Superficial parotidectomy



Salivary Gland Tumor — Remove or Monitor?

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They detected a small tumor in my husband’s saliva gland. The doctor first told us that even if it was not cancerous now, that they tend to turn cancerous if not removed. The biopsy was mostly fluid, but there were some abnormal cells — not enough to be conclusive. The MRI revealed all the "characteristics" of a non-cancerous tumor. The doctor now tells us that because it shrunk and is so small, that we should wait and watch. This makes us both nervous, because of his first statements. What advice do you have?

There are both major and minor salivary glands in your body. Minor salivary glands are small clusters of cells and line the roof and sides of your mouth and can number up to 250 glands. Major salivary glands are paired and include the parotid glands, found on the sides of your face in front of your ears; submandibular glands, found below your jaw; and sublingual glands, found below your tongue.

In general, the larger the gland, the more likely it is that a growth in that gland is benign. For example, 80 percent of masses in the parotid gland (the largest salivary gland) are benign. In contrast, 50 percent of masses in minor salivary glands (smallest glands) are cancerous.

Fine needle aspiration — where a small needle is inserted into the tumor and cells are removed for analysis — is a common method of distinguishing between benign tumors and cancers. MRIand CT scans can also help determine the size and location of the lesion.

Whether or not to undergo surgery depends on many factors, including the location, size and type of tumor. For example, even a small benign tumor in the parotid gland should be removed as it will grow over time and can become more difficult to treat.

In contrast, some small cysts can be watched over time if there is confidence that they can be easily evaluated. All cancerous lesions require treatment, whether it’s surgery, radiation or both. In general, these treatment decisions should be made in consultation with your doctor. If you are concerned about a specific treatment plan, my advice is to sit down with your doctor and discuss your concerns.






Video: How To Save The Facial Nerve During Parotid Salivary Gland Tumor Surgery / Neck Lump.

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Date: 12.12.2018, 09:12 / Views: 72144


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