Bull Cancer. 2004 Jan;91 Spec No:S3-52.
The Standards, Options and Recommendations (SOR) project, which started in 1993, is a collaboration between the Federation of French Cancer Centers (FNCLCC), the 20 French Regional Cancer Centers, and specialists from French public universities, general hospitals and private clinics. The main objective is the development of clinical practice guidelines for practitioners to improve the quality of health care for patients with cancer.
To update clinical practice guidelines for the management of patients with salivary gland malignant tumors previously validated in 1997. These recommendations cover diagnosis, classification, treatment and follow-up of patients with these tumors.
The methodology is based on a literature review and critical appraisal by a multidisciplinary group of experts who define the CPGs according to the definitions of the Standards, Options and Recommendations project. Once the guidelines has been defined, the document is submitted for review by independent reviewers.
This document presents the full report of the updated clinical practice guidelines with algorithms. The main questions addressed by the expert group in this update concern the place of fine needle aspiration biopsy in preoperative diagnosis, the place of cervical lymph node area surgical treatment, the place of postoperative irradiation and neutron therapy in the treatment of unresectable tumors and also the place of medical imaging, especially RMI, for the diagnosis of these tumors.
始于1993年的标准、选项与建议（SOR）项目是法国癌症中心联合会（FNCLCC）、20个法国地区癌症中心以及法国公立大学、综合医院和私立诊所的专家之间的合作项目。其主要目标是为从业者制定临床实践指南，以提高癌症患者的医疗保健质量。
更新1997年先前验证过的唾液腺恶性肿瘤患者管理的临床实践指南。这些建议涵盖了这些肿瘤患者的诊断、分类、治疗和随访。
该方法基于多学科专家小组的文献综述和批判性评估，这些专家根据标准、选项与建议项目的定义来确定临床实践指南。一旦指南确定，文件将提交给独立评审员进行审查。
本文献展示了带有算法的更新临床实践指南的完整报告。在本次更新中，专家组讨论的主要问题涉及细针穿刺活检在术前诊断中的地位、颈部淋巴结区域手术治疗的地位、术后放疗和中子治疗在不可切除肿瘤治疗中的地位以及医学影像尤其是磁共振成像（MRI）在这些肿瘤诊断中的地位。
