Would you include ipsilateral nodes in adjuvant RT for bulky Mammary Analogue Secretory Carcinoma of salivary gland?

Topics: Head and Neck Cancers • Radiation Oncology

Histology 1st described 2010, and acknowledged by WHO 2017. Probably previously usually diagnosed as Acinic Cell Carcinoma. In one source (Chiosea SI et al. Histopathology. 2012;61(3):387-394) nodal spread was 17.6% for MASC (6/34) compared to 7.9% (3/38) for ACC, but it is odd that there are 2x MASK to ACC for this comparison.

Answer from: Radiation Oncologist at Academic Institution

I assume that the bulky lesion was dissected, likely by superficial parotidectomy (if it arose in the parotid gland), and that postop RT is indicated in this low-grade tumor due to positive/close margins or facial n involvement. While the risk of LN metas is small, the inclusion in the targets of ip...

Comments

Radiation Oncologist at Medical University of South Carolina (Charleston)
I agree with Dr. @Avraham Eisbruch. I have treate...

Radiation Oncologist at University of Florida
Agree.

Radiation Oncologist at Coastal Radiation Oncology
My limited experience with this tumor involved a y...

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