Salivary gland tumor surgery: Difference between revisions

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Revision as of 19:09, 14 November 2015

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 tumours of the superficial portion of the parotid gland.
A total parotidectomy (removal of the parotid gland) is done for all tumours other than superficial tumours of the parotid gland.
A submandibular sialadenectomy (removal of the submandibular gland) is used for tumours 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

References

↑ ^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
↑ ^2.0 ^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

Template:WikiDoc Sources

[CCS-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

[NIH-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

[1]

[2]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Salivary gland tumor}}
-{{CMG}}
+{{CMG}}{{AE}}{{Simrat}}
 ==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==
-===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 or high-grade.
+*Superficial parotidectomy (removal of part of the parotid gland) is done to treat low-grade tumours 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 tumours other than superficial tumours of the parotid gland.
-*Surgery with or without [[radiation therapy]].
+*A submandibular sialadenectomy (removal of the submandibular gland) is used for tumours 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===
 {{#ev:youtube|dHW9LmbCKOg}}