title: Management of salivary gland malignancies in the pediatric population.
abstract: OBJECTIVE
  The management of pediatric salivary gland cancer (SGC) remains a challenge, and long-term outcome data are lacking for these rare tumors. The heterogeneity of histopathological features in 24 different SGCs further complicates unequivocal treatment recommendations across different age groups. This review aims to outline the management guidelines for pediatric SGC.
  
  
  RESULTS
  Compared with adults, pediatric SGC is more often localized to the primary site and of low-grade histology. Surgery remains the treatment of choice accompanied by oncological treatment in selected patients. Elective neck dissection seems unnecessary as the occurrence of occult metastases is rare.
  
  
  CONCLUSIONS
  This review provides information for clinicians to manage pediatric SGC highlighting the need for individually based treatment decisions at multidisciplinary head and neck centers.
authors.affiliation: aDepartment of Otorhinolaryngology - Head and Neck Surgery, Helsinki University Central Hospital and University of Helsinki, Helsinki bDepartment of Pathology, University of Turku, Turku, Finland.
authors.forename: Katri
authors.initials: K
authors.lastname: Aro
authors.forename: Ilmo
authors.initials: I
authors.lastname: Leivo
authors.forename: Antti
authors.initials: A
authors.lastname: Mäkitie
mesh_terms: D002648:Child; D003952:Diagnostic Imaging; D006801:Humans; D037981:Neck Dissection; D060787:Neoplasm Grading; D009364:Neoplasm Recurrence, Local; D019647:Oral Surgical Procedures; D011379:Prognosis; D018714:Radiotherapy, Adjuvant; D012468:Salivary Gland Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D015996:Survival Rate