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Opinion

Is There A Role for Limited Parotid Resections for Primary Malignant Parotid Tumors?

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Department of Otolaryngology-Head and Neck Surgery, University Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain
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Department of Surgery, Universitat Autonòma de Barcelona, 08193 Bellaterra, Barcelona, Spain
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Multidisciplinary Salivary Gland Society, 1204 Genève, Switzerland
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Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN 55902, USA
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Department of Surgery, University of Arizona College of Medicine, Phoenix, AZ 85724, USA
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Department of Head and Neck Surgery, Head and Neck Oncology Program, St Luc University Hospital and King Albert II Cancer Institute, 1200 Brussels, Belgium
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Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, 00029 Helsinki, Finland
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Research Program in Systems Oncology, Faculty of Medicine, University of Helsinki, 00100 Helsinki, Finland
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Department of Clinical Sciences Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska University Hospital, Stockholm, 171 64 Solna, Sweden
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Department of Otolaryngology, Hospital Universitario Central de Asturias, 33011 Oviedo, Asturias, Spain
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Instituto Universitario de Oncología del Principado de Asturias (IUOPA), University of Oviedo, 33006 Oviedo, Asturias, Spain
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Otorhinolaryngology-Head and Neck Surgery and Department of Oncology, Section Head and Neck Oncology, University Hospitals Leuven, KU Leuven, 3000 Leuven, Belgium
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Department of Otolaryngology-Head and Neck Surgery, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands
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Department of Biomedical Sciences and Medicine, University of Algarve, 8005-139 Faro, Portugal
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Department of Otorhinolaryngology, Institute of Phoniatry/Audiology, Jena University Hospital, 07743 Jena, Germany
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Facial Nerve Center, Jena University Hospital, 07743 Jena, Germany
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Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
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Instituto de Investigación Sanitaria del Principado de Asturias, 33011 Oviedo, Asturias, Spain
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Department Otorhinolaryngology-Head and Neck Surgery, Centro de Tratamento e Pesquisa Hospital do Cancer A.C. Camargo, São Paulo, 01508-010, Brazil
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Department of Surgery, School of Medicine, Universidad de Antioquia- Hospital Universitario San Vicente Fundacion, CEXCA Centro de Excelencia en Enfermedades de Cabeza y Cuello, Medellin 1226, Colombia
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Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA
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Department of Otorhinolaryngology-Head and Neck Surgery, Inselspital, Universitätsspital Bern, 3010 Bern, Switzerland
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University of Udine School of Medicine, 33100 Udine UD, Italy
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International Head and Neck Scientific Group, 35100 Padua, Italy
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Author to whom correspondence should be addressed.
Surgeries 2020, 1(1), 2-9; https://doi.org/10.3390/surgeries1010002
Received: 29 May 2020 / Accepted: 11 June 2020 / Published: 15 June 2020
(1) Background: Lateral or total parotidectomy are the standard surgical treatments for malignant parotid tumors. However, some authors have proposed a more limited procedure. (2) Methods: We performed a review of the literature on this topic. Studies were included that met the following criteria: malignant parotid tumors, information about the extent of surgical resection, treated with less than a complete lateral lobectomy, and information on local control and/or survival. Nine articles fulfilled the inclusion criteria. (3) Results: Eight of the nine series reported favorable results for the more limited approaches. Most used them for small, mobile, low-grade cancers in the lateral parotid lobe. Most authors have used a limited partial lateral lobectomy for a presumed benign lesion. The remaining study analyzed pediatric patients treated with enucleation with poor local control. (4) Conclusions: There is weak evidence for recommending less extensive procedures than a lateral parotid lobectomy. In the unique case of a partial lateral parotidectomy performed for a tumor initially thought to be benign but pathologically proved to be malignant, close follow-up can be recommended for low grade T1 that has been excised with free margins and does not have adverse prognostic factors. View Full-Text
Keywords: primary malignant parotid tumors; parotid malignancy; parotid tumors; partial parotid surgery; parotid surgery primary malignant parotid tumors; parotid malignancy; parotid tumors; partial parotid surgery; parotid surgery
MDPI and ACS Style

Quer, M.; Olsen, K.D.; Silver, C.E.; Hamoir, M.; Mäkitie, A.A.; Rodrigo, J.P.; Vander Poorten, V.; Takes, R.P.; Hellquist, H.; García Lorenzo, J.; Guntinas-Lichius, O.; de Bree, R.; Suárez, C.; Kowalski, L.P.; Vartanian, J.G.; Sanabria, A.; Shaha, A.R.; Zbären, P.; Rinaldo, A.; Ferlito, A. Is There A Role for Limited Parotid Resections for Primary Malignant Parotid Tumors? Surgeries 2020, 1, 2-9. https://doi.org/10.3390/surgeries1010002

AMA Style

Quer M, Olsen KD, Silver CE, Hamoir M, Mäkitie AA, Rodrigo JP, Vander Poorten V, Takes RP, Hellquist H, García Lorenzo J, Guntinas-Lichius O, de Bree R, Suárez C, Kowalski LP, Vartanian JG, Sanabria A, Shaha AR, Zbären P, Rinaldo A, Ferlito A. Is There A Role for Limited Parotid Resections for Primary Malignant Parotid Tumors? Surgeries. 2020; 1(1):2-9. https://doi.org/10.3390/surgeries1010002

Chicago/Turabian Style

Quer, Miquel, Kerry D. Olsen, Carl E. Silver, Marc Hamoir, Antti A. Mäkitie, Juan P. Rodrigo, Vincent Vander Poorten, Robert P. Takes, Henrik Hellquist, Jacinto García Lorenzo, Orlando Guntinas-Lichius, Remco de Bree, Carlos Suárez, Luiz P. Kowalski, José G. Vartanian, Alvaro Sanabria, Ashok R. Shaha, Peter Zbären, Alessandra Rinaldo, and Alfio Ferlito. 2020. "Is There A Role for Limited Parotid Resections for Primary Malignant Parotid Tumors?" Surgeries 1, no. 1: 2-9. https://doi.org/10.3390/surgeries1010002

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