HISTOPATHOLOGICAL STUDY OF SALIVARY GLAND TUMOURS WITH SPECIAL EMPHASIS ON CASES WITH DIAGNOSTIC DILEMMA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 22
Abstract
BACKGROUND Tumours of salivary glands constitute less than 5% of head and neck tumours and are diverse in nature. Some of the tumours pose diagnostic challenge to a pathologist, especially the malignant lesions with poor differentiation. In the present study, we aim to acknowledge the various histological types of salivary gland tumours that we encountered in our institute in a period of 5 years with special emphasis on a few cases posing as a diagnostic dilemma. Aims and Objectives1. To study the histopathological spectrum of salivary gland tumours, identify tumours which pose a diagnostic dilemma and try to classify those tumours with the help of immunohistochemistry. 2. To compare and observe the results of this study with other studies in the contemporary literature. MATERIALS AND METHODS This is a retrospective descriptive study. The source of data is the specimen of salivary glands that were received at Department of Pathology, Indira Gandhi Institute of Medical Sciences, Patna from June 2012 to December 2016. Clinical data and H and E stained slides of sections were retrieved for all the patients undergoing resection of salivary gland tumour during the above mentioned 4.5 years in the hospital. RESULTS A total of 56 cases were diagnosed between June 2012 and 2017. Their ages ranged from 15 years to 85 years. There was a slight male preponderance in both benign and malignant lesions. The most common site was parotid followed by submandibular and minor salivary glands. The most common benign tumour was pleomorphic adenoma followed by Warthin’s tumour, basal cell adenoma and oncocytoma. Among the malignant tumours, the most common was adenoid cystic carcinoma followed closely by mucoepidermoid carcinoma. Immunohistochemistry was needed in five cases to reach a diagnosis. The results were in concordance with other studies done on the subject in India. CONCLUSION Our study aims at studying the various types of salivary gland tumours prevalent in our region and the results conform to other studies done in this field in India.
Authors and Affiliations
Anju Singh, Mona Lisa, Reecha Singh, Kalpana Chandra, Sanjeet Kumar Singh
A COMPARATIVE STUDY OF EPIDURAL VOLUME EXTENSION TECHNIQUE VERSUS SPINAL ANAESTHESIA USING HYPERBARIC BUPIVACAINE IN LOWER ABDOMINAL AND LOWER LIMB SURGERIES
BACKGROUND Epidural Volume Extension technique (EVE) via a combined spinal epidural technique is the enhancement of small dose intrathecal block by epidural saline boluses. 1 Epidural volume extension of a small dose spi...
A COMPARISON BETWEEN INTRAVENOUS PARACETAMOL PLUS INTRAVENOUS FENTANYL AND INTRAVENOUS FENTANYL PLUS INTRAVENOUS KETOROLAC FOR POSTOPERATIVE ANALGESIA DURING LAPAROSCOPIC CHOLECYSTECTOMY
BACKGROUND Studies have suggested a large inter-individual variation in postoperative pain after laparoscopic cholecystectomy, emphasising the need for improved analgesic treatment and valid predictors. Our study compare...
ESTIMATION OF SERUM VITAMIN D LEVELS AT TERM PREGNANCY IN A TERTIARY CARE CENTRE IN EASTERN INDIA- A CROSS-SECTIONAL STUDY
Vitamin D3 deficiency is very common in pregnant women in India, despite India being a tropical country. Keeping in mind the large percentage of mothers affected by vitamin D3 deficiency, routine antenatal vitamin D3 est...
PRE-OPERATIVE PREPARATION OF A PATIENT WITH DISSEMINATED GIST
PRESENTATION OF CASE Here we present a 68-year-old female, who was diagnosed with GIST. Pre-operatively, the patient underwent a CT abdomen with contrast. This showed multiple deposits over the spleen. We prepared her fo...
SEROPREVALENCE OF HEPATITIS B VIRUS SURFACE ANTIGEN IN PREGNANT WOMEN ATTENDING ANC CLINIC IN A TERTIARY CARE HOSPITAL IN WEST BENGAL
BACKGROUND Hepatitis B virus infection is a major public health problem worldwide. Pregnant women are a vulnerable group with a risk of transmitting the virus to the newborn if the mother is infected resulting in the ris...