What are the treatment options for salivary gland cancer?

Salivary glands include the parotid glands near the ears and smaller glands in the mouth and throat. The team considers the tumour’s size, exact location, grade, lymph nodes and relationship to nerves, skin or other structures. Imaging and a tissue sample help define the plan.

Tumour removal surgery aims to remove the cancer with a safe border of tissue. The operation may need to address nearby lymph nodes or structures, and the surgeon discusses possible effects on facial movement, sensation, saliva, swallowing or appearance. Radiotherapy uses carefully planned beams to treat the gland area and may follow surgery or be used when surgery is not suitable.

Ask the head and neck team to show you where the tumour is and explain the purpose and sequence of each treatment. Tell them about dental problems, dry mouth, swallowing changes, medicines and any facial weakness before treatment begins.

A dental review, speech and swallowing assessment, nutrition advice or facial rehabilitation may be included in your care. During treatment, follow the team’s mouth-care instructions and report new difficulty eating, drinking or moving the face so support can be arranged early.

Seek prompt medical advice for rapidly increasing swelling, new facial weakness, worsening difficulty swallowing, dehydration, fever, or pain that is difficult to control. Get urgent help for breathing difficulty, inability to swallow saliva, sudden severe weakness or heavy bleeding.

Ask which salivary gland and nearby structures are involved, what surgery would remove, and whether radiotherapy is recommended before or after the operation. Ask about facial nerve function, saliva and swallowing, dental care, recovery, and who to contact if symptoms change.