Guzy gruczołów ślinowych
Charakterystyka, pielęgnacja i opieka
Guzy gruczołów ślinowych stanowią 6-8% wszystkich guzów głowy i szyi oraz mniej niż 1% nowotworów diagnozowanych rocznie w USA. Występują w dużych gruczołach (przyusznym, podżuchwowym, podjęzykowym) oraz mniejszych gruczołach w jamie ustnej i górnych drogach oddechowych. Większość jest łagodna, z powolnym wzrostem, najczęściej w gruczole przyusznym, manifestując się bezbolesnym guzkiem. Złośliwe guzy mogą powodować objawy neurologiczne, np. osłabienie nerwu twarzowego, co jest złym prognostycznie. Diagnostyka obejmuje badanie fizykalne, ultrasonografię, TK, MRI oraz biopsję cienkoigłową (FNA). Leczenie opiera się głównie na chirurgii – od powierzchownej parotidektomii po całkowite usunięcie gruczołu i limfadenektomię szyjną, z zachowaniem funkcji nerwu twarzowego, jeśli to możliwe. Radioterapia pooperacyjna jest wskazana przy guzach o wysokim stopniu złośliwości, dodatnich marginesach, inwazji okołonerwowej lub chorobie węzłowej. Chemioterapia stosowana jest w wybranych przypadkach zaawansowanych lub przerzutowych, a nowoczesne terapie celowane i immunoterapia zyskują na znaczeniu.
- Wprowadzenie do guzów gruczołów ślinowych
- Diagnostyka guzów gruczołów ślinowych
- Leczenie chirurgiczne guzów gruczołów ślinowych
- Radioterapia w leczeniu guzów gruczołów ślinowych
- Chemioterapia i inne terapie systemowe
- Opieka interdyscyplinarna nad pacjentem
- Rehabilitacja i wsparcie po leczeniu
- Wizyty kontrolne i monitorowanie
- Opieka paliatywna i wsparcie emocjonalne
- Postępy w leczeniu guzów gruczołów ślinowych
- Podsumowanie opieki pielęgniarskiej nad pacjentem z guzem gruczołu ślinowego
Wprowadzenie do guzów gruczołów ślinowych
Guzy gruczołów ślinowych stanowią rzadką, ale złożoną grupę nowotworów występujących w gruczołach ślinowych. Charakteryzują się różnorodnym obrazem histologicznym i zmiennym zachowaniem biologicznym. Stanowią one zaledwie 6-8% wszystkich guzów głowy i szyi oraz mniej niż 1% wszystkich nowotworów diagnozowanych rocznie w Stanach Zjednoczonych.12 Guzy te mogą rozwijać się w dużych gruczołach ślinowych (przyusznym, podżuchwowym, podjęzykowym) lub w licznych mniejszych gruczołach znajdujących się w jamie ustnej i górnych drogach oddechowych.3
Większość guzów gruczołów ślinowych jest łagodna (niezłośliwa) i charakteryzuje się powolnym wzrostem. Najczęściej występują one w gruczole przyusznym. Pacjenci z łagodnymi guzami zwykle zgłaszają się do lekarza z bezbolesnym guzkiem lub obrzękiem w okolicy gruczołu ślinowego. Natomiast złośliwe guzy gruczołów ślinowych mogą dawać objawy neurologiczne, takie jak drętwienie lub osłabienie spowodowane zajęciem nerwów. Osłabienie nerwu twarzowego związane z guzem przyusznym lub podżuchwowym jest złym objawem prognostycznym.45
Diagnostyka guzów gruczołów ślinowych
Wczesne i dokładne zdiagnozowanie guzów gruczołów ślinowych jest kluczowe dla skutecznego leczenia. Większość pacjentów zgłasza się początkowo do lekarza podstawowej opieki zdrowotnej lub pielęgniarki z objawami bezbolesnego guzka. Jeśli wywiad i badanie fizykalne sugerują obecność guza, pacjenci powinni zostać skierowani do otolaryngologa w celu dalszej diagnostyki.6
Diagnostyka guzów gruczołów ślinowych często rozpoczyna się od badania fizykalnego okolicy przez lekarza. Badanie to może ujawnić powiększony gruczoł ślinowy, najczęściej jeden z gruczołów przyusznych. W celu określenia lokalizacji guza i rodzaju komórek stosuje się badania obrazowe i biopsję.78
Do metod diagnostycznych stosowanych w przypadku guzów gruczołów ślinowych należą:
- Badanie fizykalne obszaru głowy i szyi
- Badania obrazowe, takie jak ultrasonografia, tomografia komputerowa (TK) lub rezonans magnetyczny (MRI)
- Biopsja cienkoigłowa (FNA) lub inne techniki biopsyjne w celu ustalenia ostatecznego rozpoznania910
Dokładna ocena guzów gruczołów ślinowych jest szczególnie ważna, ponieważ nawet kilka milimetrów różnicy w lokalizacji guza może znacząco wpłynąć na plan leczenia i rokowanie. Z tego powodu pacjenci powinni być kierowani do specjalistów z doświadczeniem w leczeniu tych rzadkich nowotworów.11
Leczenie chirurgiczne guzów gruczołów ślinowych
Chirurgiczne usunięcie guza jest podstawową metodą leczenia wszystkich złośliwych nowotworów gruczołów ślinowych oraz większości guzów łagodnych. W przypadku guzów złośliwych, celem leczenia chirurgicznego jest całkowite usunięcie nowotworu z marginesem zdrowych tkanek.1213
Rodzaje zabiegów chirurgicznych
Zakres zabiegu chirurgicznego zależy od typu, wielkości i lokalizacji guza:
- Usunięcie części zajętego gruczołu ślinowego – jeśli guz jest mały i zlokalizowany w łatwo dostępnym miejscu, chirurg może usunąć guz wraz z małą częścią otaczającej go zdrowej tkanki
- Usunięcie całego gruczołu ślinowego (parotidektomia w przypadku gruczołu przyusznego) – jeśli guz jest większy
- Usunięcie węzłów chłonnych szyi (limfadenektomia szyjna) – jeśli istnieje ryzyko, że nowotwór rozprzestrzenił się do węzłów chłonnych
- Zabieg rekonstrukcyjny – może być konieczny po usunięciu guza w celu naprawy obszaru1415
W przypadku guzów gruczołu przyusznego, głównym celem wszystkich operacji jest usunięcie guza przy jednoczesnym zachowaniu funkcji nerwu twarzowego. Nerw twarzowy przebiega przez gruczoł przyuszny i kontroluje mimikę twarzy oraz ruch powiek i warg. Jeśli nerw ten zostanie uszkodzony podczas operacji, pacjent może nie być w stanie uśmiechać się, marszczyć czoła lub zamykać oczu. Jest to znane jako porażenie twarzy, które zwykle poprawia się w ciągu kilku miesięcy po operacji.1617
Minimalna terapia dla pacjentów z nowotworami o niskim stopniu złośliwości w powierzchownej części gruczołu przyusznego to powierzchowna parotidektomia. W przypadku wszystkich innych zmian często wskazana jest całkowita parotidektomia.18
Komplikacje po zabiegu chirurgicznym
Powikłania po leczeniu chirurgicznym nowotworów przyusznych obejmują dysfunkcję nerwu twarzowego i zespół Freya (znany również jako napadowe zaczerwienienie i pocenie się podczas jedzenia oraz zespół nerwu uszno-skroniowego). W niektórych przypadkach, gdy nowotwór naciekał nerw twarzowy, konieczne może być przecięcie nerwu w celu usunięcia guza. Wpłynie to na wygląd i ruchy twarzy. Istnieją różne procedury, które mogą pomóc w poprawie tego stanu, takie jak wykorzystanie nerwu z innej części ciała (przeszczep nerwu).1920
Jeżeli guz dotyczy gruczołu pod dolną szczęką (podżuchwowego) lub pod językiem (podjęzykowego), gruczoł zostanie usunięty wraz z częścią otaczającej tkanki. Nerwy kontrolujące język i dolną część twarzy mogą zostać uszkodzone, co może spowodować utratę funkcji (np. wpłynąć na mowę, jedzenie lub zamykanie ust).21
Radioterapia w leczeniu guzów gruczołów ślinowych
Radioterapia, zwana również radioterapią, wykorzystuje wiązki wysokoenergetyczne do uszkadzania komórek nowotworowych i zatrzymania ich wzrostu. Podobnie jak operacja, radioterapia jest terapią miejscową, która wpływa tylko na komórki w leczonym obszarze.22
Wskazania do radioterapii
Radioterapia pooperacyjna może poprawić kontrolę miejscową i zwiększyć wskaźniki przeżycia u pacjentów z:
- Guzami o wysokim stopniu złośliwości
- Dodatnimi marginesami chirurgicznymi
- Inwazją okołonerwową
- Chorobą węzłową
- Chorobą przerzutową
- Rakiem gruczołowo-torbielowatym i guzami o wysokim stopniu złośliwości2324
Pacjenci z dużymi guzami mogą wymagać zarówno operacji, jak i radioterapii. Radioterapia jest stosowana po operacji w przypadku zaawansowanych lub agresywnych guzów.25 W przypadku niektórych nowotworów gruczołów ślinowych, radioterapia wiązką neutronową lub przyspieszone hiperfrakcjonowane schematy wiązki fotonowej okazały się bardziej skuteczne niż konwencjonalna terapia promieniami rentgenowskimi.26
Skutki uboczne radioterapii
Jednym z efektów ubocznych radioterapii w okolicy głowy i szyi jest bardzo sucha jama ustna, zwana kserostomią. Jest to istotne powikłanie, które może wpływać na jakość życia pacjenta. Należy poinformować lekarza o występowaniu suchości w jamie ustnej, ponieważ istnieją metody leczenia, które mogą pomóc złagodzić cięższe objawy.27
Ponadto radioterapia może powodować trudności w gojeniu się ran i inne skutki uboczne, dlatego zaleca się pacjentom poddawanym radioterapii z powodu raka gruczołów ślinowych wykonanie wszelkich niezbędnych zabiegów stomatologicznych przed rozpoczęciem leczenia.28
Chemioterapia i inne terapie systemowe
Chemioterapia nie jest standardowo stosowana w leczeniu raka gruczołów ślinowych, ale może być wykorzystywana w wybranych przypadkach, szczególnie gdy choroba rozprzestrzeniła się poza gruczoły ślinowe.29
Wskazania do chemioterapii
Chemioterapia może być stosowana w następujących sytuacjach:
- Gdy nowotwór rozprzestrzenił się do innych lokalizacji w organizmie (przerzuty)
- W połączeniu z radioterapią w wybranych guzach, zwykle w ramach badania klinicznego
- Jako leczenie paliatywne w nawracającym raku gruczołów ślinowych3031
Terapie celowane i immunoterapia
Oprócz standardowej chemioterapii, dostępne są również nowsze metody leczenia systemowego:
- Terapia celowana – wykorzystuje leki, które specyficznie atakują komórki nowotworowe bez szkodzenia zdrowym komórkom w takim stopniu jak chemioterapia. Leki te często celują w określone cząsteczki lub białka znajdujące się na powierzchni komórek nowotworowych. Terapie celowane stają się coraz ważniejsze w leczeniu raka gruczołów ślinowych, szczególnie niektórych jego typów.32
- Immunoterapia – leczenie nowotworu za pomocą leków, które pomagają układowi odpornościowemu organizmu zabijać komórki nowotworowe. Może być stosowana, gdy nowotwór nie może być usunięty chirurgicznie.33
Badacze poszukują skutecznych leków lub kombinacji leków do leczenia raka gruczołów ślinowych. Badają również sposoby łączenia chemioterapii z innymi formami leczenia nowotworów, aby pomóc zniszczyć guz i zapobiec rozprzestrzenianiu się choroby.34
Opieka interdyscyplinarna nad pacjentem
Pacjenci z rakiem gruczołów ślinowych powinni mieć zaplanowane leczenie przez zespół lekarzy, którzy są ekspertami w leczeniu nowotworów głowy i szyi. Ta interdyscyplinarna opieka jest kluczowa dla optymalizacji wyników leczenia.35
Skład zespołu interdyscyplinarnego
Zespół opieki nad pacjentem z guzem gruczołu ślinowego może obejmować:
- Chirurgów głowy i szyi (otolaryngologów)
- Onkologów medycznych
- Radioterapeutów
- Pielęgniarki i pielęgniarki specjalistki
- Dietetyków
- Pracowników socjalnych
- Radiologów
- Terapeutów rehabilitacyjnych
- Logopedów/patologów mowy i języka3637
W wielu ośrodkach przypadki pacjentów z guzami gruczołów ślinowych są omawiane na wielodyscyplinarnych konsyliach, które gromadzą specjalistów z różnych dziedzin, aby zapewnić uzgodnione podejście do planu chirurgicznego i leczniczego.38
Koordynacja opieki
Koordynacja opieki odgrywa kluczową rolę w leczeniu pacjentów z guzami gruczołów ślinowych. Obejmuje to:
- Regularne wizyty kontrolne po leczeniu
- Skoordynowaną opiekę między różnymi specjalistami
- Edukację pacjentów na temat ich stanu zdrowia, typu guza, stadium i opcji leczenia
- Wsparcie przez cały proces leczenia i rehabilitacji3940
Najlepsze wyniki leczenia uzyskuje się, gdy pacjenci są leczeni przez doświadczony zespół, który może wdrożyć zindywidualizowany plan opieki i zapewnić ciągłość leczenia.41
Rehabilitacja i wsparcie po leczeniu
Guzy gruczołów ślinowych i ich leczenie mogą wpływać na zdolność pacjenta do jedzenia, picia i mówienia, a także na wygląd. Z tego powodu kompleksowa rehabilitacja i wsparcie są niezwykle istotne.42
Terapia mowy i połykania
Wielu pacjentów doświadcza problemów z mową lub połykaniem w wyniku guzów gruczołów ślinowych i ich leczenia. Logopedzi są ekspertami w pomaganiu pacjentom w odzyskiwaniu sprawności. Są oni obecni przed, w trakcie i po leczeniu, aby pomóc rozwiązać wszelkie problemy, niezależnie od tego, czy leczenie obejmuje operację czy radioterapię.43
Terapia logopedyczna zwykle składa się z ćwiczeń mających na celu wzmocnienie mięśni języka, jamy ustnej, strun głosowych i gardła. Logopedzi opracowują zindywidualizowane plany leczenia i mogą pomóc pacjentom w poprawie i utrzymaniu funkcji połykania, mowy, głosu i ruchów jamy ustnej.44
Rehabilitacja nerwu twarzowego
Jeśli podczas operacji konieczne było poświęcenie nerwu twarzowego, cały nerw lub jego część może zostać zrekonstruowana za pomocą przeszczepów nerwowych, aby pomóc przywrócić funkcję mięśni twarzy. Chirurdzy mogą również przemieścić inne mięśnie przylegające do twarzy lub przenieść mięśnie z innych obszarów ciała.45
W przypadku bardziej złożonych przypadków rekonstrukcji twarzy, dostępne są zaawansowane techniki, takie jak:
- Złożona rekonstrukcja nerwu twarzowego w celu pomocy organizmowi w przywróceniu funkcji
- Dodatkowe procedury przywracające funkcję twarzy
- Monitorowanie nerwu śródoperacyjnie podczas wszystkich istotnych operacji4647
Wsparcie odżywiania i fizjoterapia
Pacjenci z guzami gruczołów ślinowych mogą wymagać dodatkowego wsparcia w zakresie odżywiania i rehabilitacji fizycznej:
- Wsparcie odżywiania – dietetycy mogą pomóc w opracowaniu planu żywieniowego zawierającego łatwe do przełknięcia pokarmy i zapewniającego odpowiednią ilość składników odżywczych
- Fizjoterapia – może obejmować ćwiczenia zakresu ruchu i elastyczności, a następnie specjalistyczną terapię masażem, aby pomóc w odpływie płynu limfatycznego
- Terapia zajęciowa – może pomóc pacjentom nauczyć się wykonywać rutynowe zadania, takie jak gotowanie i zakupy, jeśli sztywność i zwłóknienie utrudniają codzienne czynności4849
Wizyty kontrolne i monitorowanie
Regularne wizyty kontrolne i badania są niezbędne ze względu na wysokie ryzyko nawrotu raka gruczołów ślinowych. Pacjenci, którzy mieli raka gruczołów ślinowych, są również narażeni na ryzyko rozwoju drugiego nowotworu głowy lub szyi, a lekarze chcą również wykryć każdy pierwotny nowotwór, który może powrócić.5051
Harmonogram wizyt kontrolnych
Po leczeniu pacjenci są proszeni o regularne wizyty kontrolne, niekiedy nawet raz w miesiącu przez pierwszy rok. Wizyty kontrolne obejmują:
- Badanie fizykalne w celu sprawdzenia oznak nawrotu
- Badania obrazowe w celu monitorowania odpowiedzi na leczenie
- Ocenę skutków ubocznych leczenia i jakości życia52
Kliniczna obserwacja raka gruczołów ślinowych, podobnie jak wielu innych nowotworów, obejmuje regularne badania w gabinecie, a także badania radiologiczne w celu zapewnienia trwałego wyleczenia.53
Zalecenia dotyczące stylu życia
Pacjentom z guzami gruczołów ślinowych zaleca się również:
- Unikanie palenia tytoniu i picia alkoholu podczas i po leczeniu
- Uzyskanie wystarczającej ilości odpoczynku każdej nocy, aby budzić się wypoczętym
- Utrzymywanie bliskich relacji, które mogą pomóc w radzeniu sobie podczas leczenia
- Regularne komunikowanie się z zespołem opieki zdrowotnej w przypadku wystąpienia jakichkolwiek objawów lub problemów5455
Opieka paliatywna i wsparcie emocjonalne
Opieka paliatywna jest specjalnym rodzajem opieki zdrowotnej, która pomaga pacjentom czuć się lepiej, gdy cierpią na poważną chorobę. W przypadku raka opieka paliatywna może pomóc złagodzić ból i inne objawy.56
Rola opieki paliatywnej
Zespół opieki paliatywnej, który może obejmować lekarzy, pielęgniarki i innych specjalnie przeszkolonych pracowników służby zdrowia, zapewnia opiekę paliatywną. Celem zespołu opieki jest poprawa jakości życia pacjenta i jego rodziny.57
Stosowanie opieki paliatywnej wraz z innymi odpowiednimi metodami leczenia może pomóc pacjentom z nowotworami czuć się lepiej i żyć dłużej. Opieka paliatywna może być łączona z leczeniem ukierunkowanym na wyleczenie, a nie tylko na złagodzenie objawów.58
Wsparcie emocjonalne i psychologiczne
Leczenie raka może być stresujące i często wpływa na samopoczucie emocjonalne i psychiczne pacjenta. Z tego powodu wsparcie emocjonalne i psychologiczne jest kluczowym elementem kompleksowej opieki nad pacjentem z guzem gruczołu ślinowego.59
Dostępne usługi wsparcia mogą obejmować:
- Grupy wsparcia dla pacjentów z nowotworami głowy i szyi
- Poradnictwo indywidualne
- Wsparcie rodziny i bliskich
- Terapie integracyjne, takie jak joga, medytacja i terapia sztuką
- Programy zdrowia psychicznego specjalnie dla pacjentów z rakiem6061
Opieka wspierająca świadczona przez specjalistów może zapewniać bieżącą terapię wszelkich objawów związanych z rakiem lub leczeniem, takich jak ból, zmęczenie, utrata apetytu lub stres, pomagając poprawić jakość życia.62
Postępy w leczeniu guzów gruczołów ślinowych
Postępy w diagnostyce molekularnej i ukierunkowanych terapiach zmieniają podejście do leczenia guzów gruczołów ślinowych, oferując pacjentom bezprecedensową precyzję w opiece.63
Badania kliniczne
Badania kliniczne odgrywają ważną rolę w rozwoju nowych metod leczenia raka gruczołów ślinowych. Mogą one obejmować:
- Nowe terapie celowane
- Innowacyjne techniki chirurgiczne
- Nowe schematy radioterapii
- Kombinacje istniejących terapii6465
Jeśli badanie kliniczne wykaże, że nowe leczenie jest lepsze niż obecnie stosowane, nowe leczenie może stać się „standardowym”.66
Testy molekularne i medycyna precyzyjna
Metodologie testów molekularnych poprawiły diagnostyczne i terapeutyczne podejście do nowotworów gruczołów ślinowych poprzez:
- Zwiększenie dokładności diagnostycznej
- Umożliwienie terapii celowanych poprzez testy biomarkerów
- Opracowanie planów leczenia dostosowanych do unikalnego profilu genetycznego guza pacjenta67
Integracja testów molekularnych z rutynową praktyką kliniczną pozwala klinicystom na podejmowanie bardziej świadomych decyzji, poprawiając wyniki leczenia pacjentów z tymi rzadkimi i złożonymi nowotworami.68
Podsumowanie opieki pielęgniarskiej nad pacjentem z guzem gruczołu ślinowego
Opieka pielęgniarska nad pacjentem z guzem gruczołu ślinowego wymaga kompleksowego podejścia, które obejmuje zarówno aspekty fizyczne, jak i psychologiczne opieki.69
Rola pielęgniarki w zespole interdyscyplinarnym
Pielęgniarki, w tym pielęgniarki specjalistki i koordynatorki opieki, odgrywają kluczową rolę w zespole interdyscyplinarnym, zapewniając:
- Ciągłość opieki między różnymi specjalistami
- Edukację pacjenta na temat jego choroby i planu leczenia
- Monitorowanie objawów i skutków ubocznych leczenia
- Wsparcie emocjonalne dla pacjenta i jego rodziny
- Koordynację opieki długoterminowej i wizyt kontrolnych7071
Zadania pielęgniarskie w opiece nad pacjentem
Konkretne zadania pielęgniarskie w opiece nad pacjentem z guzem gruczołu ślinowego mogą obejmować:
- Przedoperacyjne przygotowanie pacjenta i edukację
- Pooperacyjne monitorowanie i zarządzanie bólem
- Pielęgnację ran i monitorowanie powikłań
- Wsparcie w rehabilitacji, w tym współpracę z logopedami i fizjoterapeutami
- Edukację pacjenta na temat skutków ubocznych radioterapii lub chemioterapii
- Długoterminową opiekę nad pacjentami po zakończeniu leczenia, w tym monitoring nawrotów7273
Pacjenci, którzy przeszli leczenie z powodu raka gruczołów ślinowych, mogą otrzymywać długoterminową opiekę od pielęgniarki specjalistki, która specjalizuje się w późnych potrzebach medycznych osób leczonych z powodu raka gruczołów ślinowych.74
Opieka pielęgniarska nad pacjentem z guzem gruczołu ślinowego wymaga holistycznego podejścia, które uwzględnia zarówno fizyczne, jak i emocjonalne aspekty choroby. Dzięki swojej roli w koordynacji opieki, edukacji pacjenta i zarządzaniu objawami, pielęgniarki są nieocenionym członkiem zespołu interdyscyplinarnego zajmującego się leczeniem tych złożonych nowotworów.75
Kolejne rozdziały
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Materiały źródłowe
- #1 Salivary Gland Tumors: An Overview for Providers | MUSC Healthhttps://advance.muschealth.org/library/2023/february/salivary-gland-tumors
Salivary gland tumors are rare, making up only 6 to 8 percent of head and neck tumors. Most are noncancerous. However, salivary gland carcinomas, particularly within the parotid gland, and rates of regional metastases are on the rise. The majority of benign tumors are seen in people under the age of 50, while salivary gland cancers (SGC) tend to be seen in the sixth decade of life. […] Distinguishing the benign from the malignant typically requires an evaluation by an otolaryngologist, head and neck surgeon, but often patients will present first to primary care, the emergency department, and in some cases, their dentists. […] Salivary gland tumors may present as a painless mass in the face or neck, mouth or the back of the throat. More advanced findings include numbness or facial palsy on one side.
- #2 Salivary Gland Cancer | Head and Neck Cancers | Henry Ford Health – Detroit, MIhttps://www.henryford.com/services/head-neck-cancers/types/salivary-gland-cancer
Salivary gland tumors make up less than 1% of all cancers diagnosed each year in the United States. […] To receive the best possible care for salivary gland cancer, it is important to consult physicians who have significant experience in treating head and neck cancer. […] We will work closely with you to identify the specific type and location of the tumor, and develop a care plan that resolves the tumor quickly, so that you can recover and get back to your usual life. […] Recovering from surgery or other treatment on the delicate salivary glands can be challenging. We offer a full program of support for you and your family before, during and after treatment. […] We take a coordinated approach across medical disciplines, with a team that includes surgeons, medical doctors, otolaryngologists (ear, nose and throat specialists), speech and swallowing therapists, and behavioral and emotional support staff.
- #3 Parotid Cancer – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538340/
Salivary gland tumors are characterized by diverse histological appearances and variable biological behavior. […] This activity outlines the evaluation and management of salivary gland tumors and reviews the role of the interprofessional team in evaluating and treating patients with this condition. […] Describe how to properly evaluate a patient for salivary gland tumors. […] Review the treatment and management options available for salivary gland tumors. […] Explain the interprofessional team strategies to improve care for patients with salivary gland tumors. […] The majority of patients first present to the primary care clinician or nurse practitioner with complaints of a painless lump. […] If the history and physical are suggestive of a tumor, these patients should be referred to the otolaryngologist for workup.
- #4 Salivary Gland Cancer Treatment (PDQ®) – NCIhttps://www.cancer.gov/types/head-and-neck/hp/adult/salivary-gland-treatment-pdq
Salivary gland tumors are a morphologically and clinically diverse group of neoplasms, which may present significant diagnostic and management challenges. […] Most patients with malignant salivary gland tumors are in their sixth or seventh decade of life. […] Most patients with benign tumors of the major or minor salivary glands present with painless swelling of the parotid, submandibular, or sublingual glands. Neurological signs, such as numbness or weakness caused by nerve involvement, typically indicate a malignancy. Facial nerve weakness associated with a parotid or submandibular tumor is an ominous sign. Persistent facial pain is highly suggestive of malignancy. Approximately 10% to 15% of malignant parotid neoplasms present with pain. […] Early-stage, low-grade, malignant salivary gland tumors are usually curable by adequate surgical resection alone. The prognosis is more favorable when the tumor is in a major salivary gland.
- #5 Salivary Gland Cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/salivary-gland-cancer.html
Salivary gland tumors form when a cell in a salivary gland mutates and starts rapidly growing and dividing. Most salivary gland tumors are benign, meaning they are not cancer and do not spread to other parts of the body. […] Some are malignant, or cancer. These tumors can spread beyond their original location to nearby tissue, lymph nodes and distant parts of the body. […] Every patient with salivary gland cancer is different. Treatment plans can change drastically based on the cancers subtype, as well as the tumors exact location. Just a few millimeters can make a huge difference. The right treatment plan can greatly reduce the chance that the cancer returns and help maintain your quality of life, including your ability to speak, swallow and hear. […] This team will include a surgical oncologist, radiation oncologist and medical oncologist. All specialize in treating salivary gland cancer, giving them an incredible amount of expertise to call upon when planning your care.
- #6 Parotid Cancer – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538340/
Salivary gland tumors are characterized by diverse histological appearances and variable biological behavior. […] This activity outlines the evaluation and management of salivary gland tumors and reviews the role of the interprofessional team in evaluating and treating patients with this condition. […] Describe how to properly evaluate a patient for salivary gland tumors. […] Review the treatment and management options available for salivary gland tumors. […] Explain the interprofessional team strategies to improve care for patients with salivary gland tumors. […] The majority of patients first present to the primary care clinician or nurse practitioner with complaints of a painless lump. […] If the history and physical are suggestive of a tumor, these patients should be referred to the otolaryngologist for workup.
- #7 Salivary gland tumors – UF Healthhttps://ufhealth.org/conditions-and-treatments/salivary-gland-tumors
Salivary gland tumors are abnormal cells growing in the gland or in the tubes (ducts) that drain the salivary glands. […] Symptoms may include any of the following: Firm, usually painless swelling in one of the salivary glands (in front of the ears, under the chin, or on the floor of the mouth). The swelling gradually increases. […] An examination by a health care provider or dentist shows a larger than normal salivary gland, usually one of the parotid glands. […] Surgery is most often done to remove the affected salivary gland. If the tumor is benign, no other treatment is needed. […] Most salivary gland tumors are noncancerous and slow growing. Removing the tumor with surgery often cures the condition. In rare cases, the tumor is cancerous and further treatment is needed. […] Contact your provider if you have any of the following: Pain when eating or chewing.
- #8 Ear Nose and Throat – Salivary Gland Tumors: Everything You Need To Knowhttps://www.entlubbock.com/blog/salivary-gland-tumors/
Salivary gland tumors are usually diagnosed in one of two ways. Either you notice a strange bump in front of your ear, or a doctor feels that bump during a routine medical appointment. […] A bump is often the first and only symptom of a salivary gland tumor. […] If you want to know whether your salivary gland tumor is benign (noncancerous) or malignant (cancerous), you will have to see an ENT doctor. […] Most salivary gland tumors, however, even the cancerous ones, are painless and asymptomatic at first. […] To diagnose a salivary gland tumor and determine whether it is cancerous, your ENT doctor will order a CT scan and a fine needle aspiration biopsy. […] Treatment for salivary gland tumors generally involves the surgical removal of all or part of the affected salivary gland. […] If a salivary gland tumor is malignant, patients may require radiation therapy as well. […] The key is to catch salivary gland tumors in a timely manner and treat them appropriately right away. […] The surgeons at ENT Associates of Lubbock are experienced in the identification and treatment of salivary gland tumors.
- #9 Salivary Gland Tumors: An Overview for Providers | MUSC Healthhttps://advance.muschealth.org/library/2023/february/salivary-gland-tumors
If a salivary gland is firm or painful or different from the other side, the patient should be referred to a specialist for further investigation. […] Dr. Kejner also recommends examining the inside of the mouth, which should be fairly uniform in color. White or red spots or bumps/asymmetries inside the mouth or throat that do not resolve or change within two weeks should be referred to a specialist. […] Most tumors will require imaging and biopsy to arrive at a definitive diagnosis of benign or malignant. Imaging may involve ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI). […] Typically for salivary glands, the first line of treatment is surgery. […] For benign tumors, typically most of the salivary gland can be preserved. For malignant tumors, typically the tumor will be removed with additional margins.
- #10 Salivary Gland Tumor | Center for Advanced Parotid Surgery in Beverly Hills, CAhttps://www.parotidsurgerymd.com/about-us/articles/salivary-gland-tumor/
Both benign (non-cancerous) and cancerous salivary gland tumors may develop […] It is important that you come see us if you find a mass in your parotid gland so we can perform a biopsy. This will allow us to determine whether a growth is cancerous or not, and in turn come up with a treatment plan that may require parotid surgery on the tumor or salivary gland surgery. […] The most common symptom of salivary gland cancer, however, is a painless mass. […] When surgical removal of a salivary gland becomes necessary, it is of the utmost importance that you consult an experienced and qualified Head & Neck Surgeon, such as Dr. Larian. He has extensive experience with parotidectomies and minimally invasive parotidectomy, and would be happy to help you. […] All masses in the parotid gland should be carefully assessed and diagnosed, usually by performing a needle biopsy.
- #11 Salivary Gland Cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/salivary-gland-cancer.html
Salivary gland tumors form when a cell in a salivary gland mutates and starts rapidly growing and dividing. Most salivary gland tumors are benign, meaning they are not cancer and do not spread to other parts of the body. […] Some are malignant, or cancer. These tumors can spread beyond their original location to nearby tissue, lymph nodes and distant parts of the body. […] Every patient with salivary gland cancer is different. Treatment plans can change drastically based on the cancers subtype, as well as the tumors exact location. Just a few millimeters can make a huge difference. The right treatment plan can greatly reduce the chance that the cancer returns and help maintain your quality of life, including your ability to speak, swallow and hear. […] This team will include a surgical oncologist, radiation oncologist and medical oncologist. All specialize in treating salivary gland cancer, giving them an incredible amount of expertise to call upon when planning your care.
- #12 Malignant Salivary Gland Tumors – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK563022/
Salivary gland tumors are a rare group of complex, heterogeneous histologies located in the parotid gland, submandibular gland, sublingual gland, and minor salivary glands of the upper aerodigestive tract. This activity reviews the evaluation and treatment of malignant salivary gland tumors and highlights the role of the interprofessional team in evaluating and treating patients with this condition. […] Surgical excision with negative margins is the mainstay of treatment for all salivary gland malignancies. Despite preoperative attempts to obtain a diagnosis through a needle biopsy, histological diagnosis may sometimes not be available until surgery, when frozen specimens can be analyzed. The extent of surgery and the need for neck dissection or adjuvant radiotherapy depend on the malignancy’s subtype, grade, and stage.
- #13 5 innovative treatments for salivary gland cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/salivary-gland-cancer/salivary-gland-cancer-treatment.html
Treatment plans for salivary gland cancer can change drastically based on the tumors exact location and subtype. […] At MD Anderson you will get care from a team of salivary gland cancer experts, including a surgeon, radiation oncologist and medical oncologist. […] Surgery is the primary treatment for most salivary gland cancers. […] The goal of all parotid gland surgeries is to remove the tumor and preserve the function of the facial nerve. […] Surgery on the sublingual or submandibular glands usually removes the entire gland and possibly nearby tissue. […] Most salivary gland surgery does not require any special reconstruction. […] For salivary gland cancer, radiation therapy is typically used after surgery to kill any remaining cancer cells. […] Chemotherapy is not often used in salivary gland cancer, but it can be used in combination with radiation therapy in select cases.
- #14 Salivary gland tumors | Beacon Health Systemhttps://www.beaconhealthsystem.org/library/diseases-and-conditions/salivary-gland-tumors?content_id=CON-20198278
Treatment for salivary gland tumors is usually with surgery to remove the tumor. People with salivary gland cancers may need additional treatments. […] Surgery for salivary gland tumors may include: […] If your tumor is small and located in an easy-to-access spot, your surgeon may remove the tumor and a small portion of healthy tissue around it. […] If you have a larger tumor, your surgeon may recommend removing the entire salivary gland. […] If your salivary gland tumor is cancerous, there may be a risk that the cancer has spread to the lymph nodes. Your surgeon may recommend removing some lymph nodes from your neck and testing them for cancer. […] After the tumor is removed, your surgeon may recommend reconstructive surgery to repair the area. […] If you’re diagnosed with salivary gland cancer, your healthcare team may recommend radiation therapy.
- #15 Salivary Gland | Head & Neck Surgery | Stanford Otolaryngology â Head & Neck Surgery (OHNS) | Stanford Medicinehttps://med.stanford.edu/ohns/OHNS-healthcare/head-and-neck-surgery/programs/salivary-gland-program.html
Advanced salivary cancers are treated with surgery, radiation therapy and sometimes chemotherapy. […] We offer the latest in facial nerve reconstruction in patients who require facial nerve sacrifice. […] We provide sialendoscopy for patients with salivary stones and strictures from radioactive iodine. […] Interventional radiology sclerotherapy of benign cystic lesions of the salivary gland in select cases. […] Intraoperative nerve monitoring on all relevant operations. […] Salivary tumors are mainly treated with surgery. […] Benign tumors are cured with surgery alone but can come back in rare cases which is not life threatening but requires additional treatment. […] The salivary operations for a cancer diagnosis are more extensive and may include removal of the neck lymph nodes on the same side as the cancer.
- #16 5 innovative treatments for salivary gland cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/salivary-gland-cancer/salivary-gland-cancer-treatment.html
Treatment plans for salivary gland cancer can change drastically based on the tumors exact location and subtype. […] At MD Anderson you will get care from a team of salivary gland cancer experts, including a surgeon, radiation oncologist and medical oncologist. […] Surgery is the primary treatment for most salivary gland cancers. […] The goal of all parotid gland surgeries is to remove the tumor and preserve the function of the facial nerve. […] Surgery on the sublingual or submandibular glands usually removes the entire gland and possibly nearby tissue. […] Most salivary gland surgery does not require any special reconstruction. […] For salivary gland cancer, radiation therapy is typically used after surgery to kill any remaining cancer cells. […] Chemotherapy is not often used in salivary gland cancer, but it can be used in combination with radiation therapy in select cases.
- #17 Surgery for Salivary Gland Cancer | Head & Neck Cancer | Cancer Council NSWhttps://www.cancercouncil.com.au/head-and-neck-cancer/treatment/surgery/surgery-for-salivary-gland-cancer/
Most salivary gland tumours affect one of the parotid glands, which sit in front of the ears. Surgery to remove part or all of a parotid gland is called a parotidectomy. […] The facial nerve runs through the parotid gland. This nerve controls facial expressions and movement of the eyelid and lip. If the facial nerve is damaged during surgery, you may be unable to smile, frown or close your eyes. This is known as facial palsy, and it will usually improve over several months. […] In some cases, the facial nerve needs to be cut so the cancer can be removed. This will affect how your face looks and moves. There are various procedures that can help improve this, such as using a nerve from another part of the body (nerve graft). […] If the cancer affects a gland under the lower jaw (submandibular gland) or under the tongue (sublingual gland), the gland will be removed, along with some surrounding tissue. Nerves controlling the tongue and lower part of the face may be damaged, which may cause some loss of function (e.g. how you speak, eat or close your mouth).
- #18 Salivary Gland Cancer Treatment (PDQ®) – NCIhttps://www.cancer.gov/types/head-and-neck/hp/adult/salivary-gland-treatment-pdq
Perineural invasion can occur, particularly in high-grade adenoid cystic carcinoma, and should be specifically identified and treated. […] Complications of surgical treatment for parotid neoplasms include facial nerve dysfunction and Frey syndrome (also known as gustatory flushing and sweating and auriculotemporal syndrome). […] The minimum therapy for patients with low-grade malignancies of the superficial portion of the parotid gland is a superficial parotidectomy. For all other lesions, a total parotidectomy is often indicated. […] Postoperative radiation therapy may improve local control and increase survival rates for patients with high-grade tumors, positive surgical margins, or perineural invasion. […] Fast neutron-beam radiation therapy or accelerated hyperfractionated photon-beam schedules have been reported to be more effective than conventional x-ray therapy in the treatment of patients with inoperable, unresectable, or recurrent malignant salivary gland tumors.
- #19 Salivary Gland Cancer Treatment (PDQ®) – NCIhttps://www.cancer.gov/types/head-and-neck/hp/adult/salivary-gland-treatment-pdq
Perineural invasion can occur, particularly in high-grade adenoid cystic carcinoma, and should be specifically identified and treated. […] Complications of surgical treatment for parotid neoplasms include facial nerve dysfunction and Frey syndrome (also known as gustatory flushing and sweating and auriculotemporal syndrome). […] The minimum therapy for patients with low-grade malignancies of the superficial portion of the parotid gland is a superficial parotidectomy. For all other lesions, a total parotidectomy is often indicated. […] Postoperative radiation therapy may improve local control and increase survival rates for patients with high-grade tumors, positive surgical margins, or perineural invasion. […] Fast neutron-beam radiation therapy or accelerated hyperfractionated photon-beam schedules have been reported to be more effective than conventional x-ray therapy in the treatment of patients with inoperable, unresectable, or recurrent malignant salivary gland tumors.
- #20 Surgery for Salivary Gland Cancer | Head & Neck Cancer | Cancer Council NSWhttps://www.cancercouncil.com.au/head-and-neck-cancer/treatment/surgery/surgery-for-salivary-gland-cancer/
Most salivary gland tumours affect one of the parotid glands, which sit in front of the ears. Surgery to remove part or all of a parotid gland is called a parotidectomy. […] The facial nerve runs through the parotid gland. This nerve controls facial expressions and movement of the eyelid and lip. If the facial nerve is damaged during surgery, you may be unable to smile, frown or close your eyes. This is known as facial palsy, and it will usually improve over several months. […] In some cases, the facial nerve needs to be cut so the cancer can be removed. This will affect how your face looks and moves. There are various procedures that can help improve this, such as using a nerve from another part of the body (nerve graft). […] If the cancer affects a gland under the lower jaw (submandibular gland) or under the tongue (sublingual gland), the gland will be removed, along with some surrounding tissue. Nerves controlling the tongue and lower part of the face may be damaged, which may cause some loss of function (e.g. how you speak, eat or close your mouth).
- #21 Surgery for Salivary Gland Cancer | Head & Neck Cancer | Cancer Council NSWhttps://www.cancercouncil.com.au/head-and-neck-cancer/treatment/surgery/surgery-for-salivary-gland-cancer/
Most salivary gland tumours affect one of the parotid glands, which sit in front of the ears. Surgery to remove part or all of a parotid gland is called a parotidectomy. […] The facial nerve runs through the parotid gland. This nerve controls facial expressions and movement of the eyelid and lip. If the facial nerve is damaged during surgery, you may be unable to smile, frown or close your eyes. This is known as facial palsy, and it will usually improve over several months. […] In some cases, the facial nerve needs to be cut so the cancer can be removed. This will affect how your face looks and moves. There are various procedures that can help improve this, such as using a nerve from another part of the body (nerve graft). […] If the cancer affects a gland under the lower jaw (submandibular gland) or under the tongue (sublingual gland), the gland will be removed, along with some surrounding tissue. Nerves controlling the tongue and lower part of the face may be damaged, which may cause some loss of function (e.g. how you speak, eat or close your mouth).
- #22 Salivary Gland Cancer | Conditions | UCSF Healthhttps://www.ucsfhealth.org/conditions/salivary-gland-cancer
UCSF offers cutting-edge diagnostic and treatment options for salivary gland cancer, delivered in a comfortable and supportive environment. Our goal is to treat the cancer while preserving speech and swallowing functions as much as possible. […] Surgery is the mainstay of treatment for salivary gland cancers. The extent of surgery depends upon tumor type, size and location. A neck dissection is performed for removal of neck lymph nodes if they harbor tumor spread. […] Radiation therapy, also called radiotherapy, is the use of high-energy rays to damage cancer cells and stop them from growing. Like surgery, radiation therapy is local therapy. It affects only the cells in the treated area. The energy may come from a large machine, or external radiation. […] Patients with large tumors may need both surgery and radiation therapy. Radiation therapy is given after surgery for advanced or aggressive tumors.
- #23 Parotid Cancer – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538340/
The universal treatment for salivary gland tumors is surgery; hence, patients need to be told about the potential complication, including recurrence. […] After the treatment of salivary gland carcinomas, long-term follow up is necessary to detect local and distant relapse. […] These patients should be followed by the oncology nurse and/or the primary care clinician for several years as there is a small risk of recurrence. […] Patients who relapse can be treated with palliative chemotherapy. […] Salivary gland neoplasms respond poorly to chemotherapy, with adjuvant chemotherapy used only for palliation. […] Adjuvant radiotherapy is recommended for large tumors (greater than 4 cm), patients with incomplete or close margins, recurrent disease, perineural and vascular invasion, nodal disease, in metastatic disease, and is usually indicated for adenoid cystic carcinomas and high-grade tumors.
- #24 Salivary Gland Cancer Treatment (PDQ®) – NCIhttps://www.cancer.gov/types/head-and-neck/hp/adult/salivary-gland-treatment-pdq
Perineural invasion can occur, particularly in high-grade adenoid cystic carcinoma, and should be specifically identified and treated. […] Complications of surgical treatment for parotid neoplasms include facial nerve dysfunction and Frey syndrome (also known as gustatory flushing and sweating and auriculotemporal syndrome). […] The minimum therapy for patients with low-grade malignancies of the superficial portion of the parotid gland is a superficial parotidectomy. For all other lesions, a total parotidectomy is often indicated. […] Postoperative radiation therapy may improve local control and increase survival rates for patients with high-grade tumors, positive surgical margins, or perineural invasion. […] Fast neutron-beam radiation therapy or accelerated hyperfractionated photon-beam schedules have been reported to be more effective than conventional x-ray therapy in the treatment of patients with inoperable, unresectable, or recurrent malignant salivary gland tumors.
- #25 Salivary Gland Cancer | Conditions | UCSF Healthhttps://www.ucsfhealth.org/conditions/salivary-gland-cancer
UCSF offers cutting-edge diagnostic and treatment options for salivary gland cancer, delivered in a comfortable and supportive environment. Our goal is to treat the cancer while preserving speech and swallowing functions as much as possible. […] Surgery is the mainstay of treatment for salivary gland cancers. The extent of surgery depends upon tumor type, size and location. A neck dissection is performed for removal of neck lymph nodes if they harbor tumor spread. […] Radiation therapy, also called radiotherapy, is the use of high-energy rays to damage cancer cells and stop them from growing. Like surgery, radiation therapy is local therapy. It affects only the cells in the treated area. The energy may come from a large machine, or external radiation. […] Patients with large tumors may need both surgery and radiation therapy. Radiation therapy is given after surgery for advanced or aggressive tumors.
- #26 Salivary Gland Cancer Treatment (PDQ®) – NCIhttps://www.cancer.gov/types/head-and-neck/hp/adult/salivary-gland-treatment-pdq
Perineural invasion can occur, particularly in high-grade adenoid cystic carcinoma, and should be specifically identified and treated. […] Complications of surgical treatment for parotid neoplasms include facial nerve dysfunction and Frey syndrome (also known as gustatory flushing and sweating and auriculotemporal syndrome). […] The minimum therapy for patients with low-grade malignancies of the superficial portion of the parotid gland is a superficial parotidectomy. For all other lesions, a total parotidectomy is often indicated. […] Postoperative radiation therapy may improve local control and increase survival rates for patients with high-grade tumors, positive surgical margins, or perineural invasion. […] Fast neutron-beam radiation therapy or accelerated hyperfractionated photon-beam schedules have been reported to be more effective than conventional x-ray therapy in the treatment of patients with inoperable, unresectable, or recurrent malignant salivary gland tumors.
- #27 Salivary gland tumors | Beacon Health Systemhttps://www.beaconhealthsystem.org/library/diseases-and-conditions/salivary-gland-tumors?content_id=CON-20198278
Radiation therapy can be used after surgery to kill any cancer cells that might remain. […] Chemotherapy treats cancer with strong medicines. […] For salivary gland cancer, targeted therapy may be used when the cancer can’t be removed with surgery. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells. […] Palliative care is a special type of healthcare that helps you feel better when you have a serious illness. […] If you have cancer, palliative care can help relieve pain and other symptoms. […] People with salivary gland tumors that are cancerous may need to have radiation therapy. […] Tell your healthcare professional if you have dry mouth. Treatments may help you cope with more-severe symptoms of dry mouth. […] Complementary or alternative medicine treatments can’t cure salivary gland tumors. But complementary and alternative treatments can be combined with your healthcare team’s care to help relieve fatigue, pain and other symptoms. […] Ask your healthcare team about your tumor, including the type, stage and treatment options. […] Keeping your close relationships strong can help you cope during treatment. […] Get enough rest each night so that you wake feeling rested.
- #28 Salivary Gland Cancer | Condition | UT Southwestern Medical Centerhttps://utswmed.org/conditions-treatments/salivary-gland-cancer/
Our treatment options for salivary gland cancer include the following, sometimes in combination: Surgery: Patients with early-stage cancer might need only surgery, whereas advanced cancers might require additional treatments. […] For patients who are having radiation therapy for salivary gland cancer, we recommend having any necessary dental work done before treatment. Radiation treatment slows healing and can cause other side effects. […] We offer a variety of head and neck cancer support services for patients and their families, such as: Oncology rehabilitation, Integrative therapies, Nutrition counseling, Support groups.
- #29 Salivary gland tumors Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/diseases-conditions/salivary-gland-tumors
Salivary gland tumors are abnormal cells growing in the gland or in the tubes (ducts) that drain the salivary glands. […] Surgery is most often done to remove the affected salivary gland. If the tumor is benign, no other treatment is needed. […] Radiation therapy or extensive surgery may be needed if the tumor is cancerous. Chemotherapy may be used when the disease has spread beyond the salivary glands. […] Most salivary gland tumors are noncancerous and slow growing. Removing the tumor with surgery often cures the condition. In rare cases, the tumor is cancerous and further treatment is needed. […] Complications from the cancer or its treatment may include: Spread of the cancer to other organs (metastasis). In rare cases, injury during surgery to the nerve that controls movement of the face. […] Contact your provider if you have any of the following: Pain when eating or chewing. You notice a lump in the mouth, under the jaw, or in the neck that does not go away in 2 to 3 weeks or is getting larger.
- #30 Salivary Gland Cancer | Conditions | UCSF Healthhttps://www.ucsfhealth.org/conditions/salivary-gland-cancer
Chemotherapy is the use of drugs to kill cancer cells. Researchers are looking for effective drugs or drug combinations to treat salivary gland cancer. They are also exploring ways to combine chemotherapy with other forms of cancer treatment to help destroy the tumor and prevent the disease from spreading. […] Chemotherapy is given at the time of radiation therapy in select tumors, usually in the setting of a therapeutic clinical trial. Chemotherapy is sometimes recommended if the cancer has spread to other locations in the body. […] UCSF Health offers free nutrition counseling to our patients with cancer, as well as nutrition seminars that are open to anyone.
- #31 Parotid Cancer – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538340/
The universal treatment for salivary gland tumors is surgery; hence, patients need to be told about the potential complication, including recurrence. […] After the treatment of salivary gland carcinomas, long-term follow up is necessary to detect local and distant relapse. […] These patients should be followed by the oncology nurse and/or the primary care clinician for several years as there is a small risk of recurrence. […] Patients who relapse can be treated with palliative chemotherapy. […] Salivary gland neoplasms respond poorly to chemotherapy, with adjuvant chemotherapy used only for palliation. […] Adjuvant radiotherapy is recommended for large tumors (greater than 4 cm), patients with incomplete or close margins, recurrent disease, perineural and vascular invasion, nodal disease, in metastatic disease, and is usually indicated for adenoid cystic carcinomas and high-grade tumors.
- #32 Salivary Gland Cancer Types, Symptoms, and Diagnosishttps://www.ahn.org/services/cancer/types/salivary-gland
Surgery is often the most direct way to tackle salivary gland cancer. The surgeon carefully removes the tumor and some surrounding healthy tissue to make sure they get all the cancerous cells. […] Radiation therapy uses high-energy beams (like X-rays) to target and kill cancer cells. Its often used after surgery to destroy any remaining microscopic cancer cells that might be hiding, reducing the risk of recurrence. […] Chemotherapy uses powerful drugs to kill cancer cells throughout the body. Its usually reserved for cases where the cancer has spread beyond the salivary glands (metastasized) or for advanced-stage cancers. […] Targeted therapy uses drugs that specifically attack cancer cells without harming healthy cells as much as chemotherapy. These drugs often target specific molecules or proteins found on the surface of cancer cells. AHN uses advanced treatments, meaning they are more precise and can cause fewer side effects than traditional chemotherapy. Targeted therapies are becoming increasingly important in treating salivary gland cancer, especially certain types.
- #33 Salivary gland tumors | Beacon Health Systemhttps://www.beaconhealthsystem.org/library/diseases-and-conditions/salivary-gland-tumors?content_id=CON-20198278
Radiation therapy can be used after surgery to kill any cancer cells that might remain. […] Chemotherapy treats cancer with strong medicines. […] For salivary gland cancer, targeted therapy may be used when the cancer can’t be removed with surgery. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells. […] Palliative care is a special type of healthcare that helps you feel better when you have a serious illness. […] If you have cancer, palliative care can help relieve pain and other symptoms. […] People with salivary gland tumors that are cancerous may need to have radiation therapy. […] Tell your healthcare professional if you have dry mouth. Treatments may help you cope with more-severe symptoms of dry mouth. […] Complementary or alternative medicine treatments can’t cure salivary gland tumors. But complementary and alternative treatments can be combined with your healthcare team’s care to help relieve fatigue, pain and other symptoms. […] Ask your healthcare team about your tumor, including the type, stage and treatment options. […] Keeping your close relationships strong can help you cope during treatment. […] Get enough rest each night so that you wake feeling rested.
- #34 Salivary Gland Cancer | Conditions | UCSF Healthhttps://www.ucsfhealth.org/conditions/salivary-gland-cancer
Chemotherapy is the use of drugs to kill cancer cells. Researchers are looking for effective drugs or drug combinations to treat salivary gland cancer. They are also exploring ways to combine chemotherapy with other forms of cancer treatment to help destroy the tumor and prevent the disease from spreading. […] Chemotherapy is given at the time of radiation therapy in select tumors, usually in the setting of a therapeutic clinical trial. Chemotherapy is sometimes recommended if the cancer has spread to other locations in the body. […] UCSF Health offers free nutrition counseling to our patients with cancer, as well as nutrition seminars that are open to anyone.
- #35 Salivary Gland Cancer Treatment – NCIhttps://www.cancer.gov/types/head-and-neck/patient/adult/salivary-gland-treatment-pdq
Salivary gland cancer is a rare disease in which malignant (cancer) cells form in the tissues of the salivary glands. […] Salivary gland cancer is a type of head and neck cancer. […] Signs and symptoms of salivary gland cancer include a lump or trouble swallowing. […] Tests that examine the head, neck, and the inside of the mouth are used to diagnose salivary gland cancer. […] Certain factors affect prognosis (chance of recovery) and treatment options. […] Patients with salivary gland cancer should have their treatment planned by a team of health care providers who are experts in treating head and neck cancer. […] The following types of treatment are used: Surgery, Radiation therapy, Chemotherapy. […] Treatment for salivary gland cancer may cause side effects. […] Follow-up tests may be needed. […] Treatment for stage I salivary gland cancer depends on whether the cancer is low-grade (slow growing) or high-grade (fast growing). […] Treatment of recurrent salivary gland cancer may include the following: Radiation therapy, A clinical trial of a new treatment.
- #36 Salivary Gland Cancer | Moores Cancer Center | UC San Diego Healthhttps://health.ucsd.edu/care/cancer/cancers-we-treat/head-and-neck/salivary-gland/
Youll find support and expertise from your care team at every step of your journey, from diagnosis to rehabilitation following treatment. […] We work with you to develop a care plan that’s right for you. This may include: […] We collaborate with you to deliver world-class care in a caring, supportive environment. Your care team may include surgeons, medical oncologists, radiation oncologists, nurses, dietitians, social workers, radiologists, rehabilitation therapists, and speech and language therapists, or other physicians and professionals for your personal care plan. […] At UC San Diego Health, your care goes beyond treating disease. It also includes supporting you and your loved ones emotionally during your cancer journey. Most of our support services are free.
- #37 Salivary Gland Cancer | Head and Neck Cancers | Henry Ford Health – Detroit, MIhttps://www.henryford.com/services/head-neck-cancers/types/salivary-gland-cancer
Salivary gland tumors make up less than 1% of all cancers diagnosed each year in the United States. […] To receive the best possible care for salivary gland cancer, it is important to consult physicians who have significant experience in treating head and neck cancer. […] We will work closely with you to identify the specific type and location of the tumor, and develop a care plan that resolves the tumor quickly, so that you can recover and get back to your usual life. […] Recovering from surgery or other treatment on the delicate salivary glands can be challenging. We offer a full program of support for you and your family before, during and after treatment. […] We take a coordinated approach across medical disciplines, with a team that includes surgeons, medical doctors, otolaryngologists (ear, nose and throat specialists), speech and swallowing therapists, and behavioral and emotional support staff.
- #38 Salivary Gland | Head & Neck Surgery | Stanford Otolaryngology â Head & Neck Surgery (OHNS) | Stanford Medicinehttps://med.stanford.edu/ohns/OHNS-healthcare/head-and-neck-surgery/programs/salivary-gland-program.html
There are 3 sets of major salivary glands which can cause disease that may be benign tumors, cancers or inflammatory/infectious glands. […] At Stanford our goal is to provide the most effective treatment, while preserving function and restoring cosmesis including innovative approaches. […] We have a team of innovative and experienced surgeons who super-specialize in this area to provide our patients with the most modern and cutting-edge techniques to improve their quality of life. […] Some of our Specialized treatments include: Advanced minimally invasive parotidectomy for pleomorphic adenomas, including recurrent disease in patients who have had surgery previously. […] We reconstruct all our surgical defects to restore cosmetic balance. […] We discuss all of our cancer patients including non-cancer pleomorphic adenomas at our multidisciplinary tumor board (a panel of 20 doctors to prove a consensus for surgical plans).
- #39 Salivary Gland Cancer Symptoms & Treatment NYC | Mount Sinai – New Yorkhttps://www.mountsinai.org/locations/head-neck-institute/cancer/salivary-gland/symptoms-treatment
Clinical follow-up for salivary gland cancer, like many other cancers, involves regular office examinations, as well as radiologic scans to ensure durable cure. The Head and Neck Institute staff works together to synchronize scans and visits with relevant specialists to help make each patientâs visit to Mount Sinai as seamless and complete as possible.
- #40 Salivary Gland Cancer | Cancer of the Salivary Glands | University of Michigan Rogel Cancer Center]https://www.rogelcancercenter.org/head-and-neck-cancer/salivary-gland
Patient Care and Treatment The Head and Neck Oncology Program follows a team approach to care. Our patients with salivary glands have their situation discussed not only by our head and neck oncologists, but also by team surgeons and pathologists. By having everyone involved, a personalized treatment plan is developed. In most cases, this discussion happens the same day as the appointment. […] Support Undergoing treatment for cancer — particularly head and neck cancer — is a difficult and sometimes painful process. To help, we’ve put together a page filled with Resources and Support for Patients. There are links to articles about treatment, survivor stories and information about support groups. Since our program is part of the U-M Rogel Cancer Center, our patients have access to a range of Patient Support Services. To fully understand what this means, please take time to visit the support services area of this website. We outline the services available to all of our patients at every point in their care.
- #41 Salivary Gland Cancer Treatment | Memorial Sloan Kettering Cancer Centerhttps://www.mskcc.org/cancer-care/types/salivary-gland/salivary-gland-cancer-treatment
Many people experience problems with their speech or swallowing as a result of salivary gland tumors and their treatment. […] MSKs speech pathologists are experts in helping patients recover. They will be there for you before, during, and after your treatment to help address any problems, whether your treatment involves surgery or radiation therapy. The goal is to achieve optimal continuity of care. […] Your speech pathologist will work with your care team to make a plan for your care during and after treatment. Your speech pathologist will continue to see you regularly if needed to help you improve and maintain your swallowing, speech, voice, and mouth movements. […] Our rehabilitation experts and speech pathologists design individualized treatment plans. They can help you manage problems with your speech, voice, swallowing, and other side effects of salivary gland tumors and their treatment. […] Our patients may receive long-term follow-up care from a nurse practitioner who specializes in the late medical needs of people who been treated for salivary gland cancer.
- #42 5 innovative treatments for salivary gland cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/salivary-gland-cancer/salivary-gland-cancer-treatment.html
Salivary gland cancer and its treatments can impact a persons ability to eat, drink and speak, as well as their appearance. […] Regular follow-up and screenings are vital due to the high risk of salivary gland returning. […] Salivary gland patients are also strongly urged not to smoke or drink alcohol during and after treatment.
- #43 Salivary Gland Cancer Treatment | Memorial Sloan Kettering Cancer Centerhttps://www.mskcc.org/cancer-care/types/salivary-gland/salivary-gland-cancer-treatment
Many people experience problems with their speech or swallowing as a result of salivary gland tumors and their treatment. […] MSKs speech pathologists are experts in helping patients recover. They will be there for you before, during, and after your treatment to help address any problems, whether your treatment involves surgery or radiation therapy. The goal is to achieve optimal continuity of care. […] Your speech pathologist will work with your care team to make a plan for your care during and after treatment. Your speech pathologist will continue to see you regularly if needed to help you improve and maintain your swallowing, speech, voice, and mouth movements. […] Our rehabilitation experts and speech pathologists design individualized treatment plans. They can help you manage problems with your speech, voice, swallowing, and other side effects of salivary gland tumors and their treatment. […] Our patients may receive long-term follow-up care from a nurse practitioner who specializes in the late medical needs of people who been treated for salivary gland cancer.
- #44 Support for Salivary Gland Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/salivary-gland-cancer/support
Doctors, nurses, nurse practitioners, physician assistants, social workers, and rehabilitation specialists at NYU Langones Perlmutter Cancer Center and Rusk Rehabilitation collaborate to provide support for people with salivary gland cancer throughout diagnosis and treatment and during follow-up appointments. […] Speech and swallowing therapy may be used throughout treatment to preserve as much function as possible. It may also be given afterward to help you regain or compensate for any lost function. Therapy usually consists of exercises to strengthen the muscles in the tongue, mouth, vocal cords, and throat. […] If the facial nerve had to be sacrificed, all or part of the nerve can be reconstructed with nerve grafts to help restore facial muscle function. Surgeons may also reposition other muscles adjacent to the face or transfer muscles from other areas of the body. NYU Langone surgeons are experts at restoring as much function as possible.
- #45 Support for Salivary Gland Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/salivary-gland-cancer/support
Doctors, nurses, nurse practitioners, physician assistants, social workers, and rehabilitation specialists at NYU Langones Perlmutter Cancer Center and Rusk Rehabilitation collaborate to provide support for people with salivary gland cancer throughout diagnosis and treatment and during follow-up appointments. […] Speech and swallowing therapy may be used throughout treatment to preserve as much function as possible. It may also be given afterward to help you regain or compensate for any lost function. Therapy usually consists of exercises to strengthen the muscles in the tongue, mouth, vocal cords, and throat. […] If the facial nerve had to be sacrificed, all or part of the nerve can be reconstructed with nerve grafts to help restore facial muscle function. Surgeons may also reposition other muscles adjacent to the face or transfer muscles from other areas of the body. NYU Langone surgeons are experts at restoring as much function as possible.
- #46 Salivary Gland | Head & Neck Surgery | Stanford Otolaryngology â Head & Neck Surgery (OHNS) | Stanford Medicinehttps://med.stanford.edu/ohns/OHNS-healthcare/head-and-neck-surgery/programs/salivary-gland-program.html
The final results from surgery will be evaluated and you will be informed if additional treatments (radiotherapy and sometimes chemo) will be needed. […] During surgery sometimes the facial nerve may be sacrificed if the cancer is invading the nerve and reconstruction will take place during the same operation. […] The goals of the operation are to get the cancer and a cuff of normal tissue removed to achieve negative margin. […] Sometimes the lymph nodes of the neck are removed in a neck dissection to determine if your cancer has spread to the neck. […] Radiation therapy following surgery is needed in most cancers of the salivary gland. […] The radiation treatments start 4-6 weeks after surgery and often require 30 sessions of radiation over a 42-day period with 5 sessions a week.
- #47 Salivary Gland | Head & Neck Surgery | Stanford Otolaryngology â Head & Neck Surgery (OHNS) | Stanford Medicinehttps://med.stanford.edu/ohns/OHNS-healthcare/head-and-neck-surgery/programs/salivary-gland-program.html
We offer complex facial nerve reconstruction to help the body restore function which usually takes over 1 year for the nerve to recover some function. […] We also provide additional procedures to restore facial function using smaller procedures which are mostly conducted at the same time as the cancer operation.
- #48 Support for Salivary Gland Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/salivary-gland-cancer/support
If stiffness and fibrosis are interfering with your daily activities, occupational therapists can help you learn how to perform routine tasks, such as cooking and shopping. […] Because salivary gland cancer treatment may cause difficulty with swallowing, you may need a nutritional assessment and dietary plan. Throughout your treatment and recovery, nutritionists at Perlmutter Cancer Center can help ensure you’re getting the nutrients you need in easy-to-swallow foods. […] A physiatrist can evaluate you and prescribe physical therapy at Rusk Rehabilitation. Physical therapy often includes range-of-motion and flexibility exercises. This is usually followed by specialized massage therapy to help the lymph fluid to drain. […] Doctors at Rusk Rehabilitation may prescribe medication to ease the discomfort of neuropathy. They can also prescribe physical therapy to help ensure that neuropathy doesn’t interfere with your balance, strength, or ability to walk and perform daily activities.
- #49 Support for Salivary Gland Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/salivary-gland-cancer/support
If you are experiencing fatigue due to salivary gland cancer or its treatment, doctors may recommend physical and occupational therapy at Rusk Rehabilitation. This type of therapy may include strength and aerobic exercises to address fatigue caused by surgery, radiation therapy, or chemotherapy. […] Supportive care specialists at Perlmutter Cancer Center provide ongoing therapy for any cancer-related or treatment-related symptoms, such as pain, fatigue, loss of appetite, or stress, helping improve quality of life.
- #50 5 innovative treatments for salivary gland cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/salivary-gland-cancer/salivary-gland-cancer-treatment.html
Salivary gland cancer and its treatments can impact a persons ability to eat, drink and speak, as well as their appearance. […] Regular follow-up and screenings are vital due to the high risk of salivary gland returning. […] Salivary gland patients are also strongly urged not to smoke or drink alcohol during and after treatment.
- #51 Salivary Gland Cancer | Symptoms | MedStar Healthhttps://www.medstarhealth.org/services/salivary-gland-cancers
Salivary gland cancers are malignant (cancerous) growths found in saliva-producing glands: the parotid, submandibular or sublingual, plus hundreds of minor glands. […] Because of the rarity of salivary gland cancer, patients often have to travel for specialized treatment. But we offer special expertise with these tumors, researching how they occur and how best to treat them. […] Treatment options for salivary gland cancer depend on: […] Salivary gland cancer is usually treated with surgery, radiation, or a combination. Surgical advances now let us safely and effectively operate near the base of the skull, and improvements in reconstructive techniques mean we can remove more tumors but still preserve your quality of life. We also use special monitoring to protect any nerves that are at risk. […] Patients who have had salivary gland cancer are at risk of developing a second head or neck cancer, and our doctors also want to catch any original cancer that might return. After treatment, they will ask you to come in for regular checkups, as frequently as once a month for the first year.
- #52 Salivary Gland Cancer Symptoms & Treatment NYC | Mount Sinai – New Yorkhttps://www.mountsinai.org/locations/head-neck-institute/cancer/salivary-gland/symptoms-treatment
Clinical follow-up for salivary gland cancer, like many other cancers, involves regular office examinations, as well as radiologic scans to ensure durable cure. The Head and Neck Institute staff works together to synchronize scans and visits with relevant specialists to help make each patientâs visit to Mount Sinai as seamless and complete as possible.
- #53 Salivary Gland Cancer Symptoms & Treatment NYC | Mount Sinai – New Yorkhttps://www.mountsinai.org/locations/head-neck-institute/cancer/salivary-gland/symptoms-treatment
Clinical follow-up for salivary gland cancer, like many other cancers, involves regular office examinations, as well as radiologic scans to ensure durable cure. The Head and Neck Institute staff works together to synchronize scans and visits with relevant specialists to help make each patientâs visit to Mount Sinai as seamless and complete as possible.
- #54 5 innovative treatments for salivary gland cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/salivary-gland-cancer/salivary-gland-cancer-treatment.html
Salivary gland cancer and its treatments can impact a persons ability to eat, drink and speak, as well as their appearance. […] Regular follow-up and screenings are vital due to the high risk of salivary gland returning. […] Salivary gland patients are also strongly urged not to smoke or drink alcohol during and after treatment.
- #55 Salivary gland tumors | Beacon Health Systemhttps://www.beaconhealthsystem.org/library/diseases-and-conditions/salivary-gland-tumors?content_id=CON-20198278
Radiation therapy can be used after surgery to kill any cancer cells that might remain. […] Chemotherapy treats cancer with strong medicines. […] For salivary gland cancer, targeted therapy may be used when the cancer can’t be removed with surgery. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells. […] Palliative care is a special type of healthcare that helps you feel better when you have a serious illness. […] If you have cancer, palliative care can help relieve pain and other symptoms. […] People with salivary gland tumors that are cancerous may need to have radiation therapy. […] Tell your healthcare professional if you have dry mouth. Treatments may help you cope with more-severe symptoms of dry mouth. […] Complementary or alternative medicine treatments can’t cure salivary gland tumors. But complementary and alternative treatments can be combined with your healthcare team’s care to help relieve fatigue, pain and other symptoms. […] Ask your healthcare team about your tumor, including the type, stage and treatment options. […] Keeping your close relationships strong can help you cope during treatment. […] Get enough rest each night so that you wake feeling rested.
- #56 Salivary gland tumors – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/salivary-gland-cancer/diagnosis-treatment/drc-20354155
Salivary gland tumors care at Mayo Clinic […] Our caring team of Mayo Clinic experts can help you with your salivary gland tumors-related health concerns […] Treatment for salivary gland tumors usually involves surgery to remove the tumor. People with salivary gland cancers may need additional treatments. These additional treatments can include radiation therapy, chemotherapy, targeted therapy or immunotherapy […] Palliative care is a special type of healthcare that helps you feel better when you have a serious illness. If you have cancer, palliative care can help relieve pain and other symptoms. A healthcare team that may include doctors, nurses and other specially trained health professionals provides palliative care. The care team’s goal is to improve quality of life for you and your family […] The use of palliative care with other proper treatments can help people with cancer feel better and live longer.
- #57 Salivary gland tumors – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/salivary-gland-cancer/diagnosis-treatment/drc-20354155
Salivary gland tumors care at Mayo Clinic […] Our caring team of Mayo Clinic experts can help you with your salivary gland tumors-related health concerns […] Treatment for salivary gland tumors usually involves surgery to remove the tumor. People with salivary gland cancers may need additional treatments. These additional treatments can include radiation therapy, chemotherapy, targeted therapy or immunotherapy […] Palliative care is a special type of healthcare that helps you feel better when you have a serious illness. If you have cancer, palliative care can help relieve pain and other symptoms. A healthcare team that may include doctors, nurses and other specially trained health professionals provides palliative care. The care team’s goal is to improve quality of life for you and your family […] The use of palliative care with other proper treatments can help people with cancer feel better and live longer.
- #58 Salivary gland tumors – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/salivary-gland-cancer/diagnosis-treatment/drc-20354155
Salivary gland tumors care at Mayo Clinic […] Our caring team of Mayo Clinic experts can help you with your salivary gland tumors-related health concerns […] Treatment for salivary gland tumors usually involves surgery to remove the tumor. People with salivary gland cancers may need additional treatments. These additional treatments can include radiation therapy, chemotherapy, targeted therapy or immunotherapy […] Palliative care is a special type of healthcare that helps you feel better when you have a serious illness. If you have cancer, palliative care can help relieve pain and other symptoms. A healthcare team that may include doctors, nurses and other specially trained health professionals provides palliative care. The care team’s goal is to improve quality of life for you and your family […] The use of palliative care with other proper treatments can help people with cancer feel better and live longer.
- #59 Get Salivary Gland Cancer Treatment | Cleveland Clinichttps://my.clevelandclinic.org/services/salivary-gland-cancer-treatment
Your care includes a team of healthcare providers from different specialties who combine expertise to treat any salivary gland tumor. […] Surgery or radiation for salivary gland cancer can be lifesaving, but it can also change how your face and neck look and work. […] Cancer treatment can be stressful. And it often can affect your emotional and mental well-being. […] Once we have your test results and confirm a diagnosis, we’ll work with you to build your treatment plan. […] Surgery is the best way to treat salivary gland cancer if the tumor can be safely removed. […] Our team may recommend radiation therapy which uses high-energy beams if the cancer has spread and can’t be removed with surgery. […] Certain medications can target the tumor’s cells and stop it from growing or spreading.
- #60 Salivary Gland Cancer | Condition | UT Southwestern Medical Centerhttps://utswmed.org/conditions-treatments/salivary-gland-cancer/
Our treatment options for salivary gland cancer include the following, sometimes in combination: Surgery: Patients with early-stage cancer might need only surgery, whereas advanced cancers might require additional treatments. […] For patients who are having radiation therapy for salivary gland cancer, we recommend having any necessary dental work done before treatment. Radiation treatment slows healing and can cause other side effects. […] We offer a variety of head and neck cancer support services for patients and their families, such as: Oncology rehabilitation, Integrative therapies, Nutrition counseling, Support groups.
- #61 Get Salivary Gland Cancer Treatment | Cleveland Clinichttps://my.clevelandclinic.org/services/salivary-gland-cancer-treatment
Learning you may have salivary gland cancer can be difficult. But when you find a lump in your mouth, cheek or neck, it’s important to get things checked out quickly. […] At Cleveland Clinic, survivorship care is one part of your journey. We offer a wide range of services, resources, clinics and support groups to help with any physical, emotional, financial and spiritual needs you might have related to your cancer diagnosis.
- #62 Support for Salivary Gland Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/salivary-gland-cancer/support
If you are experiencing fatigue due to salivary gland cancer or its treatment, doctors may recommend physical and occupational therapy at Rusk Rehabilitation. This type of therapy may include strength and aerobic exercises to address fatigue caused by surgery, radiation therapy, or chemotherapy. […] Supportive care specialists at Perlmutter Cancer Center provide ongoing therapy for any cancer-related or treatment-related symptoms, such as pain, fatigue, loss of appetite, or stress, helping improve quality of life.
- #63 Breakthroughs in Molecular Biomarkers Transform Diagnosis and Treatment of Salivary Gland Tumorshttps://newsroom.cap.org/latest-news/breakthroughs-in-molecular-biomarkers-transform-diagnosis-and-treatment-of-salivary-gland-tumors/s/24de45c5-b97e-4b1e-8c16-0eb28bdf7fb7
Advancements in molecular testing are revolutionizing the diagnosis and treatment of salivary gland neoplasms, providing physicians and patients with unprecedented precision in care. […] Molecular testing methodologies have improved the diagnostic and therapeutic approach of salivary gland neoplasms by enhancing diagnostic accuracy and enabling targeted therapies through biomarker testing, said CAP member and co-author Gloria H. Sura, MD, FCAP. […] As molecular profiling continues to advance, it is paving the way for a future in which every patient with a salivary gland tumor receives a diagnosis and treatment plan tailored to their tumors unique genetic profile, shared CAP member and co-author, Jessica S. Thomas, MD, PhD, MPH, BS, FCAP. By integrating molecular testing into routine clinical practice, clinicians can make more informed decisions, improving outcomes for patients with these rare and complex malignancies.
- #64 Salivary Gland Cancer | Head & Neck Cancer Care Team | University Hospitals Seidman Cancer Center | Cleveland, OH | University Hospitalshttps://www.uhhospitals.org/services/cancer-services/head-and-neck-cancer/diagnosis-and-treatments/salivary-gland-cancer
Salivary gland cancer is quite rare, with only 2.5 to 3 cases per 100,000 people in the U.S. annually. […] Using a combination of surgery with chemotherapy and radiation, they can tailor salivary gland cancer treatment to each patients individual needs. […] Our patients benefit from a team approach to their salivary gland cancer care. […] The following team members may be involved in the care and treatment of salivary gland cancer patients: Nurse navigators, Nurse practitioners. […] Together, we work through every step of cancer care. […] UH Seidman Cancer Center has many available clinical trials for patients with salivary gland cancer.
- #65 Salivary Gland Cancer Treatment – NCIhttps://www.cancer.gov/types/head-and-neck/patient/adult/salivary-gland-treatment-pdq
Salivary gland cancer is a rare disease in which malignant (cancer) cells form in the tissues of the salivary glands. […] Salivary gland cancer is a type of head and neck cancer. […] Signs and symptoms of salivary gland cancer include a lump or trouble swallowing. […] Tests that examine the head, neck, and the inside of the mouth are used to diagnose salivary gland cancer. […] Certain factors affect prognosis (chance of recovery) and treatment options. […] Patients with salivary gland cancer should have their treatment planned by a team of health care providers who are experts in treating head and neck cancer. […] The following types of treatment are used: Surgery, Radiation therapy, Chemotherapy. […] Treatment for salivary gland cancer may cause side effects. […] Follow-up tests may be needed. […] Treatment for stage I salivary gland cancer depends on whether the cancer is low-grade (slow growing) or high-grade (fast growing). […] Treatment of recurrent salivary gland cancer may include the following: Radiation therapy, A clinical trial of a new treatment.
- #66 Childhood Salivary Gland Tumors (PDQ®): Treatment – Patient Information [NCI]https://www.cham.org/HealthwiseArticle.aspx?id=ncicdr0000789556
If a clinical trial shows that a new treatment is better than one currently being used, the new treatment may become „standard.” […] A pediatric oncologist, a doctor who specializes in treating children with cancer, oversees treatment of salivary gland tumors. […] Your child’s treatment plan will include information about the tumor, the goals of treatment, treatment options, and the possible side effects. […] Surgery to remove salivary gland tumors or salivary gland cancer is the most common treatment. […] Radiation therapy may be given after surgery for salivary gland cancer. […] Targeted therapy (entrectinib or larotrectinib) may be used to treat recurrent childhood salivary gland cancer. […] Cancer treatments can cause side effects. […] As your child goes through treatment, they will have follow-up tests or check-ups. […] Taking care of yourself during this difficult time is important.
- #67 Breakthroughs in Molecular Biomarkers Transform Diagnosis and Treatment of Salivary Gland Tumorshttps://newsroom.cap.org/latest-news/breakthroughs-in-molecular-biomarkers-transform-diagnosis-and-treatment-of-salivary-gland-tumors/s/24de45c5-b97e-4b1e-8c16-0eb28bdf7fb7
Advancements in molecular testing are revolutionizing the diagnosis and treatment of salivary gland neoplasms, providing physicians and patients with unprecedented precision in care. […] Molecular testing methodologies have improved the diagnostic and therapeutic approach of salivary gland neoplasms by enhancing diagnostic accuracy and enabling targeted therapies through biomarker testing, said CAP member and co-author Gloria H. Sura, MD, FCAP. […] As molecular profiling continues to advance, it is paving the way for a future in which every patient with a salivary gland tumor receives a diagnosis and treatment plan tailored to their tumors unique genetic profile, shared CAP member and co-author, Jessica S. Thomas, MD, PhD, MPH, BS, FCAP. By integrating molecular testing into routine clinical practice, clinicians can make more informed decisions, improving outcomes for patients with these rare and complex malignancies.
- #68 Breakthroughs in Molecular Biomarkers Transform Diagnosis and Treatment of Salivary Gland Tumorshttps://newsroom.cap.org/latest-news/breakthroughs-in-molecular-biomarkers-transform-diagnosis-and-treatment-of-salivary-gland-tumors/s/24de45c5-b97e-4b1e-8c16-0eb28bdf7fb7
Advancements in molecular testing are revolutionizing the diagnosis and treatment of salivary gland neoplasms, providing physicians and patients with unprecedented precision in care. […] Molecular testing methodologies have improved the diagnostic and therapeutic approach of salivary gland neoplasms by enhancing diagnostic accuracy and enabling targeted therapies through biomarker testing, said CAP member and co-author Gloria H. Sura, MD, FCAP. […] As molecular profiling continues to advance, it is paving the way for a future in which every patient with a salivary gland tumor receives a diagnosis and treatment plan tailored to their tumors unique genetic profile, shared CAP member and co-author, Jessica S. Thomas, MD, PhD, MPH, BS, FCAP. By integrating molecular testing into routine clinical practice, clinicians can make more informed decisions, improving outcomes for patients with these rare and complex malignancies.
- #69 Parotid Cancer – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538340/
Salivary gland tumors are characterized by diverse histological appearances and variable biological behavior. […] This activity outlines the evaluation and management of salivary gland tumors and reviews the role of the interprofessional team in evaluating and treating patients with this condition. […] Describe how to properly evaluate a patient for salivary gland tumors. […] Review the treatment and management options available for salivary gland tumors. […] Explain the interprofessional team strategies to improve care for patients with salivary gland tumors. […] The majority of patients first present to the primary care clinician or nurse practitioner with complaints of a painless lump. […] If the history and physical are suggestive of a tumor, these patients should be referred to the otolaryngologist for workup.
- #70 Salivary Gland Cancer | Head & Neck Cancer Care Team | University Hospitals Seidman Cancer Center | Cleveland, OH | University Hospitalshttps://www.uhhospitals.org/services/cancer-services/head-and-neck-cancer/diagnosis-and-treatments/salivary-gland-cancer
Salivary gland cancer is quite rare, with only 2.5 to 3 cases per 100,000 people in the U.S. annually. […] Using a combination of surgery with chemotherapy and radiation, they can tailor salivary gland cancer treatment to each patients individual needs. […] Our patients benefit from a team approach to their salivary gland cancer care. […] The following team members may be involved in the care and treatment of salivary gland cancer patients: Nurse navigators, Nurse practitioners. […] Together, we work through every step of cancer care. […] UH Seidman Cancer Center has many available clinical trials for patients with salivary gland cancer.
- #71 Salivary Gland Cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/salivary-gland-cancer.html
Caring for salivary gland cancer patients at MD Anderson goes far beyond just eliminating the cancer. It includes maximizing your quality of life during and after treatment. Salivary gland cancer and its care may affect eating, hearing, speaking and appearance. […] You may get occupational, physical and speech therapy. If needed, youll have access to MD Andersons renowned reconstructive surgeons, as well as expert dental surgeons who can design and place custom-made dental implants. You can also work closely with speech pathologists and audiologists who have expertise in restoring speech and swallowing after salivary gland surgery. […] MD Anderson also offers dedicated survivorship care for salivary gland cancer patients. This care can help monitor for the diseases return and offer interventions to maximize your quality of life.
- #72 Parotid Cancer – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538340/
The universal treatment for salivary gland tumors is surgery; hence, patients need to be told about the potential complication, including recurrence. […] After the treatment of salivary gland carcinomas, long-term follow up is necessary to detect local and distant relapse. […] These patients should be followed by the oncology nurse and/or the primary care clinician for several years as there is a small risk of recurrence. […] Patients who relapse can be treated with palliative chemotherapy. […] Salivary gland neoplasms respond poorly to chemotherapy, with adjuvant chemotherapy used only for palliation. […] Adjuvant radiotherapy is recommended for large tumors (greater than 4 cm), patients with incomplete or close margins, recurrent disease, perineural and vascular invasion, nodal disease, in metastatic disease, and is usually indicated for adenoid cystic carcinomas and high-grade tumors.
- #73 Salivary Gland Cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/salivary-gland-cancer.html
Caring for salivary gland cancer patients at MD Anderson goes far beyond just eliminating the cancer. It includes maximizing your quality of life during and after treatment. Salivary gland cancer and its care may affect eating, hearing, speaking and appearance. […] You may get occupational, physical and speech therapy. If needed, youll have access to MD Andersons renowned reconstructive surgeons, as well as expert dental surgeons who can design and place custom-made dental implants. You can also work closely with speech pathologists and audiologists who have expertise in restoring speech and swallowing after salivary gland surgery. […] MD Anderson also offers dedicated survivorship care for salivary gland cancer patients. This care can help monitor for the diseases return and offer interventions to maximize your quality of life.
- #74 Salivary Gland Cancer Treatment | Memorial Sloan Kettering Cancer Centerhttps://www.mskcc.org/cancer-care/types/salivary-gland/salivary-gland-cancer-treatment
Many people experience problems with their speech or swallowing as a result of salivary gland tumors and their treatment. […] MSKs speech pathologists are experts in helping patients recover. They will be there for you before, during, and after your treatment to help address any problems, whether your treatment involves surgery or radiation therapy. The goal is to achieve optimal continuity of care. […] Your speech pathologist will work with your care team to make a plan for your care during and after treatment. Your speech pathologist will continue to see you regularly if needed to help you improve and maintain your swallowing, speech, voice, and mouth movements. […] Our rehabilitation experts and speech pathologists design individualized treatment plans. They can help you manage problems with your speech, voice, swallowing, and other side effects of salivary gland tumors and their treatment. […] Our patients may receive long-term follow-up care from a nurse practitioner who specializes in the late medical needs of people who been treated for salivary gland cancer.
- #75 Malignant Salivary Gland Tumors – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK563022/
Postoperative surveillance aims to detect locoregional recurrence and manage any treatment complications that may arise. Surgery and radiation can result in long-term swallowing difficulties (xerostomia, mucositis, trismus), as well as cosmetic defects from facial nerve paralysis. Early intervention for facial nerve reconstruction and rehabilitation and consultation with speech pathologists for swallowing difficulties is vital for allowing the patient to re-integrate as much as possible into their pre-treatment functional status and improve their quality of life.