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Management of Malignant Salivary Gland Tumors
Author(s) -
Byun Young S.,
Fayos Juan V.,
Kim Young H.
Publication year - 1980
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.1980.90.6.1052
Subject(s) - medicine , radiation therapy , distant metastasis , facial nerve , survival rate , surgery , metastasis , salivary gland , palsy , parotid gland , cancer , pathology , alternative medicine
A total of 54 patients with major salivary gland tumor were treated with radiation therapy at the University of Michigan from 1955 to 1975, inclusive. Fifteen had total resection and radiation, 16 had subtotal resection and radiation, and 23 were inoperable and received radiation only. Local control rate was different between these groups, 86.7%, 75%, 21.7% respectively, as was survival rate at 5 years, 78.4%, 59.8%, 29.9% In patients with facial nerve palsy, with combined surgery and radiation, 65.3% local control and 49.7% 5year survival was obtained. Regional neck node metastasis was noted in 25.5% and distant metastasis in 24.1%. Local tumor control was found to be a very important factor in survival: 70.2% survival in patients with local control and 28.7% without. The authors conclude that a combined radical surgery and postoperative radiation would improve the prognosis of these patients with major salivary gland tumors.