کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4117568 1270310 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pleomorphic adenomas: Post-operative radiotherapy is unnecessary following primary incomplete excision: A retrospective review
ترجمه فارسی عنوان
آدنومهای پلومورفیک: پس از عمل جراحی، پس از برداشتن اولیه ناقص ضروری نیست: یک بررسی گذشته نگر
کلمات کلیدی
آدنوما پلومورفیک، برداشت ناقص، رادیوتراپی، عود
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

SummaryBackgroundCurrent standard treatment of Pleomorphic Salivary Adenoma (PSA) of the Parotid Gland is by surgical excision. The management of incomplete excision remains undecided with post-operative radiotherapy advocated by some and observation by others.Methods190 patients who underwent resection of PSA of the parotid gland within the West of Scotland region from 1981 to 2008 were identified and data collected.Results78/190 patients had a primary incomplete excision. 25/78 received post-operative radiotherapy and 53 were observed. Recurrences occurred in 11/53 in those observed and in 1/25 of those who received radiotherapy. 21/25 complained of significant side effects from the radiotherapy. 38 surgeons performed 190 procedures, with a range of experience from 1 to28 procedures.ConclusionsRadiotherapy does appear to reduce recurrence with incomplete excision, however it is associated with significant side effects. We therefore feel radiotherapy should not be routinely recommended. Subspecialisation should be adopted to increase the operating surgeon's experience.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 67, Issue 12, December 2014, Pages e297–e302
نویسندگان
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