دورية أكاديمية
Is Revision Surgery Necessary for Patients With High Risk of Recurrence After Parotidectomy? A Multicenter Retrospective Study.
العنوان: | Is Revision Surgery Necessary for Patients With High Risk of Recurrence After Parotidectomy? A Multicenter Retrospective Study. |
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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] |
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قاعدة البيانات: | Complementary Index |
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