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January 1975

Prognosis of Malignant Tumors of the Parotid Gland With Facial Paralysis

Author Affiliations

From the College of Physicians and Surgeons of Columbia University, and the Head and Neck Services of the Columbia Presbyterian Medical Center, and St. Vincents' Hospital of New York and Pack Medical Foundation, New York (Dr. Conley), and the Department of Otolaryngology, Indiana University Medical Center and Marion County General Hospital, Indianapolis (Dr. Hamaker).

Arch Otolaryngol. 1975;101(1):39-41. doi:10.1001/archotol.1975.00780300043012

A parotid malignant tumor with spontaneous facial nerve involvement is a serious prognostic sign. Of 34 patients reported, 29 have been followed for at least five years.

In this group, 20 are dead of disease (one at five years), one is dead of other causes (at seven years), one is living with disease, and seven are free of disease. Four of these seven cases have been followed for more than ten years, with two being free of disease for 12 years.

Thus, it is not a hopeless situation, as some studies have shown, and not a contraindication to combined radical surgery and radiotherapy treatment for cure if not palliation.

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