PATTERN OF SALIVARY GLAND TUMOURS IN A TERTIARY CARE HOSPITAL IN NORTH EASTERN INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 66
Abstract
BACKGROUND Though rare, salivary gland tumours represent 6% of all head and neck neoplasm. 1 These tumours got so much important because of their diverse array of clinical presentation, behaviour, histopathology, close proximity to major vessels and engulfment of facial nerve. OBJECTIVES To evaluate the pattern of various salivary gland tumours and their management pattern in a tertiary health care centre in North Eastern India. DESIGN Prospective Cohort Study. SETTING Dept. of Otorhinolaryngology (ENT), Silchar Medical College and Hospital, Assam. MATERIALS AND METHODS After ethical clearance all patients with salivary gland tumours, admitted to the Dept. of ENT from August 2013 to July 2014, were included in the study. A specially designed questionnaire was used to assess the presenting history, clinical presentation, size, consistency, pain, involvement to surrounding structures were noted. FNAC and sample for biopsy were taken and sent for Histopathological Examination. After surgery, the patients were observed for complication. Radiotherapy was given whenever needed. RESULTS Over a period of 1 year, a total of 40 cases with salivary gland tumours were studied. With age range from 11 years to 70 years, this study showed overall slight female preponderance (M:F=1:1.5). Parotid gland (87.5%) was found to be a commonest gland involved followed by submandibular gland (10.0%) and minor salivary gland (2.5%). Benign tumours were found to be 77.5% of cases and malignant lesions constituted 22.5% cases. Pleomorphic adenoma was the commonest benign neoplastic lesion (67.5%) and mucoepidermoid carcinoma was the commonest malignant tumour (20%). All patients (100%) with salivary gland tumour presented with swelling and superficial parotidectomy was the commonest (52.5%) procedure followed during treatment. CONCLUSION Parotid gland was found to be the principal site for salivary gland tumour and pleomorphic adenoma was found to be the most common tumour among the patients. Females were more affected both in the benign and malignant group
Authors and Affiliations
Linadri , Ananta Nath
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