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Mucoepidermoid carcinoma: lines of therapy

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4 standard-of-care settings across 3 lines and 1 biomarker subgroup. Rows come from the cancer page's standard of care; the grid places each on its line and subgroup.

LineAll comers
Early / localised1
Advanced, first line1
Other settings2

Early / localised

SubgroupSettingApproachProducts and trialsEvidence
All comersLow-grade, localisedComplete excision with a margin (parotidectomy preserving the facial nerve, or excision of the minor gland lesion); postoperative radiotherapy only for positive margins that cannot be re-excised.93

Advanced, first line

SubgroupSettingApproachProducts and trialsEvidence
All comersRecurrent or metastaticPlatinum-based chemotherapy (carboplatin-paclitaxel or cisplatin-based); pembrolizumab for PD-L1-positive or mutation-rich tumours; observation for indolent low-grade metastases.98

Other settings

SubgroupSettingApproachProducts and trialsEvidence
All comersIntermediate- and high-grade or node-positiveResection with neck dissection and postoperative radiotherapy; cisplatin chemoradiation considered for extranodal extension or positive margins.93
All comersTrialsPan-salivary and pan-tumour trials of new agents that accept mucoepidermoid carcinoma.42

Lines and subgroups are parsed from the setting text of each standard-of-care row and can misclassify an unusual phrasing; the row’s own setting is always shown. Guideline chips reflect the NCCN category and ESMO-MCBS grade recorded on the cancer page, checked on its stated date. Not medical advice.