Parotid gland tumor. Will need surgery. Your experience at Mayo?

Posted by tinytoni @tinytoni, Jan 15, 2024

I have just been diagnosed with a tumor in my Parotid salivary gland. Had the ultra sound and the MRI. Waiting for my fine needle biopsy results this week. Need a doctor who is an expert in this type of surgery. Anyone able to suggest one in Rochester. I will be traveling from Michigan. Any info will help. Thanks!

Interested in more discussions like this? Go to the Head & Neck Cancer Support Group.

Profile picture for Sue, Volunteer Mentor @sepdvm

Never smoked, only second hand smoke as a child from my dad smoking at home. He died of oral SCC in 1993. As a veterinarian I have had more than average radiation exposure from restraining animals for xrays so I consider that a predisposing factor, as well as the genetic component.
That's wonderful that you are seeing improvement! Be patient and know that it will continue to improve for years. How did your recent scans go? (fingers crossed for good report)
Sue

Jump to this post

Thank you for replying Sue. The oncologist informed me that my scans were exceptionally clean, with no signs of cancer anywhere. It was quite emotional for me. He said all my organs are working and numbers are all normal. I go back every 3 months for scans the first year and then less as the years go by. I'm so grateful to the doctors at Mayo and their robust scheduling department.

By the way, I adore animals. After losing my cats (16 years they were sisters), I realized that I couldn't go through that pain again. I enjoy dogsitting now.

REPLY
Profile picture for Catherine @trainwife

Thank you for replying Sue. The oncologist informed me that my scans were exceptionally clean, with no signs of cancer anywhere. It was quite emotional for me. He said all my organs are working and numbers are all normal. I go back every 3 months for scans the first year and then less as the years go by. I'm so grateful to the doctors at Mayo and their robust scheduling department.

By the way, I adore animals. After losing my cats (16 years they were sisters), I realized that I couldn't go through that pain again. I enjoy dogsitting now.

Jump to this post

What wonderful news! I understand the tears of joy, relief, and hope that come with with that information. It still happens to me after 11 years. So sorry for the loss of your sister kitties. If only they could be with us for our lifespan. I like your method of keeping animals in your life. A loving pet sitter is a valuable commodity. With all our health-related travel I really appreciate that.

ENT at Mayo Rochester is really an amazing machine in the way that it operates. Doctors and staff all just make it happen as needed, almost magical. They truly demonstrate the Dr. Mayo quote " The best interest of the patient is the only interest to be considered."

REPLY
Profile picture for Sue, Volunteer Mentor @sepdvm

Catherine, I had tumor involvement in the facial nerve so a section had to be removed. I had total right side facial paralysis when I woke up from surgery. By anastomosing the ends back together during the initial surgery, my paralysis was starting to improve with increased muscle tone 5 months after surgery. By 9 months I could really start to tell that there was improvement. Nerve tissue is very slow to heal and you need patience. It is a very slow process of regaining control of muscles that had atrophied. Then there is an issue with synkinesis where the nerves healing together are not exactly the same as it was initially. So now certain muscles have different control.....like attempting to raise the eyebrow might cause the corner of my mouth to twitch. I feel that the brain figures this out slowly and I do facial muscle exercises to help. I will never be able to raise my eyebrow but I had a plastic surgery to elevate the brow. My facial appearance will never be like before surgery, but I am amazed by little improvements I still see 12 years later. Spending time outside in cold weather makes my facial muscles very stiff and slow to respond. This is just a part of the new normal, and better than being dead from cancer. I would certainly recommend a life saving surgery even though the risk of facial paralysis is there. I won't sugar coat it, it takes some real motivation to get back to your life during facial paralysis, but knowing it is temporary and there will be gradual improvement is what has gotten me though.

Jump to this post

How long after surgery did you get a browlift? Did you have any other plastic surgery besides the browlift? My face is still extremely puffy and I've been getting lymphodema treatment.

REPLY

I needed to have an eyelid weight placed about 5 weeks after surgery, to enable me to close my eye during radiation treatment. The plastic surgeon offered to do the brow lift at that time as she said nerve control there would not return. I trusted her and agreed and have been satisfied, although a little brow motion is present all these years later.

REPLY
Profile picture for Sue, Volunteer Mentor @sepdvm

Catherine, I had tumor involvement in the facial nerve so a section had to be removed. I had total right side facial paralysis when I woke up from surgery. By anastomosing the ends back together during the initial surgery, my paralysis was starting to improve with increased muscle tone 5 months after surgery. By 9 months I could really start to tell that there was improvement. Nerve tissue is very slow to heal and you need patience. It is a very slow process of regaining control of muscles that had atrophied. Then there is an issue with synkinesis where the nerves healing together are not exactly the same as it was initially. So now certain muscles have different control.....like attempting to raise the eyebrow might cause the corner of my mouth to twitch. I feel that the brain figures this out slowly and I do facial muscle exercises to help. I will never be able to raise my eyebrow but I had a plastic surgery to elevate the brow. My facial appearance will never be like before surgery, but I am amazed by little improvements I still see 12 years later. Spending time outside in cold weather makes my facial muscles very stiff and slow to respond. This is just a part of the new normal, and better than being dead from cancer. I would certainly recommend a life saving surgery even though the risk of facial paralysis is there. I won't sugar coat it, it takes some real motivation to get back to your life during facial paralysis, but knowing it is temporary and there will be gradual improvement is what has gotten me though.

Jump to this post

Update - on May 27, 2025, I went back for my 4-month PET CT scan to confirm there was no recurrence of salivary duct cancer. I had the biopsy and it is malignant salivary duct cancer. The polyp is .9 cm. in size. Has anyone else had the recurrence of the same cancer in a different part of the body? The nurse had told me at biopsy appointment if the polyp was cancerous they would kill it with 3 rounds of radiation or surgery.

I had just completed my second facial reanimation surgery and was ready to start life again when we got the call on the way home.

REPLY

Went to Johns Hopkins in Baltimore in 2010 for parotid cancer since they were rated number 1 for head and neck cancers. Still alive so I am satisfied with my surgeons there.

REPLY
Profile picture for anchor2025 @anchor2025

Update - on May 27, 2025, I went back for my 4-month PET CT scan to confirm there was no recurrence of salivary duct cancer. I had the biopsy and it is malignant salivary duct cancer. The polyp is .9 cm. in size. Has anyone else had the recurrence of the same cancer in a different part of the body? The nurse had told me at biopsy appointment if the polyp was cancerous they would kill it with 3 rounds of radiation or surgery.

I had just completed my second facial reanimation surgery and was ready to start life again when we got the call on the way home.

Jump to this post

Hello @anchor2025.
That was certainly a hard hit to take when you are on the home stretch with the previous cancer. I have had the SCC from my external ear canal reappear as metastases in my lung twice, on the surface of a muscle, and in a kidney and lymph nodes this last time in 2020. Metastatic SCC has been incurable so far but we have tackled each met with surgery until this last time since it was in the lymphatics. I had 2 years on an immunotherapy drug Libtayo ( Cemiplimab) which so far has eradicated the cancer. All mets were the same tumor as original per pathology.
All we can do is to keep battling as these things reappear. It is success to make your cancer into a chronic disease instead of a death sentence. May not be what we hope for, but sometimes it is the best we can get.

REPLY
Profile picture for Sue, Volunteer Mentor @sepdvm

Never smoked, only second hand smoke as a child from my dad smoking at home. He died of oral SCC in 1993. As a veterinarian I have had more than average radiation exposure from restraining animals for xrays so I consider that a predisposing factor, as well as the genetic component.
That's wonderful that you are seeing improvement! Be patient and know that it will continue to improve for years. How did your recent scans go? (fingers crossed for good report)
Sue

Jump to this post

It has been over 2 years since we last messaged. I hope you are doing well. I had a setback on June 2, 2025. My scan of May 27, 2025, showed a malignant nodule on the tip of my lung (the same cancer). I had a lung resection on July 1, 2025, at Mayo. Since then, I have had a few more surgeries on my face, focusing on the lips and smile. I am losing hope, I will never smile again. I go to speech therapy and do daily facial exercises, and still talk out of one side of my mouth. The top right of my lip does not move. My quality of life is not good. I am lucky that my husband has stood by my side, although marriage is difficult. I see a counselor every other week, but I am still my own worst enemy. When I hear of stories like yours, 12 years is a long time. No one ever told me before my surgery that I would never smile again. I miss my old self.

REPLY
Profile picture for Catherine @trainwife

It has been over 2 years since we last messaged. I hope you are doing well. I had a setback on June 2, 2025. My scan of May 27, 2025, showed a malignant nodule on the tip of my lung (the same cancer). I had a lung resection on July 1, 2025, at Mayo. Since then, I have had a few more surgeries on my face, focusing on the lips and smile. I am losing hope, I will never smile again. I go to speech therapy and do daily facial exercises, and still talk out of one side of my mouth. The top right of my lip does not move. My quality of life is not good. I am lucky that my husband has stood by my side, although marriage is difficult. I see a counselor every other week, but I am still my own worst enemy. When I hear of stories like yours, 12 years is a long time. No one ever told me before my surgery that I would never smile again. I miss my old self.

Jump to this post

@trainwife I can understand your distress. Appearance is a big part of who we are and these paralysis changes are tough to live with. I am currently having more facial issues which I feel to be more muscle atrophy and fibrosis from radiation. Facial exercises seem to help, as does infrared light therapy. I was just referred to a Dr. Dey at Mayo Rochester who specializes in facial reanimation and see him in June. I am not sure that is what I need but my new ENT had no suggestions. If nerve damage is part of your paralysis as mine was, give it time. Nerve tissue is very slow to heal and regenerate function. I was still improving many years later. Research Lion's Mane mushrooms for a nerve supplement. When I started taking that from RealMushrooms.com I had a definite improvement in nerve control. Tho it is hard to look in the mirror some days, your family and friends do not judge you for your appearance. It can be the new normal. Keep up your exercises and look into red light therapy. Enjoy spending time in nature as it relieves some stress. This can still improve for you, just keep looking for new options.

REPLY
Profile picture for Sue, Volunteer Mentor @sepdvm

@trainwife I can understand your distress. Appearance is a big part of who we are and these paralysis changes are tough to live with. I am currently having more facial issues which I feel to be more muscle atrophy and fibrosis from radiation. Facial exercises seem to help, as does infrared light therapy. I was just referred to a Dr. Dey at Mayo Rochester who specializes in facial reanimation and see him in June. I am not sure that is what I need but my new ENT had no suggestions. If nerve damage is part of your paralysis as mine was, give it time. Nerve tissue is very slow to heal and regenerate function. I was still improving many years later. Research Lion's Mane mushrooms for a nerve supplement. When I started taking that from RealMushrooms.com I had a definite improvement in nerve control. Tho it is hard to look in the mirror some days, your family and friends do not judge you for your appearance. It can be the new normal. Keep up your exercises and look into red light therapy. Enjoy spending time in nature as it relieves some stress. This can still improve for you, just keep looking for new options.

Jump to this post

@sepdvm I can not tell you how much your reply means to me, so thank you from the bottom of my heart❤️. I have an appointment with Dr. Dey on Friday, so we will leave on Thursday around noon, as it takes 4.5 hours to get there. Well worth the trip, and I have all my questions. He loves questions, no matter how insane they may sound, so ask away! He is a very dedicated doctor with a compassionate manner and calming voice. He cares about his patients. I’ve been taking the lion’s mane, doing red therapy mask daily, OC, and speech therapy twice a week, and am thinking about starting online speech therapy as well if my insurance agrees to pay for both. I'm excited to see Dr. Dey - he will be doing RF micro needling and some touchups on my face. We will talk about another surgery in the future, as my most recent surgery was only 2.5 months ago. Keep in touch and let me know how you like Dr. Dey. He knows me well

REPLY
Please sign in or register to post a reply.