However, these drugs are used primarily for palliation or as adjuvant therapy in conjunction with surgery and radiation and have not replaced other modalities. It often involves relearning such basic skills as swallowing and talking. Tumors arise in both the major and minor glands, but are more frequent in the former. Bilateral lesions not uncommon. Malignant Adenoid Cystic Carcinoma - Very lethal even when treated early.
Most patients die of pulmonary metastases.
This tumor also has a proclivity for perineural spread. The most common parotid tumor seen in childhood. Generally metastatic to lymph nodes. Carcinoma - Very aggressive tumor. Must rule out metastasis from a skin lesion to parotid lymph nodes.