Salivary Glands: Parotid Sumbmandibular, Sublingual
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12 Terms
Epidemiology
average age 55 years old
80-90% are parotid
female patients with salivary gland tumors are 8x more likely to get breast cancer
etiology
unknown
childhood radiation
dust
dental radiographs
most common histopathogoy for salviary gland
mucoepidermoid carcinmoma - roughly 50%
adenoid cystic carcinoma 10-20%
adenocarcinoma 10-20%
Signs and Symptoms
localized swelling and pain
facial palsy
facial nerve palsy
What is the biopsy method
Fine needle aspiration
Any imaging studies?
CT and MRI are not used
Primary treatment for the parotid
surgery: parotidectomy, endoscopuc surgery neck dissection
What is the dose for parotid cancer if no nodal involvement
200 cgy daily to 50Gy total dose
What is the total dose for parotid cancer if positive nodes ipsilateral
60 - 70 Gy
TD 5/5 for TMJ
60 Gy
TD 5/5 for the thyroid
45 Gy
what is the
