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Treating Salivary Gland Cancer If You've Been Diagnosed with Salivary Gland Cancer, Your Cancer Care Team Will Discuss Your Treatment Options with You

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Treating Salivary Gland Cancer If You've Been Diagnosed with Salivary Gland Cancer, Your Cancer Care Team Will Discuss Your Treatment Options with You cancer.org | 1.800.227.2345 Treating Salivary Gland Cancer If you've been diagnosed with salivary gland cancer, your cancer care team will discuss your treatment options with you. It's important to weigh the benefits of each treatment option against the possible risks and side effects. How is salivary gland cancer treated? Common treatment options for salivary gland cancer include: ● Surgery for Salivary Gland Cancer ● Radiation Therapy for Salivary Gland Cancer ● Chemotherapy for Salivary Gland Cancer Common treatment approaches Sometimes more than one type of treatment is used. Which treatment option(s) might be best for you depends on many factors, including the type, grade, and stage of the cancer; your overall health; the chances of curing the disease; the impact of the treatment on functions like speech, chewing, and swallowing; and your own personal preferences. ● Treatment Options by Stage of Salivary Gland Cancer ● Treatment of Recurrent Salivary Gland Cancer Who treats salivary gland cancer? Depending on your situation, you may have different types of doctors on your treatment team: 1 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 ● An otolaryngologist (also known as an ear, nose, and throat, or ENT doctor): a surgeon who treats certain diseases of the head and neck ● A radiation oncologist: a doctor who treats cancer with radiation therapy ● A medical oncologist: a doctor who treats cancer with medicines such as chemotherapy Many other specialists may be involved in your care as well, including physician assistants, nurse practitioners, nurses, nutrition specialists, speech therapists, occupational therapists, social workers, and other health professionals. ● Health Professionals Associated With Cancer Care Making treatment decisions It’s important to discuss all of your treatment options as well as their possible side effects with your family and your treatment team to make the choice that best fits your needs. If there’s anything you don’t understand, ask to have it explained. If time permits, it is often a good idea to seek a second opinion. A second opinion can give you more information and help you feel more confident about the treatment plan you choose. ● What Should You Ask Your Doctor About Salivary Gland Cancer? ● Seeking a Second Opinion Thinking about taking part in a clinical trial Clinical trials are carefully controlled research studies that are done to get a closer look at promising new treatments or procedures. Clinical trials are one way to get state-of- the art cancer treatment. In some cases they may be the only way to get access to newer treatments. They are also the best way for doctors to learn better methods to treat cancer. Still, they're not right for everyone. If you would like to learn more about clinical trials that might be right for you, start by asking your doctor if your clinic or hospital conducts clinical trials. ● Clinical Trials Considering complementary and alternative methods 2 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 You may hear about alternative or complementary methods that your doctor hasn’t mentioned to treat your cancer or relieve symptoms. These methods can include vitamins, herbs, and special diets, or other methods such as acupuncture or massage, to name a few. Complementary methods refer to treatments that are used along with your regular medical care. Alternative treatments are used instead of a doctor’s medical treatment. Although some of these methods might be helpful in relieving symptoms or helping you feel better, many have not been proven to work. Some might even be harmful. Be sure to talk to your cancer care team about any method you are thinking about using. They can help you learn what is known (or not known) about the method, which can help you make an informed decision. ● Complementary and Alternative Medicine Help getting through cancer treatment People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care. Whether you are thinking about treatment, getting treatment, or not being treated at all, you can still get supportive care to help with pain or other symptoms. Communicating with your cancer care team is important so you understand your diagnosis, what treatment is recommended, and ways to maintain or improve your quality of life. Different types of programs and support services may be helpful, and can be an important part of your care. These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, and more – to help you get through treatment. Call our National Cancer Information Center at 1-800-227-2345 and speak with one of our trained specialists. ● Palliative Care ● Find Support Programs and Services in Your Area Choosing to stop treatment or choosing no treatment at all 3 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 For some people, when treatments have been tried and are no longer controlling the cancer, it could be time to weigh the benefits and risks of continuing to try new treatments. Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life. Some people, especially if the cancer is advanced, might not want to be treated at all. There are many reasons you might decide not to get cancer treatment, but it’s important to talk to your doctors and you make that decision. Remember that even if you choose not to treat the cancer, you can still get supportive care to help with pain or other symptoms. ● If Cancer Treatments Stop Working The treatment information given here is not official policy of the American Cancer Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor. Your doctor may have reasons for suggesting a treatment plan different from these general treatment options. Don't hesitate to ask him or her questions about your treatment options. Surgery for Salivary Gland Cancer Surgery is often the main treatment for salivary gland cancers. Your cancer will probably be treated with surgery if the doctor believes that he or she can remove it completely. (That is, if the cancer is resectable.) Whether or not a cancer is resectable depends largely on how far it has grown into nearby structures, but it also depends on the skill and experience of the surgeon. Being treated by a surgeon who has treated many patients with salivary gland cancer gives you the best chance of having your cancer removed completely. This, in turn, gives you the best chance of being cured. In most cases, the cancer and some or all of the surrounding salivary gland will be removed. Nearby soft tissue may be taken out too. The goal is to have no cancer cells in the outside edges (margin) of the removed tumor. If the cancer is high grade (more likely to grow and spread quickly) or if it has already spread to lymph nodes, t lymph nodes from the same side of the neck may be removed in an operation called a neck dissection (described below). 4 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 Before surgery, ask your surgeon exactly what will be done during the operation, what the goals of the surgery are, whether there are other options, whether surgery will change the way you look or the way your body works, and what side effects you can expect. Types of surgery for salivary gland cancer The type of surgery will depend on which salivary gland is affected. Parotid gland surgery Most salivary gland tumors occur in the parotid gland. Surgery here is complicated by the fact that the facial nerve, which controls movement on the same side of the face, passes through the gland. For these operations, an incision (cut) is made in the skin in front of the ear and may extend down to the neck. Most parotid gland cancers start in the outside part of the gland, called the superficial lobe. These can be treated by removing only this lobe, which is called a superficial parotidectomy. This usually leaves the facial nerve intact and does not affect facial movement. If your cancer has spread into deeper tissues, the surgeon will remove the entire gland. This operation is called a total parotidectomy. If the cancer has grown into the facial nerve, it will have to be removed as well. If your surgeon has mentioned this surgery as a possibility, ask what can be done to repair the nerve and ways to treat side effects caused by removing the nerve. If the cancer has grown into other tissues near your parotid gland, these tissues might also need to be removed. Submandibular or sublingual gland surgery If your cancer is in the submandibular or sublingual glands, the surgeon will make a cut in the skin to remove the entire gland and perhaps some of the surrounding tissue or bone. Nerves that pass through or near these glands control movement of the tongue and the lower half of the face, as well as sensation and taste. Depending on the size and location of the cancer, the surgeon may need to remove some of these nerves. Minor salivary gland surgery Minor salivary gland cancers can occur in your lips, tongue, palate (roof of the mouth), mouth, throat, voice box (larynx), nose, and sinuses.
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