Monday, April 10, 2017

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Treatment Considerations

  • Surgery - Parotidectomy is the stardard surgical treatment. Capsular dissection without formal parotidectomy is a resonable alternative in selected cases due to the benign, non-recurrent nature of the tumor.
  • Radiation - not indicated
  • Immunotherapy - not indicated
  • Chemotherapy - not indicated
  • Observation - reasonable alternative to surgery in patients with either 1) significant comorbidities or 2) anatomic/physiologic alterations that compromise successful surgery (e.g. high risk for facial nerve paralysis). In these cases, serial ultrasound (possible repeat FNA) is often offered.