British Journal of Oral and Maxillofacial Surgery
Volume 47, Issue 8 , Pages 587-593, December 2009

Prognostic factors in malignant tumours of the salivary glands

  • Paul M. Speight

      Affiliations

    • Department of Oral & Maxillofacial Pathology, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield S10 2TA, United Kingdom
    • Corresponding Author InformationCorresponding author at: Department of Oral and Maxilofacial Pathology, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield S10 2TA, United Kingdom. Tel.: +44 0114 271 7951; fax: +44 0114 271 7894.
  • ,
  • A. William Barrett

      Affiliations

    • Department of Histopathology, Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex RH19 3DZ, United Kingdom

Accepted 27 March 2009. published online 01 May 2009.

Abstract 

Salivary gland tumours are a relatively rare group of lesions best managed in specialist centres. We review some of the factors that influence their prognosis. Clinical stage is the most important, with large malignancies having a poor prognosis regardless of histological grade and other features such as perineural invasion. Even high grade neoplasms may do well when they are small. A helpful guide to the management of salivary cancers is the “4cm” rule.

Keywords: Head and neck, Salivary gland diseases, Mouth neoplasms, Prognostic factors

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PII: S0266-4356(09)00103-X

doi:10.1016/j.bjoms.2009.03.017

British Journal of Oral and Maxillofacial Surgery
Volume 47, Issue 8 , Pages 587-593, December 2009