TY  - JOUR
AU  - Davidoss, Nishant Hemanth
AU  - Wormald, Robert
AU  - Hinton-Bayre, Anton
PY  - 2018
TI  - An 11-year tertiary level audit of surgical pathology of the parotid in Western Australia
JF  - Australian Journal of Otolaryngology; Vol 1 (September 2018): Australian Journal of Otolaryngology
Y2  - 2018
KW  - 
N2  - Background: The aim of the present study was to review the pathology found following parotid surgery at three Western Australian tertiary public hospitals over an 11-year period.  Method: Retrospective data was extracted on all patients who underwent parotid surgery from 2003 to 2013. Prospectively maintained electronic hospital-based Information systems were interrogated for patient demographics and surgical specimen histology.  Results: Parotid surgery was performed on 706 patients, of which 65% were male. The mean age was 61.0 (SD =16.8, range 8–98). Malignancy was more common (52%), than benign neoplasia (44%), with inflammatory/infective conditions uncommon (4%). Metastatic cutaneous squamous cell carcinoma (34%) was the most prevalent pathology followed by benign pleomorphic adenoma (28%). Primary salivary gland malignancy accounted for only 9% of parotid pathology. Advancing age (>50 years) and male gender increased the risk of a malignant parotid pathology.  Conclusions: Western Australians undergoing parotid surgery demonstrated concerning rates of metastatic cutaneous malignancy, particular older males. A high degree of suspicion and timely investigation of any parotid mass in this cohort is warranted. Given the poor prognosis seen in advanced disease, primary prevention strategies are paramount.
UR  - https://www.theajo.com/article/view/4090