Treatment of Parotid Gland Cancer: Adenoid Cystic Carcinoma of the Salivary Gland, Resected
This protocol addresses patients with histologically confirmed adenoid cystic carcinoma (ACC) of the salivary gland arising at the parotid region, in the context of surgical management and the post-resection care pathway.
Adenoid cystic carcinoma is a salivary gland malignancy requiring careful surgical planning. The protocol covers the resected setting, where the primary intervention and subsequent management decisions are both addressed.
Management centres on open surgical excision, with the operative strategy guided by the relationship between the tumour and critical local structures. Facial nerve considerations are a defined component of the surgical decision framework.
The complete surgical algorithm, decision criteria, and post-resection pathway are available in the full structured regimen below.
Achieving negative surgical margins, which has been shown to improve overall survival in salivary gland malignancies.
References
DOI: 10.1200/JCO.21.00449
Surgeons should offer open surgical excision for histologically confirmed salivary gland malignancies.
Surgeons should perform facial nerve preservation in patients with intact preoperative facial nerve function when a dissection plane can be created between the tumor and the nerve.
When resecting salivary cancers, achieving negative surgical margins has been shown to improve OS.
Postoperative RT should be offered to all patients with resected ACC.
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