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Diagnosis and treatment of parotid tumours

Published online by Cambridge University Press:  29 June 2007

Syed Akhtar Kamal*
Affiliation:
Department of Otolaryngology, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.
Eyas Osama Othman
Affiliation:
Department of Otolaryngology, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.
*
Address for correspondence: Dr S. A. Kamal, P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia.

Abstract

Diagnosis and treatment of 51 cases of parotid tumour seen and treated in King Fahad National Guard Hospital, Riyadh, are discussed here. More emphasis is placed on proper clinical history and physical examination of patients with parotid lump because usually this will provide enough information to the clinician about the nature of the swelling. Imaging studies are helpful in supporting the clinical diagnosis and determining the extent of the lesion particularly in cases of malignant tumours. Fine needle aspiration biopsy needs an expert cytologist for salivary gland neoplasm and the need for proper communication between the surgeon and cytologist is stressed. All 51 cases underwent surgical excision which is the treatment of choice. Follow-up periods were variable and short.

Type
Review Article
Copyright
Copyright © JLO (1984) Limited 1997

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References

Armistead, P. R., Smeddy, P. R., Frank, H. G. (1979) Simple enucleation and radiotherapy in the treatment of pleomorphic salivary adenoma of the parotid gland. British Journal of Surgery 66: 716717.CrossRefGoogle Scholar
Armstrong, J. G., Harrison, L. B., Howard, T. T., Freidlander-Klar, H., Fass, D. E., Zelefsky, M. J., Shah, J. P., Strong, E. W., Spiro, R. H. (1992) The indications for elective treatment of the neck in cancer of the major salivary glands. Cancer 69: 615619.3.0.CO;2-9>CrossRefGoogle ScholarPubMed
Cesteleyn, L., Smith, R. G., Akuamoa-Boateng, E., Kovacs, B., Peiffer, R. (1990) Current diagnosis and therapy of parotid tumors. Acta Stomatologica Belgica 88: 157170.Google Scholar
Cruikshank, A. H., Evans, R. W. (1976) Epithelia Tumors of the Salivary Glands. W. B. Saunders, New York, pp 172.Google Scholar
Eneroth, C. M., Franzen, S., Zajicek, J. (1967) Cytologic diagnosis of an aspirate from 1000 salivary gland tumors. Acta Otolaryngologica (Suppl 224): 168171.CrossRefGoogle Scholar
Eneroth, C. M., Zajicek, J. (1965) Aspiration biopsy of salivary gland tumors (II). Acta Cytologica 9: 355361.Google ScholarPubMed
Eneroth, C. M., Zajicek, J. (1966) Aspiration biopsy of salivary gland tumors (III). Acta Cytologica 10: 440453.Google Scholar
Haw, C. S. (1975) Pleomorphic adenoma of the parotid gland. Journal of the Royal College of Surgeons, Edinburgh 20: 2529.Google ScholarPubMed
Hobsley, M., Watkin, G. T. (1986) Incidence of local surgery and radiotherapy on natural history of pleomorphic adenoma. British Journal of Surgery 63: 341.Google Scholar
Hugo, N. E., McKinney, P., Griffith, B. H. (1973) Management of tumors of the parotid gland. North American Surgical Clinic 53: 105111.CrossRefGoogle ScholarPubMed
Kline, T. S., Neal, H. S., Holroyde, C. P. (1976) The diagnosis of subcutaneous nodules and lymph nodes by needle aspiration biopsy. Journal of the American Medical Association 235: 28482850.CrossRefGoogle ScholarPubMed
Lindberg, L. G., Ackerman, M. (1976) Aspiration cytology of salivary gland tumors. Diagnostic experience from six years of routine laboratory work. Laryngoscope 86: 584594.CrossRefGoogle ScholarPubMed
Maran, A. G. D., Mackenzie, I. J., Stanley, R. E. (1984) Recurrent pleomorphic adenomas of parotid gland. Archives of Otolaryngology 110: 167171.CrossRefGoogle ScholarPubMed
Marandas, P., Dharkar, D., Davis, A., Leridant, A. M., Ojeda, L. P., Micheau, C., Wibault, P., Schwaab, G. (1988) Malignant tumors of the parotid; a study of 76 patients. Clinical Otolaryngology 15: 103109.CrossRefGoogle Scholar
McEvedy, B. V., Ross, W. M. (1976) Treatment of mixed parotid tumour by enucleation and radiotherapy. British Journal of Surgery 63: 314342.Google ScholarPubMed
Persson, P. S., Zettergren, L. (1973) Cytologic diagnosis of salivary gland tumors by aspiration biopsy. Acta Cytologica 17: 351354.Google ScholarPubMed
Roland, N. J., Caslin, A. W., Smith, P. A., Turnbull, L. S., Panarese, A., Jones, A. S. (1993) Fine needle aspiration cytology of salivary glands reported immediately in a head and neck clinic. Journal of Laryngology and Otology 107: 10251028.CrossRefGoogle Scholar
Skolink, E. M., Friedman, M., Becker, S., Sisson, G. A., Keyes, G. R. (1977) Tumors of the major salivary glands. Laryngoscope 37: 843861.CrossRefGoogle Scholar
Snow, G. B. (1979) Tumors of parotid gland. Clinical Otolaryngology 4; 457465.CrossRefGoogle ScholarPubMed
Spiro, R. H. (1991) Diagnosis and pitfalls in the treatment of parotid tumors. Seminars in Surgical Oncology 7: 2024.CrossRefGoogle ScholarPubMed
Spiro, R. H., Armstrong, J., Harrison, L., Geller, N. L., Lin, S. Y., Strong, E. W. (1989) Carcinoma of major salivary glands. Recent trends. Archives of Otolaryngology Head and Neck Surgery 115: 316321.CrossRefGoogle ScholarPubMed
Stevens, K. D., Hobsley, M. (1982) The treatment of pleomorphic adenomas by formal parotidectomy. British Journal of Surgery 69: 13.CrossRefGoogle ScholarPubMed
Stewart, F. W. (1933) The diagnosis of tumors by aspiration. American Journal of Pathology 9: 801812.Google ScholarPubMed
Tabor, E. K., Curtin, H. D. (1989) MR of the salivary glands. Radiology Clinics of North America 27: 379392.CrossRefGoogle ScholarPubMed
Touquet, R., Mackenzie, I. J., Carruth, J. A. S. (1990) Management of parotid pleomorphic adenoma, the problem of exposing tumor tissue at operation. The logical pursuit of treatment policies. British Journal of Oral and Maxillofacial Surgery 28: 404408.CrossRefGoogle ScholarPubMed
Von Haam, E. (1962) A comparative study of the accuracy of cancer cell detection by cytologic method. Acta Cytologica 6: 508518.Google Scholar
Zajicek, J., Eneroth, C. M., Jakobson, P. (1976) Aspiration biopsy of salivary gland tumors (VI). Acta Cytologica 20: 3541.Google Scholar