may include the following:
*A total parotidectomy (removal of the parotid gland) is done for all tumors other than superficial tumors of the parotid gland.
*Surgery with or without radiation therapy.
*A submandibular sialadenectomy (removal of the submandibular gland) is used for tumors of the submandibular gland.
*Fast neutron radiation therapy.
*Wide excision is used for tumors of the sublingual and minor salivary glands.
If the cancer is high-grade, treatment may include the following:
*Neck dissection (lymphadenectomy) is done to remove the lymph nodes if the cancer has spread to the nodes.
*Surgery with or without radiation therapy.
*A clinical trial of chemotherapy.
*A clinical trial of a new local therapy.
===Stage II Salivary Gland Cancer ===
Treatment for stage II salivary gland cancer depends on whether the cancer is low-grade (slow growing) or high-grade (fast growing).
If the cancer is low-grade, treatment may include the following:
*Surgery with or without radiation therapy.
*Radiation therapy.
*Chemotherapy.
If the cancer is high-grade, treatment may include the following:
*Surgery with or without radiation therapy.
*Fast neutron or photon-beam radiation therapy.
*A clinical trial of radiation therapy and/or radiosensitizers.
*A clinical trial of chemotherapy.
===Stage III Salivary Gland Cancer ===
Treatment for stage III salivary gland cancer depends on whether the cancer is low-grade (slow growing) or high-grade (fast growing).
If the cancer is low-grade, treatment may include the following:
*Surgery with or without lymphadenectomy. Radiation therapy may also be given after surgery.
*[[Radiation therapy]]
*Fast neutron radiation therapy to lymph nodes with cancer
*Chemotherapy
 
If the cancer is high-grade, treatment may include the following:
*Surgery with or without lymphadenectomy. Radiation therapy may also be given after surgery.
*Fast neutron radiation therapy.
*Radiation therapy as palliative therapy to relieve symptoms and improve quality of life.
*A clinical trial of radiation therapy and/or radiosensitizers.
*A clinical trial of chemotherapy.
===Stage IV Salivary Gland Cancer ===
Treatment of stage IV salivary gland cancer may include the following:
*Fast neutron or photon-beam radiation therapy.
*A clinical trial of chemotherapy with or without radiation therapy.
 
===Video Demonstrating How to Save the Facial Nerve During Parotid Gland Tumor Surgery===
===Video Demonstrating How to Save the Facial Nerve During Parotid Gland Tumor Surgery===
{{#ev:youtube|dHW9LmbCKOg}}
{{#ev:youtube|dHW9LmbCKOg}}
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==References==
==References==
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{{reflist|2}}
 
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Latest revision as of 15:28, 27 November 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

The mainstay of therapy for salivary gland tumor is surgery.[1][2]

Surgery

Surgery for salivary gland tumors includes the following procedures:[1][2]

  • Superficial parotidectomy (removal of part of the parotid gland) is done to treat low-grade tumors of the superficial portion of the parotid gland.
  • A total parotidectomy (removal of the parotid gland) is done for all tumors other than superficial tumors of the parotid gland.
  • A submandibular sialadenectomy (removal of the submandibular gland) is used for tumors of the submandibular gland.
  • Wide excision is used for tumors of the sublingual and minor salivary glands.
  • Neck dissection (lymphadenectomy) is done to remove the lymph nodes if the cancer has spread to the nodes.

Video Demonstrating How to Save the Facial Nerve During Parotid Gland Tumor Surgery

{{#ev:youtube|dHW9LmbCKOg}}

References

  1. 1.0 1.1 Salivary gland cancer. Canadian cancer society(2015)http://www.cancer.ca/en/cancer-information/cancer-type/salivary-gland/treatment/?region=sk Accessed on November 8, 2015
  2. 2.0 2.1 Salivary gland cancer. National cancer institute(2015)http://www.cancer.gov/types/head-and-neck/hp/salivary-gland-treatment-pdq#section/_45 Accessed on November 8, 2015

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