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February 1966

Therapy of Salivary Gland Tumors

Author Affiliations

From the Department of Otorhinolaryngology, University of Michigan, Ann Arbor, Mich.

Arch Otolaryngol. 1966;83(2):89-91. doi:10.1001/archotol.1966.00760020091003

PATIENTS with lesions of the major salivary glands must be investigated thoroughly to determine the nature of the disorder. It is desirable that the physician differentiate neoplastic from non-neoplastic disease before treatment is started. In some patients this differentiation is self-evident, while in others it is more difficult.

Diagnostic Criteria  In order to guide the physician the following diagnostic criteria are presented:

  1. History.—It is particularly important to determine recurrent swelling of one or multiple glands as this may be evidence of obstruction or infection. Contrasted to these are neoplastic masses of rather slow progression which are without signs of inflammation. The loss of facial nerve function and pain may be of great significance in some patients.

  2. Examination.—Inspection and palpation are frequently helpful to the physician. Peripheral facial nerve paralyses are self-evident and denote malignancy or previous surgery. Palpation may be the deciding factor as to primary neoplastic disease

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