|Kin cancer as some of these skin cancers may spread to the same anatomic region. >> but given its rare nature so it's not really a typical metastasis site, i mean, primary cancers don't typically metastasize to salivary glands. cialis buy >> very uncommonly. However, there are some known tumors that do metastasize to this area and when the story does not make sense in terms of development of the tumor, we oftentimes think in the back of our minds that perhaps this may be the spread of the cancer from another site such as breast cancer, lymphoma may present in the lymph nodes and in and around the parotid gland, and cancers of the kidneys can also spread to the parotid gland. viagra cialis canada >> i hate to bring this up because the evidence is so contradictory but let's talk cellphones as a risk factor. Is that--i know the evidence is maturing but-- >> i think at this time it's difficult to state definitively that cellphone use is associated directly with the development of salivary gland cancers. how much is cialis There is also been established associations with other tumors in and around the brain associated with cellphone use but at this point i think the jury is still out. >> and let's talk about treatment. indian generic viagra safe I assume that salivary gland--the primary front line treatment would be surgery? cheap cialis online >> that's correct. does viagra make u last longer These tumors are very well treated with surgery. buy cialis online And that's part in due to the ability to control the tumor locally. It's also due in part to the side effects related to some of the other treatment modalities and the inability of these tumors to oftentimes respond to nonsurgical treatment such as radiation or chemotherapy. And so, for the most part tumors of the parotid gland and the salivary gland--parotid gland as well as the submandibular glands are best treated with surgery, oftentimes followed by radiation depending on the type of tumor. where can you get viagra over the counter And the real problem with salivary gland tumors is that despite the rarity of these tumors, despite how infrequent they are and their location. cialis online They actually represent a very broad array of tumor types when you look at them under the microscope. And so, we really just can't classify all tumors just as salivary gland tumors. There is a very broad spectrum of tumor behaviors ranging from very benign, noncancerous or low risk cancers in the salivary glands to those that have a very high rate of spread to the lymph nodes. And so, that further challenges us in terms of how we best treat these patients. >> as far as minimally invasive procedures, i'm not sure whether--is the chance for a facial disfigurement high when--with your surgical techniques or. buy viagra uk yahoo
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