What is the appropriate treatment for marginal zone lymphoma of the parotid following surgery?
After a nerve sparing parotidectomy, would you offer postoperative radiotherapy? If so, what volume and dose? Would it change your management if the patient is 30 years old and has Sjogren's syndrome?
Answer from: Radiation Oncologist at Academic Institution
Definitive radiation therapy is the standard treatment for a patient with an uncomplicated case of localized marginal zone lymphoma of the parotid gland. The CTV would encompass the entire gland and the total dose would be 24 Gy. Occasionally patients will be diagnosed with MZL after parotidectomy, ...