Despite the tremendous advance in technological equipment available to the radiation therapist, including computerized dosimeters, the proper treatment of lesions with minimal side effects requires an experienced and sophisticated therapist who understands both the nature of these tumors as well as the capabilities and limitations of his equipment. The carotid artery and remaining cranial nerves are spared. This is a technically difficult procedure and should be attempted only by experienced head and neck surgeons. 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.