Major and minor salivary gland tumors.
Malignant salivary gland tumors are rare. The most common tumor site is the parotid. Aetiologic factors are not clear. Nutrition may be a risk factor, as well as irradiation or a long-standing histologically benign tumor that occurs at youth. Painless swelling of a salivary gland should always be considered as suspicious, especially if no sign of inflammation is present. Signs and symptoms related to major salivary gland tumors differ from those concerning minor salivary gland tumors, as they depend on the different location of the salivary gland. Surgical excision represents the standard option in the treatment of resectable tumors of both major and minor salivary glands. Neutron, heavy ions or proton radiotherapy may be a treatment option for inoperable locoregional disease. Surgery, irradiation or re-irradiation are treatment options for local relapse, whereas radical neck dissection is indicated for regional relapses. Metastatic disease may be either treated with radiotherapy or palliative chemotherapy, depending on the site of metastases. For highly selected patients the employment of anti-androgen therapy is indicated.
Guzzo
Marco
M
Fondazione IRCCS "Istituto Nazionale dei Tumori", Milan, Italy.
Locati
Laura D
LD
Prott
Franz J
FJ
Gatta
Gemma
G
McGurk
Mark
M
Licitra
Lisa
L
D000818:Animals; D002277:Carcinoma / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D009362:Neoplasm Metastasis; D009367:Neoplasm Staging / Q000379:methods; D011379:Prognosis; D012008:Recurrence; D012468:Salivary Gland Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D012470:Salivary Glands, Minor / Q000473:pathology / Q000601:surgery