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 (60Â 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 (56Â 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 (70Â 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 |