Is There A Role for Limited Parotid Resections for Primary Malignant Parotid Tumors?
Quer, Miquel (Universitat Autònoma de Barcelona. Departament de Cirurgia)
Olsen, Kerry D. (Mayo Clinic. Department of Otorhinolaryngology)
Silver, Carl E. (University of Arizona College of Medicine. Department of Surgery)
Hamoir, Marc (St Luc University Hospital and King Albert II Cancer Institute. Department of Head and Neck Surgery)
Mäkitie, Antti A. (University of Helsinki. Faculty of Medicine)
Rodrigo, Juan Pablo (Hospital Universitario Central de Asturias)
Vander Poorten, Vincent (University Hospitals Leuven (Bèlgica))
Takes, Robert P. (Radboud University Medical Center)
Hellquist, Henrik (University of Algarve. Department of Biomedical Sciences and Medicine)
García Lorenzo, Jacinto (Universitat Autònoma de Barcelona. Departament de Cirurgia)
Guntinas-Lichius, Orlando (Jena University Hospital (Alemanya))
de Bree, Remco (University Medical Center Utrecht)
Suárez, Carlos (Instituto de Investigación Sanitaria del Principado de Asturias)
Kowalski, Luiz P. (Centro de Tratamento e Pesquisa Hospital do Cancer A.C. Camargo)
Vartanian, José G. (Hospital do Cancer A.C. Camargo)
Sanabria, Alvaro (Universidad de Antioquia. Department of Surgery)
Shaha, Ashok R. (Memorial Sloan Kettering Cancer Center)
Zbären, Peter (Universitätsspital Bern. Department of Otorhinolaryngology-Head and Neck Surgery)
Rinaldo, Alessandra (University of Udine. School of Medicine)
Ferlito, Alfio (International Head and Neck Scientific Group)

Date:	2020
Abstract:	Background: Lateral or total parotidectomy are the standard surgical treatmentsfor malignant parotid tumors. However, some authors have proposed a more limited procedure. (2) Methods: We performed a review of the literature on this topic. Studies were included that metthe following criteria: malignant parotid tumors, information about the extent of surgical resection,treated with less than a complete lateral lobectomy, and information on local control and/or survival. Nine articles fulfilled the inclusion criteria. (3) Results: Eight of the nine series reported favorableresults for the more limited approaches. Most used them for small, mobile, low-grade cancers inthe lateral parotid lobe. Most authors have used a limited partial lateral lobectomy for a presumedbenign lesion. The remaining study analyzed pediatric patients treated with enucleation with poorlocal control. (4) Conclusions: There is weak evidence for recommending less extensive proceduresthan a lateral parotid lobectomy. In the unique case of a partial lateral parotidectomy performed fora tumor initially thought to be benign but pathologically proved to be malignant, close follow-upcan be recommended for low grade T1 that has been excised with free margins and does not haveadverse prognostic factors.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Primary malignant parotid tumors ; Parotid malignancy ; Parotid tumors ; Partial parotidsurgery ; Parotid surgery
Published in:	Surgeries, Vol. 1 Núm. 1 (2020) , p. 2, ISSN 2673-4095

DOI: 10.3390/surgeries1010002

8 p, 252.0 KB

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