التفاصيل البيبلوغرافية
| العنوان: |
Is Revision Surgery Necessary for Patients With High Risk of Recurrence After Parotidectomy? A Multicenter Retrospective Study. |
| المؤلفون: |
Roch, Médarine, Mauvais, Olivier, Vergez, Sebastien, Brenet, Esteban, Lindas, Pierre, Toussaint, Bruno, Nguyen, Duc Trung, Gauchotte, Guillaume, Rumeau, Cécile, Gallet, Patrice |
| المصدر: |
Annals of Otology, Rhinology & Laryngology; Jul2022, Vol. 131 Issue 7, p782-790, 9p |
| مصطلحات موضوعية: |
RESEARCH, CANCER relapse, RETROSPECTIVE studies, MANN Whitney U Test, SURGERY, PATIENTS, TREATMENT effectiveness, CANCER patients, REOPERATION, DESCRIPTIVE statistics, DATA analysis software, PAROTID gland tumors, DISEASE risk factors, EVALUATION |
| مستخلص: |
Objectives: Close margin is a frequent situation after parotidectomy. The need for systematic prophylactic revision surgery is a question that arises regularly for malignant tumors, as it exposes to a high risk of facial palsy, while oncological benefits are unclear. Study Design: retrospective study. Setting: Multicentric. Subjects and Methods: We included all patients operated for systematic revision surgery in case of close margins after parotidectomy for a malignant tumor and analyzed the rate of tumor residue and its risk factors. Results: A tumor residue was identified in 43.5% of 23 cases, but none in case of initial complete excision with supra-millimetric margins. Invaded lymph nodes were identified in 6 cases, but none in case of low-grade tumors. Conclusions: Systematic revision seems mandatory in case of infra-millimetric margins and high-grade tumors or positive lymph node; further studies are needed to confirm whether it can be spared for T1-T2/N0 low-grade tumors, with close margins but complete initial excision. [ABSTRACT FROM AUTHOR] |
|
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder