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An 11-year tertiary level audit of surgical pathology of the parotid in Western Australia

  
@article{AJO4090,
	author = {Nishant Hemanth Davidoss and Robert Wormald and Anton Hinton-Bayre},
	title = {An 11-year tertiary level audit of surgical pathology of the parotid in Western Australia},
	journal = {Australian Journal of Otolaryngology},
	volume = {1},
	number = {0},
	year = {2018},
	keywords = {},
	abstract = {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.},
	url = {http://www.theajo.com/article/view/4090}
}