| Abstract: |
The purpose of this study is to determine whether elective parotidectomy is necessary in patients with clinically and radiographically N0 parotid disease with isolated primary auricular nonmelanoma cutaneous malignancies. Auricular malignancies are typically managed by wedge resection or wide local excision. Although small lesions are easily managed by conservative excision, large bulky tumors, those with multifocal involvement, and recalcitrant lesions, often require more extensive resection including total auriculectomy, parotidectomy, and/or neck dissection. Study Design: A 10-year retrospective case review from four tertiary university medical centers from 1992 to 2002. Methods: Information was retrospectively retrieved using a database of patients from the department of pathology. Seventy-one charts were reviewed. Patients with a clinical history of advanced nonmelanoma auricular carcinoma undergoing elective parotidectomy and/or neck dissection with clinically and radiographically N0 nodal disease were evaluated for the presence of occult parotid metastasis. All patients underwent parotidectomy in conjunction with a total auriculectomy for surgical extirpation of their primary auricular carcinoma. Parotid specimens were evaluated for histopathologic evidence of metastatic neoplastic disease. Results: Pathological examination showed no histological evidence of occult parotid metastasis in all 19 patients who underwent elective parotidectomy in the presence of clinically and radiographically N0 nodal disease of the parotid or cervical regions. Conclusions: Parotidectomy may not be necessary in the surgical management of advanced auricular © 2008 The American Laryngological, Rhinological and Otological Society, Inc. |
| Keywords: |
adult; aged; aged, 80 and over; middle aged; cancer surgery; retrospective studies; major clinical study; histopathology; neck dissection; squamous cell carcinoma; carcinoma, squamous cell; advanced cancer; cancer patient; cancer staging; neoplasm staging; metastasis; neoplasm recurrence, local; basal cell carcinoma; skin neoplasms; tumor volume; risk factors; pathology; medical record review; retrospective study; risk factor; cancer invasion; skin tumor; tumor recurrence; lymph node; clinical evaluation; neoplasm invasiveness; auditory canal; carcinoma, basal cell; parotid gland; parotid neoplasms; elective surgery; surgical procedures, elective; external ear; ear neoplasms; ear, external; parotidectomy; parotid gland tumor; auricular cancer; auriculectomy; ear cancer; ear surgery; external auditory canal; parotid gland disease; ear tumor; ear canal
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