Surgery of sublingual and minor salivary gland cancer: REFCOR recommendations by the formal consensus method.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-11-01 Epub Date: 2023-12-04 DOI:10.1016/j.anorl.2023.11.011

N Pham Dang, F Jegoux, B Barry, B Verillaud, B Baujat, N Fakhry, E Chabrillac, S Vergez

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引用次数: 0

Abstract

Objective: To determine the indications and modalities for resection in the management of primary sublingual and minor salivary gland cancer, and the specific features of each primary location.

Material and methods: The French Network of Rare Head and Neck Tumors (REFCOR) formed a steering group who drafted a narrative review of the literature published on Medline and proposed recommendations. The level of adherence to the recommendations was then assessed by a rating group, according to the formal consensus method.

Results: Histological evidence (submucosal biopsy) is recommended before surgical treatment of minor salivary gland carcinoma. Surgical treatment is recommended, with optimal oncologic margins, adapted to anatomical factors, histologic type and grade and functional consequences, with reconstruction if necessary.

Conclusion: Treatment of primary minor salivary and sublingual gland cancer is surgical, with wide resection margins. The modalities of resection and reconstruction are highly dependent on tumor location, extension and histologic type.

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舌下腺和小唾液腺癌手术：REFCOR 通过正式共识法提出的建议。

摘要确定治疗原发性舌下腺和小唾液腺癌的适应症和切除方式，以及每个原发部位的具体特征：法国罕见头颈部肿瘤网络（REFCOR）成立了一个指导小组，该小组对Medline上发表的文献进行了叙述性综述，并提出了建议。然后由一个评级小组根据正式的共识方法对建议的遵守程度进行评估：结果：建议在对轻微唾液腺癌进行手术治疗前进行组织学检查（粘膜下活检）。建议根据解剖学因素、组织学类型和分级以及功能性后果进行最佳肿瘤边缘的手术治疗，必要时进行重建：结论：原发性小唾液腺和舌下腺癌的治疗以手术为主，切除边缘要宽。切除和重建的方式在很大程度上取决于肿瘤的位置、范围和组织学类型。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.