TY - JOUR
T1 - Is There A Role for Limited Parotid Resections for Primary Malignant Parotid Tumors?
AU - Quer, Miquel
AU - Olsen, Kerry D.
AU - Silver, Carl E.
AU - Hamoir, Marc
AU - Mäkitie, Antti A.
AU - Rodrigo, Juan P.
AU - Vander Poorten, Vincent
AU - Takes, Robert P.
AU - Hellquist, Henrik
AU - García Lorenzo, Jacinto
AU - Guntinas-Lichius, Orlando
AU - de Bree, Remco
AU - Suárez, Carlos
AU - Kowalski, Luiz P.
AU - Vartanian, José G.
AU - Sanabria, Alvaro
AU - Shaha, Ashok R.
AU - Zbären, Peter
AU - Rinaldo, Alessandra
AU - Ferlito, Alfio
N1 - Publisher Copyright:
© 2020 by the authors.
PY - 2020/6/15
Y1 - 2020/6/15
N2 - (1) Background: Lateral or total parotidectomy are the standard surgical treatments for 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 met the 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 favorable results for the more limited approaches. Most used them for small, mobile, low-grade cancers in the lateral parotid lobe. Most authors have used a limited partial lateral lobectomy for a presumed benign lesion. The remaining study analyzed pediatric patients treated with enucleation with poor local control. (4) Conclusions: There is weak evidence for recommending less extensive procedures than a lateral parotid lobectomy. In the unique case of a partial lateral parotidectomy performed for a tumor initially thought to be benign but pathologically proved to be malignant, close follow-up can be recommended for low grade T1 that has been excised with free margins and does not have adverse prognostic factors.
AB - (1) Background: Lateral or total parotidectomy are the standard surgical treatments for 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 met the 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 favorable results for the more limited approaches. Most used them for small, mobile, low-grade cancers in the lateral parotid lobe. Most authors have used a limited partial lateral lobectomy for a presumed benign lesion. The remaining study analyzed pediatric patients treated with enucleation with poor local control. (4) Conclusions: There is weak evidence for recommending less extensive procedures than a lateral parotid lobectomy. In the unique case of a partial lateral parotidectomy performed for a tumor initially thought to be benign but pathologically proved to be malignant, close follow-up can be recommended for low grade T1 that has been excised with free margins and does not have adverse prognostic factors.
KW - parotid malignancy
KW - parotid surgery
KW - parotid tumors
KW - partial parotid surgery
KW - primary malignant parotid tumors
UR - http://www.scopus.com/inward/record.url?scp=85096676154&partnerID=8YFLogxK
U2 - 10.3390/surgeries1010002
DO - 10.3390/surgeries1010002
M3 - Article
AN - SCOPUS:85096676154
VL - 1
SP - 2
EP - 9
JO - Surgeries (Switzerland)
JF - Surgeries (Switzerland)
IS - 1
ER -