CLINICO PATHOLOGICAL STUDY OF TUMOURS OF PAROTID GLAND IN TERTIARY CARE HOSPITAL , PENCHIKALAPADU, KURNOOL
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Published:2022-06-01
Issue:
Volume:
Page:1-3
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ISSN:
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Container-title:INDIAN JOURNAL OF APPLIED RESEARCH
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language:en
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Short-container-title:IJAR
Author:
Raja S. Munawar1, GuruRaj M.2, Kumar G. Lakshman3, Naik Krishna4
Affiliation:
1. Post Graduate, Department of General Surgery, Viswabarathi Medical college, Penchikalapadu, Kurnool. 2. Associate professor, Viswabarathi Medical college, Penchikalapadu, Kurnool. 3. Assistant professor, Viswabarathi Medical college, Penchikalapadu, Kurnool. 4. Professor and HOD, Department of General surgery, Viswabarathi Medical College, Penchikalapadu, , Kurnool
Abstract
purpose: The objective of the study was to study age and sex pattern in parotid gland tumors, and determine the accuracy
of ne needle aspiration cytology in diagnosing parotid gland tumors, and also analyze different modes of surgeries for
parotid gland tumors. Detailed study of thirty cases of parotid gland tumors admitted to viswabharathi medical college, penchikalapadu,Design:
Kurnool from January -2021 to January 2022, Out of 30 cases , 23 were benign tumors , 19, pleomporphic adenoma , 2 warthin's tumor,Results:
2 basal cell adenoma, while of 19 pleomorphic adenoma , male being 10 as compared to 9 female . The maximum of cases were seen in fourth and
sixth decade followed by third and then fth decade. Malignant tumors has male to female ratio of 4:3 with predominance of third and sixth
decade. All 23 cases of benign parotid tumors, i.e., 19 pleomorphic adenomas, 2 warthin's tumor and 2 basal cell adenomas were correctly
diagnosed by FNAC. Hence the accuracy of FNAC in diagnosing benign parotid tumors in this series was 100%. In malignant tumors, ve of
seven cases were correctly diagnosed by FNAC. The accuracy of FNAC in diagnosing malignant parotid tumors is 71.4 %. All pleomorphic
adenomas were offered supercial parotidectomy except one where a total parotidectomy with conservation of facial nerve was done due to
involvement of deep lobe. Of the other 4 benign tumors, all underwent supercial parotidectomy. In malignant tumors supercial parotidectomy
with irradiation was offered in 3 cases, total conservative parotidectomy with irradiation in 1 case , total radical parotidectomy was offered in 3
cases. parotid gland tumors, has a male preponderance in both benign and malignant tumors, with 10:9 and 4:3 respectively. TheConclusion:
accuracy of FNAC is 100% in benign tumors as compared to 71.4%. FNAC is a good tool in diagnosing benign parotid gland tumors, but should
be cautiously interpreted in malignant tumors.
Publisher
World Wide Journals
Reference9 articles.
1. Lorenz RR, Marion E Couch, Burkey BB Head and Neck – salivary gland neoplasms. In : Townsend CM, Beauchamp RD, Evers BM, Mattox KL Edts, Sabiston text book of surgery. The biological basis of modern surgical practice. 19 th edn, vol. 1. Saunders;2012:811:813. 2. Wein RO, Chandra RK, Weber RS. Disorders of the Head and Neck – Salivary gland tumors. In Briuncardi FC, Anderson DK, Billar TR, dunn DL, Hunter JG, Pollock RE edts, Schwartz’s principles of surgery 9th edn. McGraw Hill:2005:507:509. 3. Rice DH. Salivary gland diseases malignant salivary gland neoplasms. In: Rice DH, Eisele DW edts, The otolarynogologic clinics of North America. W.B. Saunders 1999:32(5):875-886. 4. Califano JC, Eisele DW.Benign salivary gland neoplasm. Otolaryngology Clinics of North America.1999, 35; 861-873. 5. Suen JY, Synderman NL. Salivary glands – Benign neoplasms of the salivary glands. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schullaer DE edts, otolaryngology – Head and neck surgery 2nd edn. Mosby 2:1029-1042.
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