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Primacy of surgery in the management of mucoepidermoid carcinoma in children
Author(s) -
Ryan Jesse T.,
ElNaggar Adel K.,
Huh Winston,
Hanna Ehab Y.,
Weber Randal S.,
Kupferman Michael E.
Publication year - 2011
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21675
Subject(s) - mucoepidermoid carcinoma , medicine , medical record , distant metastasis , salivary gland , radiation therapy , carcinoma , head and neck , retrospective cohort study , histology , presentation (obstetrics) , metastasis , surgery , cancer
Background Epithelial salivary gland neoplasms are rare in children. Malignant tumors account for 30% to 50% of cases in the pediatric age group, with mucoepidermoid carcinoma as the most common histology. Methods A retrospective medical record review was conducted from 1953 to 2007 to identify patients with mucoepidermoid carcinoma at the age of 18 years or younger at the time of diagnosis. Forty‐nine patients were identified. Their medical records were examined for presentation, treatment, pathologic features, and outcomes. Results Forty‐nine pediatric patients with mucoepidermoid carcinoma were identified. The parotid gland (49%) and oral cavity (35%) were the most common subsites. Nodal metastasis was seen in 24% of patients. All patients underwent surgery, and 11 patients (22%) were treated with radiation therapy. The 5‐year overall survival was 98%, the 10‐year overall survival was 94%, and 10% of patients developed recurrence. Conclusion Mucoepidermoid carcinoma in children carries a favorable prognosis and can be successfully treated with surgery alone in most cases. © 2011 Wiley Periodicals, Inc. Head Neck, 2011