This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

W. Frederick McGuirt, MD

Arch Otolaryngol Head Neck Surg. 1989;115(3):322-325.

Abstract
• Evaluating salivary gland neoplasms is difficult because of the relatively low incidence of these lesions, their variable locations, and their multiple histologic cell types. Little has been reported on nodal metastases, whether manifest or occult, from these neoplasms. Ninety cases of salivary gland neoplasm are analyzed to provide a clearer understanding of the appropriate approach to occult salivary gland cervical metastases. Manifest regional metastases at the original presentation were absent in 72% (65/90). Few nodal metastases occurred after the primary tumor was controlled (2% [1/56]). Local recurrence (38% [34/90]) and distant metastases (25% [14/56]) were more common. Stage I and II disease was treated by surgical resection of the primary tumor alone; resection was combined with postoperative radiation therapy for stage III disease. Whenever the neck was entered for stage III disease, a conservative neck dissection was incorporated with the resection to reduce the postoperative irradiation field once the neck had been proved N, O histologically. Delayed nodal metastasis was treated by neck dissection alone.

(Arch Otolaryngol Head Neck Surg 1989;115:322-325)

Author Affiliations
From the Section on Otolaryngology, Department of Surgery, Wake Forest University Medical Center, Winston-Salem, NC.

Footnotes
Accepted for publication Sept 21, 1988.

Read before the Second International Conference on Head and Neck Cancer, Boston, Aug 2, 1988.

Reprint requests to Section on Otolaryngology, Bowman Gray School of Medicine, 300 S Hawthorne Rd, Winston-Salem, NC 27103 (Dr McGuirt).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Multivariate Analysis of Risk Factors for Neck Metastases in Surgically Treated Parotid Carcinomas
Regis de Brito Santos et al.
Arch Otolaryngol Head Neck Surg 2001;127:56-60.
ABSTRACT | FULL TEXT