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Table 4 Clinical history, treatment, and complications

From: Secretory carcinoma: the eastern Canadian experience and literature review

Patient

Clinical History

Treatment

Complications

001

84 years old; Not recorded

Submandibular gland excision

Right marginal mandibular nerve weakness

002

72 years old; Two to three months of gradually increasing parotid mass

Parotidectomy

Transient facial nerve weakness

003

54 years old; Ulcerative lesion posterior to last molar on right maxilla with large odontogenic cyst

Partial maxillectomy, partial soft palate excision, selective neck dissection (Levels II-III), radial forearm free flap, split thickness skin graftAdjuvant radiotherapy (60Gy in 30 fractions)

Minor radiation toxicities

004

55 years old; Ten year history of firm, superficial, round mass in the preauricular area on the left side, increasing in size, with mild ternderness on jaw clench

Superficial parotidectomy, selective neck dissection (level IIA), sternocleidomastoid rotational flap

Mild xerostomia

005

44 years old; Parotid mass present for more than one year

Superficial parotidectomyAdjuvant radiotherapy

None

006

65 years old; Six month history of subcutaneous parotid nodule, stable in size and nontender

Excision of mass, followed by:Superficial parotidectomy, selective neck dissection (Level II)

None

007

6 years old; Fourth month history of stable preauricular mass

Superficial right parotidectomy, selective neck dissection (Level IIA)Adjuvant radiotherapy (60 Gy)Left superficial parotidectomy

Radiation dermatitis

008

43 years old; Slowly growing lesion on lower lip mucosa with central ulceration, present for over one year

Excisional biopsy followed by wide local excision

None

009

27 years old; Slowly growing papillomatous lesion of the hard palate for five years

Local excision

None

010

78 years old; Six month history of slowly growing parotid mass with intermittent sharp, stabbing pain

Subtotal parotidectomy, selective neck dissection (Level II to IV)

None

011

22 years old; Two year history of fluctuating parotid lump

Superficial parotidectomy

None

012

72 years old; Three month history of parotid tail or high cervical mass

Parotidectomy, selective neck dissectionAdjuvant radiotherapy (56 Gy in 33 fractions)

Pain, lymphedema

013

48 years old; Parapharyngeal space involvement, including pterygoid muscles

Transmandibular resection of parapharyngeal mass, subtotal parotidectomy, selective neck dissectionAdjuvant radiotherapy (70 Gy in 35 fractions)

Sacrifice of glossopharyngeal nerve, orocutaneous fistula, eustachian tube scarring requiring tympanostomy, esophageal stenosis requiring dilatation, velopharyngeal insufficiency requiring pharyngoplasty with Radiesse, radiation associated toxicities