![]() The energy can come from sources such as X-rays and protons. Radiation therapy uses powerful energy beams to kill cancer cells. What should I expect during recovery? How long will it take to heal?.Will I need reconstructive surgery? What will that involve?.How will you be sure that you've removed all of the tumor?.How likely is it that the facial nerve will be hurt? How will you manage this?.How much of the parotid gland do you plan to remove?.Where will you cut into the skin to reach the parotid gland? Will I have a scar?.Learning more about the procedure can help you feel more comfortable about your treatment plan. If you're facing surgery for a parotid tumor, meet with your surgeon before your operation to ask questions. It requires well-trained surgeons and specialists for the best outcome. Surgeons can repair the facial nerve using nerves from other areas of the body or from artificial nerves. Rarely, the facial nerve must be cut in order to get all of the tumor. Muscle movement often gets better over time. This can cause loss of movement in the face muscles. Sometimes the facial nerve gets stretched during surgery. They might use electrical devices to check on the nerve and make sure it works as expected after surgery. Surgeons take special care to avoid hurting it. The parotid gland surrounds the nerve that moves the muscles of the face. The pathologist also might test nearby lymph nodes and other tissue for signs of cancer. This helps the surgeon decide how much of the parotid gland to remove. The pathologist tells the surgeon if the tumor is cancerous. A doctor who uses blood and body tissue to diagnose diseases, who is called a pathologist, looks at the sample right away. Sometimes a sample of tumor tissue is tested during surgery to see if it's cancer. The cut is often hidden in a crease of skin or behind the ear. To get to the parotid gland, surgeons make a cut in the skin near the ear. This type of surgery isn't needed for parotid tumors that aren't cancerous. This may involve moving skin, tissue, bone or nerves from other parts of your body to make repairs. Then they work to repair the area so that you can continue to chew, swallow, speak, breathe and move your face. Surgeons try to remove all of the cancer and a small amount of the healthy tissue that surrounds it. If parotid gland cancer has grown into nearby bone and muscles, some of these may be taken out with the parotid gland. Removing more tissue to get all of the cancer.It might be needed for larger tumors, tumors that are cancerous and those that affect the deeper parts of the parotid gland. Surgery to remove all of the parotid gland is called parotidectomy. The part of the parotid gland that's left continues working as before. For most parotid tumors, surgeons may cut away the tumor and some of the healthy parotid gland tissue around it. Operations used to remove parotid tumors include: This could be with radiation therapy and chemotherapy. If the tumor is cancerous, you might need more treatment. Parotid tumor treatment often involves surgery to remove the tumor. Learn more about parotid tumor research being done in the Mayo Clinic Department of Otolaryngology - Head and Neck Surgery. Tests may include ultrasound, MRI and CT. If your parotid tumor is cancerous, imaging tests help look for signs that the cancer has spread. Imaging tests help your health care team understand the size and location of your tumor. Instead, they may take a sample of tissue for testing during surgery. For this reason, some doctors don't do a biopsy before surgery. Sometimes the results say a tumor isn't cancerous when it is. Results from a needle biopsy aren't always correct. This information helps your health care team understand your prognosis and which treatments are best for you. In the lab, tests can show what types of cells are involved and tell if they're cancerous. The needle may be inserted through the skin on the face and into the parotid gland. It typically involves using a needle to collect fluid or tissue from the parotid gland. A biopsy is a procedure to collect a sample of tissue for testing. A health care provider feels the jaw, neck and throat for lumps or swelling.Ĭollecting a sample of tissue for testing. Tests and procedures used to diagnose a parotid tumor may include: ![]()
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