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Surgical morbidities and outcomes of major salivary gland neoplasms treated at a tertiary cancer center.

Abstract：

Background and Objectives:Salivary gland neoplasms are relatively uncommon. They have a wide variety of histopathological types with diverse biological behavior. It involves all the major and minor salivary glands in the head and neck. This article focuses on the various types of major salivary gland tumors treated at a tertiary cancer center along with their surgical morbidities and outcomes. Materials and Methods:Data of all the salivary gland neoplasms operated in the head and neck services between January 2012 and December 2013 were retrieved from a prospectively collected database. The clinical, demographic data and types of surgeries along with the morbidities were collated from the database and the details regarding the follow-up were collected from the electronic medical record. Results:Out of 235. cases registered, 107. patients were treated at our institute. The parotid gland was most commonly involved; majority were malignant lesions. Sixty-two patients were treatment naive at presentation. Majority presented with advanced disease. Superficial parotidectomy was the most common surgery performed and neck dissection was done in 27. patients. Facial nerve palsy was the most common complication following surgery. (16%). Sixty patients received adjuvant treatment. All patients on follow-up were alive at their last visit, with 10. patients having recurrence. Factors influencing the disease-free survival were extracapsular spread, tumor grade, and perineural invasion. Conclusion:The postoperative morbidities and outcomes for major salivary gland neoplasms in our series were acceptable and comparable to the results available in the literature. Appropriate treatment of the salivary gland neoplasm will yield good outcomes with acceptable morbidity.

journal_name

Indian J Cancer

journal_title

Indian journal of cancer

authors

Thiagarajan S,Fathehi K,Nair D,Deshmukh A,Pantvaidya G,Chaukar DA,D'Cruz AK

doi

10.4103/ijc.IJC_466_17

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

33-36

issue

eissn

0019-509X

issn

1998-4774

pii

IndianJournalofCancer_2018_55_1_33_239593

journal_volume

pub_type

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Surgical morbidities and outcomes of major salivary gland neoplasms treated at a tertiary cancer center.