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AGGRESSIVE SURGERY IN TREATMENT FOR PAROTID CANCER: THE ROLE OF ADJUNCTIVE POSTOPERATIVE RADIOTHERAPY

OSCAR M. GUILLAMONDEGUI M.D.1, ROBERT M. BYERS M.D.2, MARIO A. LUNA M.D.3, HONORIO CHIMINAZZO JR. M.D.4, RICHARD H. JESSE M.D.5, and GILBERT H. FLETCHER M.D.6

1 Associate Surgeon, Head and Neck Service, Department of Surgery, The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas.
2 Assistant Surgeon, Head and Neck Service, Department of Surgery, The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas.
3 Associate Pathologist, Department of Pathology, The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas.
4 Fellow in Radiotherapy, Department of Radiotherapy, The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas.
5 Chief, Head and Neck Service, Department of Surgery, The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas.
6 Head, Department of Radiotherapy, The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas.

A 7 year follow-up of 120 patients with malignant parotid cancers reveals parotidectomy to be an adequate procedure for low-grade, nonaggressive lesions.

The addition of radiation therapy postoperatively will improve local and regional control of high-grade, aggressive lesions. Postoperative radiation therapy may also make the removal of the facial nerve unnecessary in certain clinical presentations.


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 Arch Otolaryngol Head Neck SurgHome page
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Adenoid Cystic Carcinoma of the Head and Neck: Predictors of Morbidity and Mortality
Arch Otolaryngol Head Neck Surg, February 1, 1999; 125(2): 149 - 152.
[Abstract] [Full Text] [PDF]


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