To present a case of parotid oncocytoma and discuss therapeutic decision-making from a radiation oncologist’s perspective, emphasizing the rationale behind treatment choices.
Key Findings:
Parotid oncocytoma is a rare benign neoplasm with a low recurrence rate, which increases with multifocal lesions or incomplete excision.
Postoperative radiotherapy can improve local control and reduce recurrence rates, although it may lead to mild radiotherapy-induced oral mucositis.
Interpretation:
Adjuvant radiotherapy may be considered in selected cases of parotid oncocytoma with a high risk of recurrence, particularly when residual disease is present.
Limitations:
The study is based on a single case report, limiting generalizability.
Long-term outcomes and effectiveness of radiotherapy in larger cohorts remain to be established, and the lack of follow-up data is a concern.
Conclusion:
Postoperative adjuvant radiotherapy can be beneficial in managing parotid oncocytoma, particularly in cases with residual disease.