Olsen Kerry D, Quer Miquel, de Bree Remco, Vander Poorten Vincent, Rinaldo Alessandra, Ferlito Alfio
Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.
Department of Otolaryngology, Hospital Santa Creu i Sant Pau, Barcelona, Spain.
Eur Arch Otorhinolaryngol. 2017 Dec;274(12):4073-4078. doi: 10.1007/s00405-017-4767-5. Epub 2017 Oct 12.
This editorial explores the controversies concerning the surgical management of the deep portion of the parotid gland. Specifically, when should the parotid deep lobe be removed if there is metastatic cancer to a superficial parotid node or when a primary aggressive cancer is found in the superficial lobe? The background, indications, rationale, and results of removing the deep lobe nodes are reviewed. Removal of the deep lobe is done to optimize the oncologic outcome for the patient. Deep lobe parotidectomy plays an important role in the treatment of many parotid gland malignancies.
这篇社论探讨了有关腮腺深部手术治疗的争议。具体而言，如果腮腺浅叶淋巴结出现转移性癌，或者在浅叶发现原发性侵袭性癌，何时应该切除腮腺深叶？本文回顾了切除深叶淋巴结的背景、适应症、理论依据和结果。切除深叶是为了优化患者的肿瘤治疗效果。深叶腮腺切除术在许多腮腺恶性肿瘤的治疗中发挥着重要作用。
