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This benign tumor, which commonly arises in the parotid gland, is the second most common tumor of the salivary gland. Warthin tumor (WT) accounts for 4% to 13% of all salivary gland tumors. Iwai, Toshinori Baba, Junichi Murata, Shogo Mitsudo, Kenji Maegawa, Jiro Nagahama, Kiyotaka Tohnai, Iwai Warthin tumor arising from the minor salivary gland.
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Complete surgical resection of tumor masses and tumor free margin is essential for successful treatment of malignant minor salivary gland tumors. The treatment policy for benign tumors is simple tumor excision, while that for malignant tumors is surgery combined with pre- or post-operative radiation therapy. The choice of treatment for minor salivary gland tumors depends upon the location and the histopathology of the tumors. While different histopathology of minor salivary gland tumors were found in this group, malignant tumors were predominant, accounting for 81.4%. The other patients survived with no tumor recurrence. Two patients with paranasal sinus adenoid cystic carcinoma recurred after the primary surgery and were survived without tumor after salvage surgery. Among the remaining 38 patients, 2 patients with nasal cavity adenoid cystic carcinoma died of tumor recurrence 2 and 3 years after the surgery respectively, one patient with laryngeal myoepithelial carcinoma died of tumor recurrence 3 years after the surgery and one patient with paranasal sinus mucoepidermoid carcinoma died of recurrence 17 months after the surgery.
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Among 54 cases with minor salivary gland tumors in this series, 16 patients lost of follow up. Retrospective analysis of 54 cases with minor salivary gland tumor operated in our hospital from 1997 to 2004. To study the clinical features of minor salivary gland tumors and to discuss the treatment modalities for these tumors. Zhou, Liang Chen, Xiaoling Huang, Weiting Li, Kelan Zhang, Xiaotong Wang, Wei Those malignant salivary glands tumors are rare and necessitate multidisciplinar staging and management in close collaboration with the pathologist and the radiation oncologist. Pleomorphic adenoma and Whartin's tumor are the most frequent tumors in parotid glands while the probability for malignant tumors is higher in other glands, especially in sublingual and minor salivary glands. The management of benign and malignant neoplasms of the salivary glands requires precise knowledge of tumor histogenesis and classification as well as surgical skills.