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. 2023 Aug 23;8(5):101630. doi: 10.1016/j.esmoop.2023.101630

Corrigendum to ‘Salivary gland cancer: ESMO–European Reference Network on Rare Adult Solid Cancers (EURACAN) Clinical Practice Guideline for diagnosis, treatment and follow-up’

[ESMO Open 7(6):100602, December 2022]

C van Herpen 1,2, V Vander Poorten 2,3,4, A Skalova 2,5, C Terhaard 2,6, R Maroldi 7, A van Engen 8, B Baujat 9, LD Locati 10, AD Jensen 11,12, L Smeele 13, J Hardillo 14, V Costes Martineau 15, A Trama 16, E Kinloch 17, C Even 18,19, J-P Machiels 20,21; ESMO Guidelines Committee, on behalf of the
PMCID: PMC10470209  PMID: 37625197

The authors regret that there were errors in the text and published figures. The authors would like to apologise for any inconvenience caused.

The corrections are as follows:

Diagnosis, pathology and molecular biology

Figure 1

On page 3, in Figure 1, an option is added after “cT1-T2, N0”:

  • High gradec

Figure 1.

Figure 1

Work-up of major salivary gland nodules.

Purple: general categories or stratification; white: other aspects of management.

AdCC, adenoid cystic carcinoma; CNB, core needle biopsy; CT, computed tomography; FDG–PET–CT, [18F]2-fluoro-2-deoxy-D-glucose–positron emission tomography–computed tomography; FNA, fine-needle aspiration; MRI, magnetic resonance imaging; SGC, salivary gland cancer.

aCNB considered when FNA is non-diagnostic or if more histological information is required.

bFDG–PET–CT is recommended for treatment planning in lymph node-positive or high-grade SGC; otherwise, CT of the chest can suffice.

cDefinition of high-grade tumours is described in Section 1 of the Supplementary Material, available at https://doi.org/10.1016/j.esmoop.2022.100602.

This option then connects with the box containing “CT of the chest FDG–PET–CT [III, A]”.

On page 3, in Figure 1 and the figure footnote, a new footnote ‘b’ is added to the following boxes:

  • cT3-T4, N0 or AdCC any stageb

  • cT1-T2, N0b

  • b

    bFDG–PET–CT is recommended for treatment planning in lymph node-positive or high-grade SGC; otherwise, CT of the chest can suffice.

On page 3, in Figure 1 and the figure footnote, a new footnote ‘c’ is added to the following box:

Recommendations

On page 3:

  • FDG–PET–CT is recommended in high-grade SGC for the detection of distant metastases [III, A].

is replaced with:

  • FDG–PET–CT is recommended in high-grade or lymph-node positive SGC for the detection of distant metastases [III, A].

Management of local and locoregional disease

Figure 2

On page 5, in Figure 2:

  • No high-risk factors: RT to primary [IV, A]

Figure 2.

Figure 2

Treatment algorithm for parotid gland cancer.

Purple: general categories or stratification; red: surgery; dark green: radiotherapy; white: other aspects of management; blue: systemic anticancer therapy.

ChT, chemotherapy; CNB, core needle biopsy; END, elective neck dissection; ENI, elective neck irradiation; FNA, fine-needle aspiration; ND, node dissection; nVII, seventh nerve; RT, radiotherapy.

aDefinition of high-grade tumours is described in Section 1 of the Supplementary Material, available at https://doi.org/10.1016/j.esmoop.2022.100602.

is replaced with:

  • High-risk factors: RT to primary [IV, A]

On page 5, in Figure 2:

  • RT to neck

is replaced with:

  • RT to level I-V for pN+ [IV, A]

and an arrow is added between the box containing “END II-IV (I and V on indication) [IV, B] and the box containing “pN0”.

On page 5, in Figure 2:

  • pN+ and no high-risk factors: RT to level I-V [IV, A]

is replaced with an arrow to the box containing “RT to level I-V for pN+ [IV, A]”.

Figure 3

On page 6, in Figure 3, an additional option is added following “Open approach [IV, A]” and “Selected transoral/endoscopic/robotic [V, A]”:

  • High-risk factors: RT to primary [IV, A]

Figure 3.

Figure 3

Treatment algorithm for minor or sublingual SGC.

Purple: general categories or stratification; red: surgery; dark green: radiotherapy; white: other aspects of management; blue: systemic anticancer therapy.

ChT, chemotherapy; END, elective neck dissection; ND, node dissection; RT, radiotherapy; SGC, salivary gland cancer.

aDefinition of high-grade tumours is described in Section 1 of the Supplementary Material, available at https://doi.org/10.1016/j.esmoop.2022.100602.

Figure 4

On page 8, in Figure 4, an additional option is added following “Resection of submandibular gland and level Ib [IV, B]”:

  • pN+

Figure 4.

Figure 4

Treatment algorithm for submandibular gland cancer.

Purple: general categories or stratification; red: surgery; dark green: radiotherapy; white: other aspects of management; blue: systemic anticancer therapy.

ChT, chemotherapy; CNB, core needle biopsy; FNA, fine-needle aspiration; ND, node dissection; RT, radiotherapy.

aDefinition of high-grade tumours is described in Section 1 of the Supplementary Material, available at https://doi.org/10.1016/j.esmoop.2022.100602.

with arrows connecting to “Comprehensive ND I-V including the primary [IV, A]” and “RT to level I-V [IV, A]”.

On page 8, in Figure 4:

  • pN0: No additional treatment

is replaced with:

  • pN0

with an arrow connecting to:

  • High-risk factors: RT to primary [IV, A]

Recommendations

On page 9, before the recommendations of “Surgical management of the primary: submandibular gland cancer” the following text is added:

  • Surgical management of the primary: minor SGC and cancer of the sublingual gland
    • o
      Depending on the anatomical site of origin, a classical open approach [IV, A] or endoscopic, transoral or combined transoral-endoscopic resection [V, A] are recommended in selected patients, with the aim of achieving free margins.

Management of locally recurrent and metastatic disease

Systemic treatment for recurrent and/or metastatic disease

On page 10:

  • In case of R/M disease, systemic treatment is challenging but can be urgent, depending on tumour subtype and behaviour. For all types of SGC with distant metastases (71% of patients will present or develop R/M disease), median OS is 15 months and 1-, 3- and 5-year OS rates are 54.5%, 28.4% and 14.8%, respectively.

is replaced with:

  • In case of R/M disease, systemic treatment is challenging but can be urgent, depending on tumour subtype and behaviour. For all types of SGC with distant metastases (up to 60% of patients will present or develop R/M disease), median OS is 15 months and 1-, 3- and 5-year OS rates are 54.5%, 28.4% and 14.8%, respectively.

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