Salivary gland tumor surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The mainstay of therapy for salivary gland tumor is surgery..[1][2]
Surgery
Stage I Salivary Gland Cancer
Treatment for stage I 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.
- Fast neutron radiation therapy.
If the cancer is high-grade, treatment may include the following:
- 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
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References
- ↑ 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
- ↑ 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