Going beyond extracapsular dissection in cystadenolymphomas of the parotid gland

Mantsopoulos K, Goncalves M, Koch M, Traxdorf M, Schapher M, Iro H (2019)


Publication Type: Journal article

Publication year: 2019

Journal

Book Volume: 88

Pages Range: 168-171

DOI: 10.1016/j.oraloncology.2018.12.001

Abstract

BACKGROUND: The aim of this study was to evaluate the potential for reducing surgical invasiveness in parotid cystadenolymphomas by means of capsular dissection based on the experience made in our department and on various aspects of these lesions gained from the relevant literature. METHODS: All patients treated for cystadenolymphomas with extracapsular or capsular dissection at a tertiary referral center between 2000 and 2017 were examined retrospectively. A literature review of various aspects and of different treatment strategies for this lesion was also performed. RESULTS: 629 patients were included in the study. 499 had solitary tumors (79.3%) and 130 had unilateral multicentric lesions (20.7%). 595 patients were managed by means of ED, while 34 patients underwent a CD. Our analysis detected an overall occurrence rate of ipsilateral metachronous tumors of 2.06% (13/629), all after extracapsular dissection, with a mean follow-up of 104.1 months. No statistical difference could be found between ED and CD in the overall occurrence rate of ipsilateral metachronous tumors or in the complication rate. No cases of a malignancy arising from a preexisting Warthin tumor could be detected in our study sample. CONCLUSION: A clear potential for reducing surgical invasiveness could be shown. A reliable imaging diagnosis, appropriate patient counseling and high compliance with close follow-up are the basic prerequisites for an acceptable outcome.

Authors with CRIS profile

How to cite

APA:

Mantsopoulos, K., Goncalves, M., Koch, M., Traxdorf, M., Schapher, M., & Iro, H. (2019). Going beyond extracapsular dissection in cystadenolymphomas of the parotid gland. Oral Oncology, 88, 168-171. https://dx.doi.org/10.1016/j.oraloncology.2018.12.001

MLA:

Mantsopoulos, Konstantinos, et al. "Going beyond extracapsular dissection in cystadenolymphomas of the parotid gland." Oral Oncology 88 (2019): 168-171.

BibTeX: Download