CLINICOPATHOLOGICAL AUDIT OF SUBMANDIBULAR GLAND SURGERY

Abstract

Aim:- Aim of this study is to evaluate clinical profile and histopathological findings in patient undergoing submandibular gland excision (due to sialadenitis and primary tumors of submandibular gland benign or malignant). Method:-we carried out retrospective analysis of submandibular gland excisions performed in our hospital over five year period and analysed clinical data and postoperative histopathological findings of excised glands. Results:- In 43 cases of submandibular gland excision main presenting symptom was swelling of submandibular gland (100%). Patients presented with pain 26 (60%), swelling 43 (100%), recurrent swelling 30 (70%), persistent swelling 13 (30%). On palpation, firm consistency was seen in 42 cases (97.67%) and hard consistency in 1 case (2.3%). Swelling was tender in 20 Cases (46.5%) and non tender in 23 cases (53.4%). Most frequent indication of submandibular gland excision was sialadenitis with sialolithiasis (37 patients, 86%). Neoplastic pathology was present in 6 patients (14%). Benign pathology (4 patients, 9.3%) was more common than malignancy (2 patients, 4.7%). Most common benign tumour was pleomorphic adenoma of submandibular gland. Among the malignant tumour 2 cases were identified in histopathogy, one of adenoid cystic carcinoma and 1 of acinic cell carcinoma of submandibular gland. Overall benign/malignant ratio was 2:1.Conclusion:- Inflammatory submandibular gland swelling are mainly enlarged and tender while neolastic swellings are non tender. The most common pathology of the patients undergoing submandibular gland excision was chronic sialadenitis followed by neoplastic Pathology. In neoplastic pathologies benign tumors were more common than malignancy