A Clinical Analysis of Major Salivary Gland Tumors

Korean Journal of Head & Neck Oncology 2002;18(1):56-59.
Published online May 30, 2002.

Young Sam Yoo;Hun Young Woo;Ja Bok Yun;Jeong Hwan Choi;Kyung Rai Jo;Sang Won Chung;Dong Hoon Han

주타액선 종양의 임상적 고찰

유영삼;우훈영;윤자복;최정환;조경래;정상원;한동훈

Abstract

Background and Objective: Even though major salivary gland tumor is a rare disease, the diversity of histopathologic characteristics makes treatment decisions difficult. The aim of this study is to analysis the clinical experience of our major salivary gland tumor and to suggest a guideline of treatment. Materials and Method: Sixty-eight major salivary gland tumors and tumor-like glandular enlargements treated at Sanggye Paik Hospital during the past seven years between June, 1995 and January, 2002 are analyzed for histopathologic diagnosis, treatment modality, clinical manifestation, local control, and treatment-related morbidity, recurrence rate, retrospectively.
Results
In twenty-eight patients the swellings were diagnosed as non-tumorous condition. The clinical features, diagnostic and surgical management of fourty salivary neoplasms involving the parotid and submandibular glands are correlated with their histological features.
Conclusion
We have concluded that salivary gland neoplasms are needed multimodal treatment, because of their highly variable biologic behavior in each tumor type. Thirty-four cases were benign and six cases were malignant. Most of benign cases were pleomorphic adenoma and they showed wide age-distribution. In six malignant cases, there were acinic cell carcinoma, adenocarcinoma, carcinoma ex-plemorphic adenoma, myoepithelioma, and adenoid cystic carcinoma.

Key Words: Major salivary gland tumor