KẾT QUẢ PHẪU THUẬT UNG THƯ TUYẾN NƯỚC BỌT CHÍNH TẠI BỆNH VIỆN K

Abstract

Objectives: This study was conducted to report clinicals, subclinicals and evaluate the early results of treatment of major salivary gland cancers at Vietnam National Cancer Hospital. Patients and methods: A retrospective, descriptive study on 66 patients with major salivary glandcancers were treated in K hospital from 01/2016 to 12/2020. Results: mean of age 50,3; male/female ratio: 1,06/1; The most common symptom is mass at glands 86,4%; percentage in parotid, submandibular, sublingual: 77,3%/ 16,7%/6%; single tumor 98,5%; tumor size from 2-4cm 54,5%; firm tumor 90,9%; hypoechoic 86,4%; histopathology: mucoepidermoid carcinoma 40,1% adenoid cystic carcinoma15,2%; total parotidectomy, total submandibular resection and total sublingual resection:100%; selective neck dissection: 39,4%; facial nerve palsy 31,4%; Frey’s syndrome 13,7%; after 6 months, 43,8% case with facial nerve palsy were recovered. Conclusions:Salivary gland cancers most commonly occur in older adults, the main clinic symptoms is mass at glands and histopathology is diversity. Surgery is the most important method in treating salivary gland cancers, facial nerve preservation is significant to ensure the pation’s quality of life.