title: [Is there a role for radiotherapy in the treatment of patients with pleomorphic adenoma of the parotid gland?].
abstract: A group of 79 patients primarily operated (n = 63) or operated for local recurrence after previous surgery (n = 16) and irradiated post-operatively was studied retrospectively. Indications for radiation treatment were: enucleation and spill after pseudo-penetration of the capsule or remnants of tumour after partial or total parotidectomy respectively. During follow-up (4-16 years) only one of the patients, irradiated because of recurrence, had a second recurrence. No major complications or malignant degenerations took place. Partial or total parotidectomy with saving of the facial nerve is the treatment of choice rather than a combination of enucleation with radiotherapy. However, in case of remnants after radical surgery or re-excision for recurrent tumour postoperative irradiation appears to be indicated and effective.
authors.forename: L A
authors.initials: LA
authors.lastname: Ravasz
authors.forename: G J
authors.initials: GJ
authors.lastname: Hordijk
authors.forename: C H
authors.initials: CH
authors.lastname: Terhaard
mesh_terms: D008949:Adenoma, Pleomorphic / Q000532:radiotherapy* / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010307:Parotid Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D011182:Postoperative Care; D011882:Radiotherapy, High-Energy
vernacular_title: Heeft radiotherapie een plaats in de behandeling van patiënten met pleomorf adenoom in de glandula parotis?