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Published in: European Archives of Oto-Rhino-Laryngology 11/2021

01-11-2021 | Salivary Gland Cancer | Head and Neck

Patterns of care, toxicity and outcome in the treatment of salivary gland carcinomas: long-term experience from a tertiary cancer center

Authors: Jens von der Grün, Ria Winkelmann, Franz Rödel, Sven Balster, Thomas Neumayer, Shahram Ghanaati, Christian Brandts, Iris Burck, Daniel Martin, Claus Rödel, Nikolina Kesar, Panagiotis Balermpas

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2021

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Abstract

Background

Salivary gland carcinomas (SGC) cover a heterogeneous group of malignancies with a lack of data of high-level evidence.

Methods

Clinical data of 127 patients treated for SGC at a university cancer center between 2002 and 2017 were analyzed retrospectively. The association of clinicopathological characteristics, treatment modalities, adverse events, and outcome was assessed.

Results

Patients received surgery (n = 65), surgery followed by (chemo-)radiotherapy (n = 56), or primary (chemo-)radiotherapy (n = 6). Injury to the cranial nerves or their branches was the most frequent surgical complication affecting 40 patients (33.1%). Ten year overall and progression-free survival rates were 73.2% and 65.4%, respectively. Parotid tumor site, advanced tumor, and positive nodal stage remained independent negative prognostic factors for overall survival, loco-regional and distant tumor control in multivariate analysis.

Conclusions

Optimizing treatment strategies for SGC, depending on distinct clinicopathological factors, remains challenging due to the low incidence rates of the disease.
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Metadata
Title
Patterns of care, toxicity and outcome in the treatment of salivary gland carcinomas: long-term experience from a tertiary cancer center
Authors
Jens von der Grün
Ria Winkelmann
Franz Rödel
Sven Balster
Thomas Neumayer
Shahram Ghanaati
Christian Brandts
Iris Burck
Daniel Martin
Claus Rödel
Nikolina Kesar
Panagiotis Balermpas
Publication date
01-11-2021
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 11/2021
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-021-06652-5

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