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Parotid secretory organ tumor is a uncommon malignance bestow to only 12 % of oral and pharyngeal cancers or 0.3 % of all tumors affecting humans in the United States.(1 )

Parotid malignancies deport a poor prospect owing to its far-flung metastasis.(1 )

What Does A Parotid Gland Tumor Feel Like?

The patient present with complaints of swell in the neighborhood below and in front of the earlobe that is slowly progressive . It is followed by pain , facial palsy , and trismus , or tetanus . There is discharge from swelling along with ulcer and return of tumour in almost 5.09 % of the cases.(2 )

On test , the parotid tumor can be felt as a house , hard excrescence . The features of facial fixity , stiffness , and palsy with nodal involvement designate the malignant nature of the tumor . The size of it of the neoplasm is mostly seen between the range of a function of 2 cm to 6 cm or more . The sizing of the tumor has shown no relationship with malignancy . Although a sudden increment in the size of the neoplasm can be a sign of the malignant transformation of the parotid tumor.(2 )

Should A Parotid Gland Tumor Be Removed?

The removal of the parotid gland tumour primarily depend on the type , positioning , and size of the neoplasm . FNAC will diagnose the accuracy of the benign as well as malignant tumor . A few imaging exam , such asCT , MRI , will aid in find the size and extent of the bed covering of the tumour . preserve in mind the clinical demonstration and FNAC analysis a treatment way can be planned for the tumor.(1 )

Surgery is the anchor of treatment in all parotid gland tumor . It becomes crucial to remove the neoplasm , whether benign or malignant , both due to cosmetic as well as aesculapian reason . A benign parotid tumor will arise slowly into the surrounding social organisation pushing through the surrounding tissues and heart , destroying them , and also making the surgery difficult at a later time . Therefore it should be removed in the early stagecoach to forestall further knottiness . Whereas a malignant tumour has high chance of spread to the lymph nodes and other parts of the body.(3 )

All masses involve to be cautiously assessed and diagnose for a better outcome and less invading operating theater . A certified and experient Head & Neck operating surgeon will perform a surgery cognise as parotidectomy ( remotion of the parotid gland ) to remove the whole neoplasm and unnatural surrounding parts or tissue paper safeguard the facial nerve.(3)This is mostly sufficient in the case of benign parotid secretor tumors .

In the case of malignant condition , additional discussion such as postoperative radiotherapy andchemotherapyare also required to forestall the spread of the tumor . This ancillary RT / chemotherapy becomes necessary in medium and eminent - tier neoplasm due to limitations in the operative margins in resection of parotid tumors . Neutron - beam radiation has shown high efficacy in destroying the malignant parotid tumor cells as compare to conventional radiotherapy therapy . Along with being more effectual , it also has few toxic effects to the surrounding normal tissues.(1 )

Chemotherapy is advisable in the innovative stage of disease for palliative guardianship . The drug used are cisplatin , paclitaxel , cyclophosphamide , doxorubicin , mitoxantrone , carboplatin , and vinorelbine combination . Good responses have been seen in cases after single - broker chemotherapy or the use of combining agents ( polychemotherapy).(1 )

The parotid gland is one of the three major salivary glands that is located in front of the ears lead to the area underneath the earlobe along the lining of the lower mandible . Out of all the parotid secretory organ tumor , only 20 % become malignant . The etiology of cancer remains indecipherable as there have been no incidences of it being affiliate with exposure to tobacco smoke or alcohol inhalation . Although some written report have established its link to exposure to irradiation , making it one of the risk factors for parotid secretory organ tumors.(1)The relative incidence rate is high in male ( 34 % ) compare to females ( 25 % ) . The parotid secretor tumor can dissemble any age radical from 18 to 71 years.(2 )

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