Clinical presentation, management, and outcome of high-grade mucoepidermoid carcinoma of the parotid gland

High-grade MEC of the parotid gland is an aggressive disease that frequently presents at advanced stage. Parotidectomy with modified radical neck dissection and postoperative XRT provides reasonable local and regional control for patients with N+ disease. Elective selective neck dissection and radiation should be considered for T3 and T4 tumors with N0 status.