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To the Editor.—I read with interest the article on "Basal Cell Adenomas" of the salivary gland by Bernacki et al, in the February (Archives 99:84-87). I question, however, the management of the third case, the patient with the cylindroma.
Probably the only parotid lesion one would ordinarily do a neck dissection without palpable nodes would be a squamous cell carcinoma. With the well-known propensity of these tumors to travel along the nerve, I am surprised the facial nerve was preserved. My therapy for this patient would be a total parotidectomy with sacrifice of the facial nerve and not do a neck dissection.
I would be most interested in his long-term follow-up.
KAVKA SJ. Basal Cell Adenomas. Arch Otolaryngol. 1974;100(3):247. doi:10.1001/archotol.1974.00780040255026