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Malignant Neoplasm of the Salivary Gland B040

Last amended 
30 June 2015
Current RMA Instruments:
Reasonable Hypothesis SOP
57 of 2015
Balance of Probabilities SOP
58 of 2015
Changes from Previous Instruments:

SOP Bulletin 181

ICD Coding:
  • ICD-9-CM: 142
  • ICD-10-AM: C08, C07
Brief description

The salivary glands consist of the major glands: the parotid; submandibular; and sublingual glands, and the minor salivary glands, of which there are hundreds scattered throughout the oral cavity. Salivary gland cancer is rare. Benign neoplasms of the salivary gland are relatively more common.

Confirming the diagnosis

Confirmation requires histological examination from excision or biopsy of the tumour.

The relevant medical specialist is an oral surgeon, ENT surgeon or an oncologist.

Additional diagnoses covered by these SOPs
  • Acinic cell carcinoma of a salivary gland
  • Adenocarcinoma of a salivary gland
  • Adenoid cystic carcinoma in the oral cavity
  • Carcinoma ex pleomorphic adenoma of a salivary gland
  • Mucoepidermoid carcinoma of a salivary gland
  • Salivary duct carcinoma
Conditions excluded from these SOPs: Other SOP for that condition / non-SOP
  • Basal cell adenoma ]
  • Canalicular adenoma ]
  • myoepithelioma ]                                              All being tumours and non-SOP
  • Pleomorphic adenoma ]
  • Warthin tumour ]
  • Hodgkin’s lymphoma Hodgkin’s lymphoma
  • Malignant neoplasm of the oral cavity MN of the oral cavity, oropharynx and hypopharynx
  • Melanoma                                                        Probable metastasis from another site
  • Non-Hodgkin’s lymphoma                              Non-Hodgkin’s lymphoma
  • Soft tissue sarcoma of salivary gland Soft tissue sarcoma
  • Squamous cell carcinoma of salivary gland Probable metastasis from another site