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Salivary Gland Tumors

Reviewed 06/2019
 


BASICS

Salivary gland tumors consist of benign or malignant neoplasms of the major and minor salivary glands. Tumors may be mimicked clinically by a variety of inflammatory or infectious disorders: 
  • Ma...

DIAGNOSIS

HISTORY

  • Focused inquiry

    • Specific presentation of mass: initial recognition; rate of growth; change in size with actions, especially with food consumption; laterality/focality of swelling; xe...

TREATMENT

  • Surgical excision is the primary treatment for all salivary gland tumors with wide surgical excision margins preferred.

  • Facial nerve is spared unless it is directly involved or highly suspici...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • For malignancy: every 6 to 8 weeks, 1st year; every 8 to 12 weeks, 2nd year; every 4 months, 3rd year; every 6 months, 4th year; and then yearly

  • ...

REFERENCES

1
Lennon P, Silvera VM, Perez-Atayde A, et al. Disorders and tumors of the salivary glands in children. Otolaryngol Clin North Am.  2015;48(1):153–173. [View Abstract on OvidMedline]
2
Gu...

ADDITIONAL READING

  • Afzelius P, Nielsen MY, Ewertsen C, et al. Imaging of the major salivary glands. Clin Physiol Funct Imaging.  2016;36(1):1–10. [View Abstract on OvidMedline]

  • Chen AM, Granchi PJ...

SEE ALSO

Sjögren Syndrome 

CODES

ICD10

  • D11.9 Benign neoplasm of major salivary gland, unspecified

  • C08.9 Malignant neoplasm of major salivary gland, unspecified

  • C07 Malignant neoplasm of parotid gland

  • C08.0 Malignant neoplasm of sub...

CLINICAL PEARLS

  • To evaluate a patient with a suspected salivary gland malignancy, complete history and physical exam and consider either CT scan or MRI; fine-needle aspiration likely will yield a work...

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