CLINICOPATHOLOGICAL STUDY OF TUMOURS OF HYPOPHARYNX
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 93
Abstract
BACKGROUND Hypopharyngeal tumours are increasing rapidly and its prognosis is not very good. The study is intended to find out the common clinical presentation and risk factors so that prevention and early diagnosis will be possible. MATERIALS AND METHODS This study was carried out in the Department of Otorhinolaryngology, MKCG Medical College Hospital, Berhampur, Odisha from 2011 to 2013. The study was conducted by thorough history, clinical evaluation, FNAC of lymph node, histopathological study of biopsy from tumour, relevant laboratory investigations as required, chest X-ray and soft tissue neck. RESULTS Clinicopathological study of 42 cases of tumour of hypopharynx in Department of ENT, MKCG Medical College, Berhampur done in a period of two years. 15.7% of hypopharyngeal tumours seen out of total head and neck tumours. Peak age group was seen from 5th to 7th decades, males were affected more than females (29:13), chewing tobacco was the most common risk factor followed by smoking and alcohol. Dysphagia, neck swelling and otalgia were commonest symptoms. Pyriform fossa involvement was seen most commonly. Lymph node metastases were seen in 57.1% of cases. Most cases presented in advanced stages with all cases found histologically were of squamous cell carcinoma. CONCLUSION Delayed presentation is a major problem in hypopharyngeal tumours leading to multiple sites of involvement and making the prognosis poorer. Chewing tobacco is an important aetiological factor along with smoking and alcohol for the development of hypopharyngeal tumours. Early diagnosis is possible by thorough examination of patients with symptoms of dysphagia and cervical lymphadenopathy.
Authors and Affiliations
Rajesh Kumar Sadangi, Santosh Kumar Misra
Keywords
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- EP ID EP279571
- DOI 10.14260/jemds/2017/1460
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