Identify patients with:
palpable or visually identifiable mass in the area of major salivary
gland
symptoms concerning for neoplasm
Inquire about cancer history:
skin cancers of the head and neck area
history of lymphoma
history of other cancers
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Inquire about symptoms or history of inflammatory salivary gland
disease:
salivary gland stones
infectious sialadenitis
auto-immune conditions (Sjögren’s, IgG4 disease, Granulomatous
disease, etc.)
metabolic sialadenitis (radioactive iodine, iodine contrast, head
and neck radiation)
Ask about signs/symptoms concerning for neoplasm
facial muscle weakness
paresthesia
progressive gland swelling and pain
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Diagnostic Workup of Patients with Suspected Salivary Gland Neoplasm
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Diagnostic Workup of Patients with Suspected Salivary Gland Neoplasm
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Screen for COVID-19
Salivary gland ultrasound
FNA biopsy of neoplastic lesions
Additional imaging if needed for surgical intervention (MRI)
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Confirm presence of salivary gland lesion
Screen for signs or symptoms of non-neoplastic disease:
salivary gland stones
salivary gland inflammation
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Patient Counselling and Treatment Recommendations
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Patient Counselling and Treatment Recommendations
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Discuss FNA biopsy results
Review treatment and prognosis
COVID-19 testing if surgery is anticipated
Referrals to Radiation Oncology and Hematology/Oncology if needed
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Consider patient’s age and co-morbidities
Take into account pandemic status in the area/hospital
Discuss patient’s home situation, support system and resources
available
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