Guzy ślinianki przyusznej
Objawy

Guzy ślinianki przyusznej najczęściej manifestują się jako bezbolesne, wolno rosnące zmiany w okolicy ucha, policzka lub górnej części szyi. Około 80% z nich to guzy łagodne, takie jak gruczolak wielopostaciowy czy guz Warthina, które charakteryzują się powolnym wzrostem, wyraźną torebką i brakiem naciekania tkanek otaczających. Objawy sugerujące złośliwość obejmują ból, szybki wzrost guza, osłabienie lub paraliż nerwu twarzowego (obserwowany u 7-20% pacjentów ze złośliwymi zmianami), przytwierdzenie do otaczających tkanek oraz powiększone węzły chłonne szyi. Złośliwe guzy, takie jak rak gruczołowo-torbielowaty czy rak przewodów ślinowych, mogą naciekać nerwy, powodować szczękościsk, dysfagię, ból ucha oraz dawać przerzuty do lokalnych węzłów chłonnych (obecne u około 80% pacjentów z porażeniem nerwu twarzowego), płuc, kości i wątroby. Średni czas przeżycia pacjentów z porażeniem nerwu twarzowego wynosi 2,7 roku, a 10-letnie przeżycie wynosi 14-26%.

Objawy guzów ślinianki przyusznej

Guzy ślinianki przyusznej często początkowo nie powodują żadnych objawów, a pierwsze oznaki pojawiają się dopiero, gdy guz osiągnie odpowiednią wielkość. Najczęstszym pierwszym objawem jest bezbolesny guz lub obrzęk zlokalizowany w okolicy ślinianki przyusznej – przed uchem, na policzku lub w górnej części szyi. Guz ten zazwyczaj rośnie powoli, jednak w przypadku nowotworów złośliwych wzrost może być szybszy.12

Typowe objawy guzów ślinianki przyusznej

Najczęstsze objawy guzów ślinianki przyusznej obejmują:34

  • Guz lub obrzęk po jednej stronie twarzy, zazwyczaj w okolicy ucha lub policzka
  • Trudności w połykaniu
  • Problemy z szerokim otwieraniem ust
  • Drętwienie części twarzy
  • Osłabienie mięśni twarzy po jednej stronie
  • Ból twarzy lub w okolicy gruczołu

56

Różnice między łagodnymi i złośliwymi guzami

Większość guzów ślinianki przyusznej (około 80%) to guzy łagodne. Warto jednak wiedzieć, że istnieją pewne objawy, które mogą sugerować złośliwy charakter guza.78

Guzy złośliwe częściej powodują:

  • Ból w obszarze guza
  • Szybki wzrost guza
  • Osłabienie lub paraliż nerwu twarzowego (obserwowane u 7-20% pacjentów ze złośliwymi guzami, prawie nigdy nie występuje w przypadku zmian łagodnych)
  • Przytwierdzenie do otaczających tkanek
  • Powiększone węzły chłonne szyi

910

Guzy łagodne zazwyczaj są bezbolesne, rosną powoli i nie powodują osłabienia nerwu twarzowego. Należy jednak pamiętać, że nawet łagodne guzy, jeśli pozostaną nieleczone, mogą z czasem ulec złośliwej transformacji.1112

Progresja guzów ślinianki przyusznej

Naturalny przebieg choroby

Większość guzów ślinianki przyusznej rośnie bardzo powoli. Pacjent może mieć guz przez miesiące, lata, a nawet dekady, zanim pojawią się zauważalne objawy. Często guzy są wykrywane przypadkowo podczas badań obrazowych wykonywanych z innych powodów.213

W przypadku guzów łagodnych, takich jak gruczolak wielopostaciowy (najczęstszy typ łagodnego guza ślinianki przyusznej), wzrost jest zazwyczaj powolny, ale z czasem guz może osiągnąć znaczne rozmiary. Guzy te mają wyraźną torebkę i zazwyczaj nie naciekają okolicznych tkanek, jednak mogą powodować ucisk na sąsiednie struktury.12

Zaawansowane stadium choroby

W przypadku złośliwych guzów ślinianki przyusznej, progresja choroby może obejmować:914

  • Miejscowe naciekanie – nowotwór może naciekać otaczające tkanki, w tym nerw twarzowy
  • Szczękościsk – trudności w otwieraniu ust często wskazują na zaawansowaną chorobę z rozprzestrzenieniem się na mięśnie żucia lub, rzadziej, na naciek stawu skroniowo-żuchwowego
  • Dysfagiatrudności w połykaniu lub uczucie ciała obcego w gardle może wskazywać na guz głębokiego płata gruczołu
  • Ból ucha – może wskazywać na rozprzestrzenianie się guza do kanału słuchowego
  • Drętwienie w obszarze unerwianym przez drugą lub trzecią gałąź nerwu trójdzielnego – często wskazuje na inwazję nerwową

15

Przerzuty w guzach złośliwych

Złośliwe guzy ślinianki przyusznej mogą dawać przerzuty do:816

  • Lokalnych węzłów chłonnych (około 80% pacjentów z porażeniem nerwu twarzowego ma przerzuty do węzłów chłonnych w momencie diagnozy)
  • Odległych narządów, w tym płuc
  • Kości
  • Wątroby

Gdy dochodzi do przerzutów, rokowanie znacznie się pogarsza. Pacjenci z porażeniem nerwu twarzowego mają średni czas przeżycia 2,7 roku i 10-letnie przeżycie na poziomie 14-26%.1417

Objawy nawrotu choroby

Nawet po skutecznym leczeniu, guzy ślinianki przyusznej mogą nawracać. Pierwszym objawem nawrotu łagodnego guza ślinianki przyusznej jest zazwyczaj guz w tym samym obszarze, w którym występował pierwotny nowotwór, i/lub podobne objawy jak przy pierwszym guzie.18

W przypadku nawrotu złośliwego guza ślinianki przyusznej, pacjent może doświadczyć innych objawów, ponieważ złośliwe guzy mogą rozprzestrzeniać się i wpływać na inne obszary ciała. Objawy te mogą obejmować:18

  • Ból
  • Nowy guz w loży po usuniętej śliniance
  • Szybko rosnącą masę
  • Powiększone węzły chłonne szyi
  • Paraliż nerwu twarzowego lub zaburzenia funkcji nerwu twarzowego

Specyficzne objawy w różnych typach guzów

Różne typy histologiczne guzów ślinianki przyusznej mogą manifestować się nieco odmiennymi objawami:10

  • Rak gruczołowo-torbielowaty (adenoid cystic carcinoma) – często powoduje ból i tkliwość, ma tendencję do inwazji układu nerwowego, co może prowadzić do bólu twarzy lub paraliżu1920
  • Rak przewodów ślinowych (salivary duct carcinoma) – najczęściej prowadzi do przylegania do otaczających tkanek i paraliżu nerwu twarzowego10
  • Guz Warthina – rośnie powoli i zazwyczaj nie powoduje żadnych objawów poza guzem, który jest wyczuwalny i może być widoczny. Ryzyko transformacji do raka jest bardzo małe (1-2%)21

Czynniki prognostyczne i rokowanie

Rokowanie w przypadku guzów ślinianki przyusznej zależy od kilku czynników:2223

  • Typ histologiczny guza (jak wygląda pod mikroskopem)
  • Stadium zaawansowania (zwłaszcza wielkość guza)
  • Obecność przerzutów
  • Wiek i ogólny stan zdrowia pacjenta

Guzy łagodne mają doskonałe rokowanie, szczególnie po całkowitym usunięciu chirurgicznym. Nowotwory złośliwe we wczesnym stadium również mają dobre rokowanie, szczególnie gdy są diagnozowane i leczone przed rozprzestrzenieniem się. Jednakże złośliwe guzy mogą nawracać nawet po latach od leczenia.224

Ogólny wskaźnik 5-letniego przeżycia dla raka ślinianki przyusznej wynosi około 72%. Jednakże zaawansowane nowotwory złośliwe lub te z przerzutami mają gorsze rokowanie.2526

Podsumowanie objawów guzów ślinianki przyusznej

Guzy ślinianki przyusznej mogą manifestować się różnorodnymi objawami, które różnią się w zależności od tego, czy guz jest łagodny czy złośliwy. Najczęstszym objawem jest bezbolesny guz lub obrzęk w okolicy ucha lub policzka. Wystąpienie bólu, szybkiego wzrostu guza, osłabienia mięśni twarzy lub paraliżu nerwu twarzowego powinno budzić szczególną czujność, gdyż może wskazywać na złośliwy charakter guza.1627

Ważne jest, aby zauważone objawy zostały odpowiednio wcześnie skonsultowane z lekarzem, gdyż wczesne wykrycie i leczenie znacznie poprawiają rokowanie, szczególnie w przypadku guzów złośliwych. Należy pamiętać, że większość guzów ślinianki przyusznej (około 80%) to guzy łagodne, ale każdy guz wymaga dokładnej diagnostyki w celu określenia jego charakteru i zaplanowania odpowiedniego leczenia.2829

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Symptoms of Benign Parotid Tumors, Symptoms Parotid Tumor Cancer
    https://parotidpatientproject.org/parotid-education/signs-and-symptoms.html
    There are many potential causes for swelling or lumps in or near the parotid gland. Any lump near the parotid gland should be considered a potential parotid tumor and should be assessed by a physician who specializes in the treatment of parotid tumors. […] If you have swelling or a lump in or near the parotid gland, it does not automatically mean that you have cancer. The majority of parotid tumors are benign. […] Although parotid tumors generally do not produce any symptoms, there are some common symptoms that some patients may experience. […] Lump or swelling in or near your parotid gland, upper neck, behind the lobule of the ear, jaw, or mouth […] Continuous pain in or near your parotid gland […] Facial numbness (this is very rare) […] Facial paralysis […] Facial pain or aching feeling […] Facial muscle weakness or loss of motion in part of the face, e.g., altered smile or weakness with eye closure […] Visible swelling or a mass that you can see or feel […] Other lumps felt in the neck area.
  • #2 Parotid Gland Tumors: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/parotid-tumor
    Both types of parotid tumors cause lumps that develop in front of one of your ears. But cancerous tumors are more likely to cause pain than noncancerous tumors. Other cancerous parotid gland tumor symptoms include: […] Most parotid gland tumors grow very slowly. You can have one for months, years or even decades before you have symptoms. Often, healthcare providers find tumors while doing imaging tests for unrelated health issues. […] That depends on whether you have a cancerous or noncancerous tumor. Surgery typically cures noncancerous parotid tumors. It may cure cancerous tumors that healthcare providers detect and treat before they can spread. But these cancerous tumors can come back (recur) years after treatment. […] Parotid gland tumors are rare. Theyre usually benign (noncancerous) but can be cancerous. The most common symptom is a lump that develops in front of one of your ears. If you notice swelling or a lump in that area, talk to a healthcare provider. Theyll do tests to find out whats affecting your parotid gland and recommend treatments.
  • #3 Parotid tumors | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/parotid-tumors?content_id=CON-20380680
    Parotid tumors often cause swelling in the face or jaw. Other symptoms include problems swallowing or a loss of facial movement. […] Signs and symptoms of parotid tumors include: A lump or swelling on one side of the face that might appear near the ear or cheek. Trouble swallowing. Trouble opening the mouth widely. Numbness in part of the face. Muscle weakness in part of the face. Pain in the face. […] Parotid tumors happen when cells in the parotid glands develop changes in their DNA. A cell’s DNA holds the instructions that tell the cell what to do. In healthy cells, the DNA gives instructions to grow and multiply at a set rate. The instructions tell the cells to die at a set time. In tumor cells, the DNA changes give different instructions. The changes tell the tumor cells to grow and multiply quickly. Tumor cells can keep living when healthy cells would die. This causes too many cells. […] Sometimes the changes in the DNA turn the cells into cancer cells. Cancer cells can invade and destroy healthy body tissue. In time, cancer cells can break away and spread to other parts of the body. When cancer spreads, it’s called metastatic cancer.
  • #4 Parotid Gland Tumor: What You May Need To Know
    https://www.healthline.com/health/parotid-gland-tumor
    Parotid gland tumors develop in the parotid gland, which is the largest of the salivary glands. […] When a tumor forms in these glands, you may experience a lump in your cheek, jaw, or mouth that doesnt go away and numbness or pain in your face. […] Symptoms of a parotid gland tumor can include: a lump or swelling in your cheek, mouth, or jaw; trouble opening your mouth widely and/or swallowing; fluid draining out of your ear; facial numbness or loss of facial movement; pins and needle or burning sensations in your face. […] While a majority of these tumors are benign, knowing the symptoms and getting treatment as early as possible remains important. […] The majority of salivary gland tumors are benign and wont spread to other areas of the body. […] Malignant tumors are more likely to develop in the parotid gland when a person is 60 or older. […] It’s important to let a doctor know if you suspect that you have a parotid or salivary gland tumor. If diagnostic tests confirm a tumor, prompt treatment with surgery, chemotherapy, or radiation can result in better health outcomes.
  • #5 Parotid (Salivary Gland) Tumors: Types, Symptoms, and Treatments
    https://www.houstonent.com/blog/parotid-salivary-gland-tumors-types-signs-symptoms-and-treatment-options
    Parotid (salivary gland) tumors occur in individuals of just about any age, however, they become more common as individuals become older. Sixty-four is the average age diagnoses are made. […] Signs and symptoms of parotid gland tumors might include: Lump or Swelling close to or on your jaw or in your mouth or neck, Muscle weakness on one facial side, Numbness in part of your face, Difficulty swallowing, Persistent pain in the salivary gland area, Difficulty opening your mouth wide. […] Most salivary gland tumors are slow growing and noncancerous. Eliminating the tumor with surgery will often cure the condition. Sometimes the tumor is cancerous in rare cases and requires treatment.
  • #6 Parotid tumors | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/parotid-tumors
    Parotid tumors often cause swelling in the face or jaw. Other symptoms include problems swallowing or a loss of facial movement. […] Signs and symptoms of parotid tumors include: A lump or swelling on one side of the face that might appear near the ear or cheek. Trouble swallowing. Trouble opening the mouth widely. Numbness in part of the face. Muscle weakness in part of the face. Pain in the face.
  • #7 Salivary gland tumors – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/salivary-gland-cancer/symptoms-causes/syc-20354151
    Signs and symptoms of a salivary gland tumor may include: A lump or swelling on or near the jaw or in the neck or mouth. Muscle weakness on one side of the face. Numbness in part of the face. Ongoing pain near a salivary gland. Trouble opening the mouth widely. Trouble swallowing. […] Most salivary gland tumors occur in the parotid gland. Of these, most aren’t cancer. For every five parotid gland tumors, on average, only one is found to be cancerous.
  • #8 Salivary Gland Cancer: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/17965-salivary-gland-cancer
    Most salivary gland tumors start in the parotid glands inside each cheek. […] Most salivary gland tumors both malignant and benign start in your parotid glands. […] A small number of people with salivary gland cancer dont have symptoms. In most cases, salivary gland cancer causes a painless lump on a salivary gland. […] If you have a malignant salivary gland tumor, youre more likely to experience other symptoms, including: Weakness or numbness in your face, neck, jaw or mouth. Persistent pain in your face, neck, jaw or mouth. Difficulty opening your mouth fully or moving your facial muscles. Trouble swallowing. Bleeding from your mouth. […] Left untreated, pieces of these tumors can break away and spread to other parts of your body through your bloodstream or lymphatic system (metastasize). Cancer thats metastasized is more challenging to treat than cancer that stays in your salivary gland. Salivary gland cancers can metastasize to your lungs, bone and liver. […] Benign salivary gland tumors may become malignant over time. The symptoms of salivary gland cancers include rapid enlargement of a pre-existing mass in or around your mouth, numbness, weakness and facial pain. These symptoms may interfere with your ability to speak and swallow properly.
  • #9 Malignant Parotid Tumors: Practice Essentials, Anatomy, Diagnosis
    https://emedicine.medscape.com/article/1289616-overview
    Signs and symptoms of malignant parotid tumors include the following: […] Of patients with malignant parotid tumors, 7-20% present with facial nerve weakness or paralysis, which almost never accompanies benign lesions and indicates a poor prognosis. […] Trismus often indicates advanced disease with extension into the masticatory muscles or, less commonly, invasion of the temporomandibular joint. […] Dysphagia or a sensation of a foreign body in the oropharynx indicates a tumor of the deep lobe of the gland. […] Ear pain may indicate extension of the tumor into the auditory canal. […] Numbness in the distribution of the second or third divisions of the trigeminal nerve often indicates neural invasion. […] Approximately 80% of patients with facial nerve paralysis have nodal metastasis at the time of diagnosis.
  • #10
    https://link.springer.com/article/10.1007/s10147-021-01901-3
    Detailed clinical features other than parotid mass have not been investigated in detail for parotid tumors. Symptoms and signs are useful for the differentiation of benign versus malignant, and may also be of value to determine the grade of malignancy and histological type as well as the assessment of prognosis. […] The incidence of symptoms and signs was significantly higher in malignant than benign tumors, and more frequent in higher grade of malignancy. Facial nerve palsy was observed in 18.0% of malignant tumor cases, while none occurred in benign tumor cases. Pain/tenderness was more commonly observed in adenoid cystic carcinoma, while adhesion to surrounding tissues and facial nerve palsy were most frequently noted in salivary duct carcinoma. The prognosis of patients with these symptoms and signs was significantly poor. […] A detailed investigation of symptoms and signs in parotid gland tumors is the first step that leads to the diagnosis of malignant tumors. Symptoms and signs are also useful for estimating the grade of malignancy and histological type, and they are important information for predicting prognosis.
  • #11 Parotid Tumors Treatment – Parotid Tumor Surgery | Salivary Gland Surgery Los Angeles CA
    https://parotid.net/parotid-tumors/
    Tumors of the parotid gland can be separated into two main categories based on behavior, benign and malignant. Benign tumors are typically non-aggressive cell growths that result from a variety of aberrant intracellular events. […] While the word “benign” carries better connotations than more aggressive tumors, it is important to note that benign parotid tumors can undergo malignant transformation over time if not treated in a timely manner. […] Parotid Tumor Symptoms: Unexplained painless or painful growth of the parotid gland, Lump in the cheek, neck, or mouth, Sensation of fullness of the parotid gland, Numbness or changes of sensation over parts of the face, Sudden onset of facial or neck pain, Twitching or weakness of the facial muscles, Paralysis of the face, Difficulty with speech, Unexplained weight loss, fever, or night sweats.
  • #12 Parotid Benign Tumors in Beverly Hills, CA | Center for Advanced Parotid Surgery
    https://www.parotidsurgerymd.com/conditions/parotid-tumors/
    Most of the tumors of the salivary glands happen in the parotid gland; close to 80% of salivary gland tumors occur in the parotid gland. Fortunately majority of those tumors, or roughly 80%, are benign or non-cancerous in the parotid gland. In other words, only 20% of tumors in the parotid gland are cancerous. […] The tumor itself is lobulated and has an obvious capsule. Even though they are benign and don’t spread to other organs, they can be eaten through surrounding tissue and should be removed before they can damage tissue. […] Pleomorphic adenomas can grow to become very large or massive. Due to the potential to grow large & transform into an aggressive cancer, it is recommended that pleomorphic adenomas be removed. […] Warthin’s tumor grows slowly and tends not to cause any symptoms except a lump that is felt & may be visible.
  • #13 Parotid tumors – Dr.Ayman Abd Elha
    https://www.draymanabdelhameed.com/surgical-oncology/parotid-tumors/
    Most parotid tumors are benign (noncancerous), but they can be cancerous. […] Both types cause a lump in front of one of your ears. […] But cancerous tumors are more likely to cause pain than noncancerous tumors. […] Other cancerous parotid gland tumor symptoms include : A sore or lesion on the lump. […] Most parotid gland tumors grow very slowly. […] You can have one for months, years or even decades before you have symptoms. […] Often, find tumors while doing imaging tests for unrelated health issues.
  • #14 Malignant Parotid Tumors: Practice Essentials, Anatomy, Diagnosis
    https://emedicine.medscape.com/article/1289616-overview
    These patients have an average survival of 2.7 years and a 10-year survival of 14-26%. […] Trismus often indicates advanced disease with extension into the masticatory muscles or, less commonly, invasion of the temporomandibular joint. […] Dysphagia or a sensation of a foreign body in the oropharynx indicates a tumor of the deep lobe of the gland. […] A report of ear pain may indicate extension of the tumor into the auditory canal. […] The presence of numbness in the distribution of the second or third divisions of the trigeminal nerve often indicates neural invasion.
  • #15 Managing Your Salivary Gland Cancer (Tumor) – Symptoms & Treatment | Carle.org
    https://carle.org/conditions/cancer-conditions/salivary-gland-cancer
    A lump or mass is the usual first sign. Salivary gland cancers tend to spread by invading nearby tissue. Local spread of parotid tumors may involve the facial nerve. This tumor can lead to paralysis in the face, with facial droop and inability to close the eye on the affected side. Other salivary gland cancers spread into muscles at the floor of the mouth and base of the skull, and to local lymph glands (nodes). Facial pain, ear pain, headache, and swollen lymph glands result. […] Advanced cancer can spread by blood to lungs and bones.
  • #16 What Are the Symptoms of Salivary Gland Cancer? 8 Signs, Risk Factors
    https://www.medicinenet.com/what_are_the_symptoms_of_salivary_gland_cancer/article.htm
    Either of the ears may have ear discharge. […] Other known symptoms include facial pain, ear pain, headache, and swollen lymph glands. […] Cancers of the salivary gland spread by invading nearby tissue. Tumors that have spread locally may involve the facial nerve. […] The tumor can cause facial paralysis, including facial drooping, and the inability to close the eye on the affected side. […] Salivary gland cancers can spread to muscles in the mouth and at the base of the skull, as well as to local lymph glands (nodes).
  • #16 What Are the Symptoms of Salivary Gland Cancer? 8 Signs, Risk Factors
    https://www.medicinenet.com/what_are_the_symptoms_of_salivary_gland_cancer/article.htm
    salivary gland cancer While there may be no symptoms associated with salivary gland cancer, here are 8 potential signs to look out for if you suspect you have this cancer. […] When present, the 8 symptoms of salivary gland cancer may include: […] A lump on the side of the jaw or under the chin is the most common symptom of salivary gland cancer. […] One of the salivary glands has a firm, usually painless swelling in front of the ears, under the chin, or on the floor of the mouth. The swelling gradually worsens. […] Difficulty swallowing or opening the mouth wide. […] Pain that persists in the mouth, cheek, jaw, neck, or ear. […] Numbness in the face. […] A distinction between the right and left sides of the face or neck. […] Facial nerve palsy (inability to move one side of the face).
  • #17 Diagnosing and Treating Parotid Gland Cancer: Symptoms & Treatment Options
    https://www.oncologistindia.com/blog/gland-cancer-diagnose-and-treatment
    Depending on the tumor’s size and whether it is cancerous or harmless, the symptoms of a parotid gland tumor can change. A lump or enlargement near the parotid gland, facial pain or numbness, trouble moving a portion of the face due to facial nerve paralysis, and occasionally fluid draining from the ear are common symptoms. […] It is possible for a malignant parotid tumor to spread, or metastasis, to other organs, bones, and lymph nodes in the surrounding area. Because of this, early identification and care are essential. Treatment becomes more difficult and the prognosis is greatly impacted when cancer cells move from the primary tumor location to other places of the body.
  • #18 Signs and Symptoms of Parotid Tumor Recurrence
    https://parotidpatientproject.org/parotid-education/recurrence/signs-and-symptoms-of-recurrence.html
    The first sign of a recurrence of a benign parotid tumor will typically be that a patient feels a lump near the same area where they had their original tumor, and/or they will have similar symptoms to what they experienced with their first tumor. […] A patient with a recurrence of a malignant parotid tumor may experience different symptoms than a patient with a benign tumor. Malignant parotid tumors can spread and affect other areas of the body. […] A patient with these symptoms should be evaluated by their physician to obtain a proper diagnosis: Pain, New lump in the parotid bed, Rapidly growing mass, Enlarged neck lymph nodes, Facial nerve paralysis or impaired facial nerve function.
  • #19 Salivary gland cancer: 9 things to know | MD Anderson Cancer Center
    https://www.mdanderson.org/cancerwise/salivary-gland-cancer–9-things-to-know.h00-159618645.html
    Out in the wider world, patients usually go to their doctors because they have a lump that they can see or feel. It might be under their jaw, on their cheek or behind their ear. […] Salivary gland cancer almost never has symptoms, but the high-grade aggressive types can get big fast. Since theyre occurring in a confined space, there may be some discomfort associated with the growing mass. Someones ear might feel full, for example, or their jaw might feel tight. But the mass itself is not usually painful. […] Yes. Adenoid cystic carcinoma has a tendency to invade the nervous system. This can lead to facial pain or paralysis. Both are pretty ominous signs, so if you ever experience unexplained facial paralysis or nerve pain, you should definitely be examined by a doctor quickly preferably an ear, nose and throat specialist, or ENT.
  • #20 Salivary Gland Cancer – Oracle Head and Neck Cancer UK
    https://oraclehnc.org.uk/head-and-neck-cancer-types/salivary-gland-cancer
    The main symptoms of salivary gland cancer is a lump or swelling in one of the glands on or near your jaw, or in your mouth or neck. These lumps tend to be tender or give shooting pains. Other symptoms can include numbness in part of your face and drooping on one side of your face. […] The primary sign is a lump in the salivary gland areas; in front of the ears (parotid glands), in the neck, inside the mouth (minor salivary glands in lips, cheeks, or roof of the mouth) and may cause painless masses in the mouth or face. Tumours of the lacrimal gland (small almond-shaped structure that secretes tears and is located just above the upper, outer corner of each eye) cause a bulging eye or changes in vision. Those situated in the windpipe or voice box may cause respiratory symptoms or changes in speech. […] Other Adenoid Cystic Carcinoma specific symptoms also include; numbness or a pins and needles sensation, weakness in facial muscles and pain (can occur earlier than in other types due to nerve involvement).
  • #21 Parotid Benign Tumors in Beverly Hills, CA | Center for Advanced Parotid Surgery
    https://www.parotidsurgerymd.com/conditions/parotid-tumors/
    The chance of transforming into a cancer is very small (1-2%). […] Oncocytomas are rare tumors made up completely of oncocytic cells. […] Treatment is simple surgical removal. […] Basal cell adenomas tend to happen more often in women older than 40’s, and can develop even much later in life. […] Treatment is surgical removal with a very low chance of reappearing. […] Myopetheliomas are smooth white tumors with a visible capsule. A subset that has spindle or clear cells under the microscope has a higher chance of turning into a cancer, which is otherwise very low.
  • #22 Salivary Gland Cancer Treatment – NCI
    https://www.cancer.gov/types/head-and-neck/patient/adult/salivary-gland-treatment-pdq
    Signs and symptoms of salivary gland cancer include a lump or trouble swallowing. […] Salivary gland cancer may not cause any symptoms. It may be found during a regular dental check-up or physical exam. Signs and symptoms may be caused by salivary gland cancer or by other conditions. Check with your doctor if you have any of the following symptoms that do not go away: A lump (usually painless) in the area of the ear, cheek, jaw, lip, or inside the mouth. Fluid draining from the ear. Trouble swallowing or opening the mouth widely. Numbness or weakness in the face. Pain in the face that does not go away. […] The prognosis and treatment options depend on the following: The stage of the cancer (especially the size of the tumor). The type of salivary gland the cancer is in. The type of cancer cells (how they look under a microscope). The patient’s age and general health.
  • #23 Salivary Gland Tumors | Penn State Health
    https://www.pennstatehealth.org/services-treatments/salivary-gland-tumors
    When tumors are malignant, the cancers stage is used to determine treatment options. Stages describe the severity of cancer and help your doctor determine the best treatment plan. A lower stage, such as stage I, indicates a smaller cancer confined to one area. The highest stage of salivary gland cancer, IVC, indicates advanced cancer that has spread to other areas of the body. […] Most salivary gland tumors are treated with surgery to remove the affected salivary gland. Benign tumors require no further treatment. Patients with advanced stage salivary gland cancers will usually need radiation and sometimes chemotherapy following surgery.
  • #24 Parotid Gland Tumor: Types, Symptoms, Causes & Risks, Diagnosis, Treatment
    https://ghealth121.com/treatments/parotid-gland-tumor/
    Symptoms of parotid gland tumors can vary depending on the tumor’s size and whether it is benign or malignant. Common signs and symptoms may include: […] A noticeable lump or swelling in the area of the parotid gland. […] Pain or tenderness in the jaw, ear, or neck. […] Difficulty swallowing or opening the mouth. […] Numbness or weakness in the face if the tumor presses on nearby nerves. […] Changes in the texture or consistency of saliva. […] The prognosis for parotid gland tumors varies widely based on several factors, including the type of tumor, its size, and whether it has spread. Benign tumors generally have an excellent prognosis, especially with complete surgical removal. In contrast, malignant tumors may have a more guarded prognosis, particularly if they are diagnosed at an advanced stage.
  • #25 Parotid Cancer – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538340/
    Salivary gland tumors are characterized by diverse histological appearances and variable biological behavior. […] Malignant salivary gland tumors usually present after the 6th decade of life, whereas benign lesions present in the 4-5th decade of life. […] The majority of salivary gland tumors occur in the parotid, about 10% occur in the submandibular gland, and less than 4% occur in the minor salivary glands. […] The usual presentation is a slow-growing painless mass. Rapid growth, pain, tethering of the skin, ulceration of the skin, cervical lymphadenopathy, and facial nerve paralysis are all suggestive of malignancy. […] The overall 5-year survival rate for salivary gland cancer is 72%.
  • #26 Salivary gland tumors | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/salivary-gland-tumors?content_id=CON-20198278
    The stages of salivary gland cancer range from 0 to 4. A stage 0 salivary gland cancer is small and only in the gland. As the cancer gets larger and grows deeper into the gland and surrounding areas, such as the facial nerve, the stages get higher. A stage 4 salivary gland cancer has grown beyond the gland or has spread to the lymph nodes in the neck or to distant parts of the body.
  • #27 Salivary Gland Cancer Symptoms | American Cancer Society
    https://www.cancer.org/cancer/types/salivary-gland-cancer/detection-diagnosis-staging/signs-and-symptoms.html
    Possible signs and symptoms of salivary gland cancer include: A lump or swelling in your mouth, cheek, jaw, or neck […] Pain in your mouth, cheek, jaw, ear, or neck that does not go away […] A recent difference between the size and/or shape of the left and right sides of your face or neck […] Numbness in part of your face […] Weakness of the muscles on one side of your face […] Trouble opening your mouth widely […] Trouble swallowing. Many of these signs and symptoms can also be caused by benign (non-cancer) salivary gland tumors or by other conditions. Still, if you have any of these problems, its important to see your doctor right away so the cause can be found and treated, if needed.
  • #28 Salivary gland cancer | Macmillan Cancer Support
    https://www.macmillan.org.uk/cancer-information-and-support/head-and-neck-cancer/salivary-gland-cancer
    The most common symptom of salivary gland cancer is a swelling on the side of the face, just in front of the ear or under the jawbone. […] Salivary gland cancer symptoms may include: a swelling on the side of the face, just in front of the ear or under the jawbone this is the most common symptom of salivary gland cancer, numbness in part of your face, pain where the swelling is, earache, drooping on one side of your face (facial palsy), difficulty opening your mouth fully, redness over the skin of the gland. […] These symptoms can be caused by other conditions. But it is important to have them checked by your doctor. […] Salivary gland cancer can be treated more successfully when it is diagnosed early.
  • #29 Salivary gland cancer: Symptoms, pictures, outlook, and causes
    https://www.medicalnewstoday.com/articles/216164
    Salivary gland cancer is a rare cancer that starts in the tissue of one of the saliva glands. Signs include a lump, difficulty opening the mouth, and a feeling of numbness or pain in a part of the mouth. […] A person who has salivary gland cancer may experience: difficulties in opening their mouth completely, weak facial muscles on one side of the face, a swelling or lump around the jaw, mouth, or neck area, a noticeable difference in the shape of one side of the neck or face, a numb feeling in part of the face, constant pain in the salivary gland. […] People should see a doctor about any painless lumps that do not directly result from a known infection.