Postoperative radiation therapy for small, low-/intermediate-grade parotid tumors with close and/or positive surgical margins

Samuel M. Richter, Patricia Friedmann, Waleed F. Mourad, Kenneth S. Hu, Mark S. Persky, Louis B. Harrison

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Background. Patients with small, low-/intermediate-risk parotid cancers, treated with surgery, and who have the single prognostic factor of close and/or positive margins, constitute an unusual subset. This study evaluates local control and morbidity associated with postoperative radiation therapy for low/intermediate grade parotid cancer in these patients. Methods. Between 1999 and 2006, 17 patients underwent postoperative radiation therapy at Beth Israel Medical Center for acinic cell carcinoma or low-intermediate-grade mucoepidermoid carcinoma of the parotid with close/positive margins. Pathology, treatment, and follow-up data were retrospectively analyzed for morbidity and local control. Two- and 5-year estimates of survival outcomes were performed followed by an analysis of complications. Results. There were no local failures and no significant long-term complications. Conclusions. Patients with small, low-risk cancer of the parotid gland have excellent local control and low treatment-related morbidity when receiving postoperative radiation therapy for positive or close margins of resection.

Original languageEnglish (US)
Pages (from-to)953-955
Number of pages3
JournalHead and Neck
Volume34
Issue number7
DOIs
StatePublished - Jul 1 2012

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Keywords

  • Low/intermediate grade
  • Parotid tumors
  • Positive/close margins
  • Radiation therapy
  • Surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Richter, S. M., Friedmann, P., Mourad, W. F., Hu, K. S., Persky, M. S., & Harrison, L. B. (2012). Postoperative radiation therapy for small, low-/intermediate-grade parotid tumors with close and/or positive surgical margins. Head and Neck, 34(7), 953-955. https://doi.org/10.1002/hed.21843