University of Washington, 1959 Northeast Pacific Street, Seattle, WA 98195, USA.
Otolaryngology-Head and Neck Surgery, University of Washington, 1959 Northeast Pacific Street, Seattle, WA 98195, USA.
Surg Clin North Am. 2022 Apr;102(2):325-333. doi: 10.1016/j.suc.2021.12.008.
Salivary cancers are rare tumors that arise in major and minor salivary glands. Workup almost always includes fine-needle aspiration or core needle biopsy in select cases. Imaging with ultrasound, computed tomography, or MRI is also helpful, particularly with MRI to assess facial nerve involvement or skull base involvement. Preserving function of the facial nerve is of paramount importance, and the standard of care is to not sacrifice facial nerve except in instances of gross encasement and inability to dissect tumor off of the nerve. Adjuvant radiation and chemotherapy offer survival advantages for select patients.
唾液腺癌是一种罕见的肿瘤，发生于大唾液腺和小唾液腺。在某些情况下，通常包括细针抽吸或核心针活检。超声、计算机断层扫描或 MRI 成像也有帮助，特别是 MRI 有助于评估面神经受累或颅底受累。保留面神经功能至关重要，除非肿瘤广泛包裹且无法将肿瘤从神经上分离，否则不牺牲面神经是护理标准。辅助放疗和化疗为某些患者提供生存优势。
