Surgery of sublingual and minor salivary gland cancer: REFCOR recommendations by the formal consensus method - 05/12/23

Doi : 10.1016/j.anorl.2023.11.011

N. Pham Dang ^a, F. Jegoux ^b, B. Barry ^c, B. Verillaud ^d, B. Baujat ^e, N. Fakhry ^f, E. Chabrillac ^g, S. Vergez ^g,^h,⁎
^a Service de chirurgie maxillo-faciale, CHU de Clermont-Ferrand, université Clermont-Auvergne, Inserm, Neuro-Dol, 63000 Clermont-Ferrand, France
^b Service d’ORL et chirurgie cervico-faciale, CHU de Rennes, Rennes, France
^c Service d’ORL et chirurgie cervico-faciale, hôpital Bichat, AP–HP, Paris, France
^d Service d’ORL et de chirurgie cervico-faciale, hôpital Lariboisière, AP–HP, Inserm U1141, université Paris Cité, Paris, France
^e Service d’ORL et chirurgie cervico-faciale, hôpital Tenon, AP–HP, Sorbonne université, Paris, France
^f Service d’ORL et chirurgie cervico-faciale, hôpital La Conception, AP–HM, Aix-Marseille université, Marseille, France
^g Département de chirurgie, institut universitaire du cancer Toulouse – Oncopole, Toulouse, France
^h Département de chirurgie ORL et cervico-faciale, CHU de Toulouse-Larrey, université Toulouse III Paul-Sabatier, 24, chemin de Pouvourville, 31059 Toulouse cedex 9, France

^⁎Corresponding author: Département de chirurgie ORL et cervico-faciale, CHU de Toulouse-Larrey, université Toulouse III Paul-Sabatier, 24, chemin de Pouvourville, 31059 Toulouse cedex 9, France.Département de chirurgie ORL et cervico-faciale, CHU de Toulouse-Larrey, université Toulouse III Paul-Sabatier24, chemin de PouvourvilleToulouse cedex 931059France

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Abstract

Objective

To determine the indications and modalities for resection in the management of primary sublingual and minor salivary gland cancer, and the specific features of each primary location.

Material and methods

The French Network of Rare Head and Neck Tumors (REFCOR) formed a steering group who drafted a narrative review of the literature published on Medline and proposed recommendations. The level of adherence to the recommendations was then assessed by a rating group, according to the formal consensus method.

Results

Histological evidence (submucosal biopsy) is recommended before surgical treatment of minor salivary gland carcinoma. Surgical treatment is recommended, with optimal oncologic margins, adapted to anatomical factors, histologic type and grade and functional consequences, with reconstruction if necessary.

Conclusion

Treatment of primary minor salivary and sublingual gland cancer is surgical, with wide resection margins. The modalities of resection and reconstruction are highly dependent on tumor location, extension and histologic type.

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Keywords : Salivary gland cancer, Minor salivary gland, Sublingual gland