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Tükürük Bezi Neoplazilerinde Klinik Tecrübemiz; 222 Olgunun Analizi

Year 2019, Volume: 4 Issue: 2, 57 - 63, 01.08.2019

Abstract

TÜRKÇE ÖZET:



Giriş: Tükürük bezi tümörleri(TBT) nadir görülen
kompleks histolojik yapıya sahip tümörlerdir. TBT baş-boyun bölgesinden gelişen
tüm tümörlerinin %3-5 kadarını oluşturur. Tükürük bezi tümörlerinin etiyolojisi
net olmamakla birlikte enfeksiyonlar, travma, sigara ve genetik faktörler
sorumlu tutulmaktadır.



Materyal-Metod: 2006-2018 yılları arasında
tükürük bezi kitlesi ile opere edilen 222 adet olgu incelenmiştir.



Bulgular: Çalışmamızda 222 olgunun 190(%85,5)
tanesi benign tükürük bezi tümörü ve 32 tanesi(14,4) malign tükürük bezi tümörü
olarak sınıflandırılmıştır. Benign tümörlerin %88,2’si parotis, %11,7’si
submandibular
bölge yerleşimlidir. Malign tükürük bezi tümörlerinin
%78,1 parotiste, %15,6’sı submandibular bezde, %3,1’i sublingual ve %3,1’i
submental lokasyonda yerleşimlidir.



Sonuç: Tükürük bezi tümörleri oldukça geniş bir
histolojik spektrumu kapsamakta ve tanı açısından güçlük yaratmaktadır. Benign
tümörlerde ayrıntılı histopatolojik değerlendirme malign transformasyon
açısından hayati olabilecektir. Ayrıca yalnızca baş-boyun bölgesinde ortaya
çıkan kitle lezyonlarda değil tüm vücutta primeri bilinmeyen tümörlerde de
karışık histopatolojik görüntü ve uzak organ metastazı yapma kapasiteleri
nedeniyle tükürük bezi tümörlerinin ayırıcı tanıda akılda tutulması önem
taşımaktadır.

References

  • 1. Bayram A, Kaya A, Doğan M, Yaşar M, Özcan İ, Mutlu C. A retrospectiv evaluation of parotidectomy cases in Health Sciences University Kayseri Training and Research Hospital. Journal of Anatolian Medical Research 2018; 3(2): 59-68.
  • 2. Ü. Gök, fi. Yalçın, İ. Kaygusuz, E. Kelefli, T. Çetinkaya, HC. Alpay . Tükürük Bezi Kitleleri: 112 Olgunun Analizi. Turk Arch ORL, 2001; 39(2): 104-108.
  • 3. Veyseller B, Aksoy F, Yıldırım YS. Parotis Cerrahisi Tecrübelerimiz: 128 Olgu Analizi. The Medical Bulletin of Haseki 2010; 48: 24-7.
  • 4. Atalay B, Bora F, Ceylan S, Yücel Z, Oltulu E, Şekercan Ö. Tükürük bezi kitlelerinde histopatolojik çeşitlilik: 158 Olgunun Analizi. S.D.Ü Tıp Fak. Derg. 2011: 18(3)/82-85.
  • 5. Kanaujia SK, Singh A, Nautiyal S, Ashutosh K. Basal Cell Adenoma of Parotid Gland: Case Report and Review of Literature. Indian J Otolaryngol Head Neck Surg (Oct–Dec 2015) 67(4):430–433. DOI: 10.1007/s12070-015-0865-0
  • 6. Chen B, Hentzelman JI, Walker RJ, Lai JP. Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on Clinicopathology. Case Reports in Otolaryngology. Vol 2016, Article ID 8719030, 6 pages, 2016. DOI:10.1155/2016/8719030
  • 7. Aslan G, Cinar F, Cabuk FK. Schwannoma of the submandibular gland: a case report. J Med Case Rep. 2014; 8: 231.
  • 8. Weitzel M, Cohn JE, Spector H. Myoepithelioma of the Parotid Gland: A Case Report with Review of the Literature and Classic Histopathology. Case Reports in Otolaryngology Vol 2017, Article ID 6036179, 4 pages, 2017. DOI:10.1155/2017/6036179
  • 9. Manvikar V, Ramulu S, Ravishanker ST, Chakravarthy C. Squamous cell carcinoma of submandibular salivary gland: A rare case report. J Oral Maxillofac Pathol. 2014 May-Aug; 18(2): 299–302. DOI:10.4103/0973-029X.140909
  • 10. Godge P, Sharma S, Yadav M. Adenoid cystic carcinoma of the parotid gland. Contemp Clin Dent. 2012 Apr-Jun; 3(2): 223–226. DOI: 10.4103/0976-237X.96838
  • 11. Ouyang, Dai-qiao; Liang, Li-zhong; Zheng, Guang-sen; Ke, Zun-fu; Weng, De-sheng; Yang, Wei-fa,e; Su, Yu-xiong, Liao, Gui-qing. Risk factors and prognosis for salivary gland adenoid cystic carcinoma in southern china: A 25-year retrospective study.. Medicine: February 2017 - Volume 96 - Issue 5 - p 59-64. DOI: 10.1097/MD.0000000000005964
  • 12. Boahene DKO, Olsen KD, Lewis JE et al. Mucoepidermoid Carcinoma of the Parotid Gland. The Mayo Clinic Experience. Arch Otolaryngol Head Neck Surg. 2004;130(7):849-856
  • 13. Guevara-Canales JO, Morales-Vadillo R, Guzmán-Arias G. Cava-Vergiú CE, Guerra-Miller H, Montes-Gil JE. Mucoepidermoid carcinoma of the salivary glands. A retrospective study of 51 cases and review of the literatura. Acta odontol. latinoam 2016 Dec;29(3):230-238.
  • 14. Al-Zaher N, Obeid A, Al-Salam S, Al-Kayyali BS. Acinic cell carcinoma of the salivary glands: A literature review. Hematol Oncol Stem Cel Ther 2009; 2(1): 259−264.
  • 15. Kim SA; Mathog RH. Acinic cell carcinoma of the parotid gland: A 15-year review limited to a single surgeon at a single institution. ENT-Ear, Nose & Throat Journal 84(9):597-602.
  • 16. Zhao W, Deng N, Gao X, Chen TB, Xie J, Li Q, Li ZL. Primary lymphoepithelioma-like carcinoma of salivary glands: a clinicopathological study of 21 cases. Int J Clin Exp Pathol. 2014; 7(11): 7951–7956.
  • 17. Sen R, Srivastava D, Agarwal M, Yadav H, Bhargava S, Jahan A. Primary salivary gland lymphomas:A case series. Clin Cancer Investig J 2016;5:11-4. 18. Chatura KR. Polymorphous low grade adenocarcinoma. J Oral Maxillofac Pathol. 2015 Jan-Apr; 19(1): 77–82.
  • 19. Khalesi S. A Review of Carcinoma ex Pleomorphic Adenoma of the Salivary Glands. World Journal of Pathology Volume No 8.
  • 20. Antony J, Gopalan V, Smith RA, Lam AKY. Carcinoma ex Pleomorphic Adenoma: A Comprehensive Review of Clinical, Pathological and Molecular Data. Head and Neck Pathol (2012) 6:1–9.
  • 21. Gogate BP, Anand M, Deshmukh SD, Purandare SN. Malignant peripheral nerve sheath tumor of facial nerve: Presenting as parotid mass. J Oral Maxillofac Pathol. 2013 Jan-Apr; 17(1): 129–131.
  • 22. Guraya S, Prayson R. Peripheral Nerve Sheath Tumors Arising in Salivary Glands: A Clinicopathologic Study. American Journal of Clinical Pathology, Volume 146, September 2016, 46.
  • 23. Feng D, Fidele NB, Agustin MM, Jian G, Bourleyi SI, Augustin L, Olivier NK. Carcinosarcoma of parotid gland (malignant mixed tumor). Ann Maxillofac Surg. 2015 Jul-Dec; 5(2): 240–243.
  • 24. Keh SM, Tait A, Ahsan F. Primary carcinosarcoma of the parotid gland. Clin Pract. 2011 Sep 28; 1(4): e117.
  • 25. Jung MJ, Roh JL, Choi SH, Nam SY, Ki SY, Lee SW, Cho KJ. Basal cell adenocarcinoma of the salivary gland: a morphological and immunohistochemical comparison with basal cell adenoma with and without capsular invasion. Diagnostic Pathology 2013, 8:171.
  • 26. Mlika M, Kourda N, Zidi YSH, Aloui R, Zneidi N, Rammeh S, Zermani R, Jilani SB. Salivary duct carcinoma of the parotid gland. J Oral Maxillofac Pathol. 2012 Jan-Apr; 16(1): 134–136.
  • 27. Gilbert MR, Sharma A, Schmitt NC, Johnson JT, Ferris RL, Duvvuri U, Kim S. A 20-Year Review of 75 Cases of Salivary Duct Carcinoma. JAMA Otolaryngol Head Neck Surg. 2016 May 1; 142(5): 489–495. DOI: 10.1001/jamaoto.2015.3930
Year 2019, Volume: 4 Issue: 2, 57 - 63, 01.08.2019

Abstract

References

  • 1. Bayram A, Kaya A, Doğan M, Yaşar M, Özcan İ, Mutlu C. A retrospectiv evaluation of parotidectomy cases in Health Sciences University Kayseri Training and Research Hospital. Journal of Anatolian Medical Research 2018; 3(2): 59-68.
  • 2. Ü. Gök, fi. Yalçın, İ. Kaygusuz, E. Kelefli, T. Çetinkaya, HC. Alpay . Tükürük Bezi Kitleleri: 112 Olgunun Analizi. Turk Arch ORL, 2001; 39(2): 104-108.
  • 3. Veyseller B, Aksoy F, Yıldırım YS. Parotis Cerrahisi Tecrübelerimiz: 128 Olgu Analizi. The Medical Bulletin of Haseki 2010; 48: 24-7.
  • 4. Atalay B, Bora F, Ceylan S, Yücel Z, Oltulu E, Şekercan Ö. Tükürük bezi kitlelerinde histopatolojik çeşitlilik: 158 Olgunun Analizi. S.D.Ü Tıp Fak. Derg. 2011: 18(3)/82-85.
  • 5. Kanaujia SK, Singh A, Nautiyal S, Ashutosh K. Basal Cell Adenoma of Parotid Gland: Case Report and Review of Literature. Indian J Otolaryngol Head Neck Surg (Oct–Dec 2015) 67(4):430–433. DOI: 10.1007/s12070-015-0865-0
  • 6. Chen B, Hentzelman JI, Walker RJ, Lai JP. Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on Clinicopathology. Case Reports in Otolaryngology. Vol 2016, Article ID 8719030, 6 pages, 2016. DOI:10.1155/2016/8719030
  • 7. Aslan G, Cinar F, Cabuk FK. Schwannoma of the submandibular gland: a case report. J Med Case Rep. 2014; 8: 231.
  • 8. Weitzel M, Cohn JE, Spector H. Myoepithelioma of the Parotid Gland: A Case Report with Review of the Literature and Classic Histopathology. Case Reports in Otolaryngology Vol 2017, Article ID 6036179, 4 pages, 2017. DOI:10.1155/2017/6036179
  • 9. Manvikar V, Ramulu S, Ravishanker ST, Chakravarthy C. Squamous cell carcinoma of submandibular salivary gland: A rare case report. J Oral Maxillofac Pathol. 2014 May-Aug; 18(2): 299–302. DOI:10.4103/0973-029X.140909
  • 10. Godge P, Sharma S, Yadav M. Adenoid cystic carcinoma of the parotid gland. Contemp Clin Dent. 2012 Apr-Jun; 3(2): 223–226. DOI: 10.4103/0976-237X.96838
  • 11. Ouyang, Dai-qiao; Liang, Li-zhong; Zheng, Guang-sen; Ke, Zun-fu; Weng, De-sheng; Yang, Wei-fa,e; Su, Yu-xiong, Liao, Gui-qing. Risk factors and prognosis for salivary gland adenoid cystic carcinoma in southern china: A 25-year retrospective study.. Medicine: February 2017 - Volume 96 - Issue 5 - p 59-64. DOI: 10.1097/MD.0000000000005964
  • 12. Boahene DKO, Olsen KD, Lewis JE et al. Mucoepidermoid Carcinoma of the Parotid Gland. The Mayo Clinic Experience. Arch Otolaryngol Head Neck Surg. 2004;130(7):849-856
  • 13. Guevara-Canales JO, Morales-Vadillo R, Guzmán-Arias G. Cava-Vergiú CE, Guerra-Miller H, Montes-Gil JE. Mucoepidermoid carcinoma of the salivary glands. A retrospective study of 51 cases and review of the literatura. Acta odontol. latinoam 2016 Dec;29(3):230-238.
  • 14. Al-Zaher N, Obeid A, Al-Salam S, Al-Kayyali BS. Acinic cell carcinoma of the salivary glands: A literature review. Hematol Oncol Stem Cel Ther 2009; 2(1): 259−264.
  • 15. Kim SA; Mathog RH. Acinic cell carcinoma of the parotid gland: A 15-year review limited to a single surgeon at a single institution. ENT-Ear, Nose & Throat Journal 84(9):597-602.
  • 16. Zhao W, Deng N, Gao X, Chen TB, Xie J, Li Q, Li ZL. Primary lymphoepithelioma-like carcinoma of salivary glands: a clinicopathological study of 21 cases. Int J Clin Exp Pathol. 2014; 7(11): 7951–7956.
  • 17. Sen R, Srivastava D, Agarwal M, Yadav H, Bhargava S, Jahan A. Primary salivary gland lymphomas:A case series. Clin Cancer Investig J 2016;5:11-4. 18. Chatura KR. Polymorphous low grade adenocarcinoma. J Oral Maxillofac Pathol. 2015 Jan-Apr; 19(1): 77–82.
  • 19. Khalesi S. A Review of Carcinoma ex Pleomorphic Adenoma of the Salivary Glands. World Journal of Pathology Volume No 8.
  • 20. Antony J, Gopalan V, Smith RA, Lam AKY. Carcinoma ex Pleomorphic Adenoma: A Comprehensive Review of Clinical, Pathological and Molecular Data. Head and Neck Pathol (2012) 6:1–9.
  • 21. Gogate BP, Anand M, Deshmukh SD, Purandare SN. Malignant peripheral nerve sheath tumor of facial nerve: Presenting as parotid mass. J Oral Maxillofac Pathol. 2013 Jan-Apr; 17(1): 129–131.
  • 22. Guraya S, Prayson R. Peripheral Nerve Sheath Tumors Arising in Salivary Glands: A Clinicopathologic Study. American Journal of Clinical Pathology, Volume 146, September 2016, 46.
  • 23. Feng D, Fidele NB, Agustin MM, Jian G, Bourleyi SI, Augustin L, Olivier NK. Carcinosarcoma of parotid gland (malignant mixed tumor). Ann Maxillofac Surg. 2015 Jul-Dec; 5(2): 240–243.
  • 24. Keh SM, Tait A, Ahsan F. Primary carcinosarcoma of the parotid gland. Clin Pract. 2011 Sep 28; 1(4): e117.
  • 25. Jung MJ, Roh JL, Choi SH, Nam SY, Ki SY, Lee SW, Cho KJ. Basal cell adenocarcinoma of the salivary gland: a morphological and immunohistochemical comparison with basal cell adenoma with and without capsular invasion. Diagnostic Pathology 2013, 8:171.
  • 26. Mlika M, Kourda N, Zidi YSH, Aloui R, Zneidi N, Rammeh S, Zermani R, Jilani SB. Salivary duct carcinoma of the parotid gland. J Oral Maxillofac Pathol. 2012 Jan-Apr; 16(1): 134–136.
  • 27. Gilbert MR, Sharma A, Schmitt NC, Johnson JT, Ferris RL, Duvvuri U, Kim S. A 20-Year Review of 75 Cases of Salivary Duct Carcinoma. JAMA Otolaryngol Head Neck Surg. 2016 May 1; 142(5): 489–495. DOI: 10.1001/jamaoto.2015.3930
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Makale
Authors

Hacı Mehmet İnan This is me 0000-0001-6857-4746

Merve Meryem Kıran 0000-0003-2498-0472

Ahmet Kutluhan 0000-0002-9255-8022

Serkan Şerifler This is me 0000-0003-0771-7373

Publication Date August 1, 2019
Acceptance Date August 1, 2019
Published in Issue Year 2019 Volume: 4 Issue: 2

Cite

Vancouver İnan HM, Kıran MM, Kutluhan A, Şerifler S. Tükürük Bezi Neoplazilerinde Klinik Tecrübemiz; 222 Olgunun Analizi. JAMER. 2019;4(2):57-63.