Recurrent salivary gland malignancies present difficult therapeutic decisions and poor prognosis in many instances, and treatment becomes of a palliative nature only. As many of the salivary gland malignancies we see are of the recurrent type, the following study was done to determine the efficacy o
Malignant neoplasms of the major salivary glands
β Scribed by W. Thomas Lawrence; Walter Lawrence
- Publisher
- John Wiley and Sons
- Year
- 1981
- Tongue
- English
- Weight
- 685 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0022-4790
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β¦ Synopsis
Abstract
Between January 1, 1968 and December 31, 1978, 42 patients with malignant lesions involving the major salivary glands were seen at the Medical College of Virginia. A 60% 2βyear survival and a 42% 5βyear survival were noted. Histologic type was the major determinant of survival. Symptoms other than a painless mass, a largest dimension greater than 4 cm, older age, and clinical spread outside the gland were all suggestive of both a more malignant histologic type and a worse prognosis. Based on these observations, a plan is proposed for the diagnostic approach and treatment of salivary gland masses that is based on the mode of presentation and histologic findings.
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