Salivary gland masses: analysis of 158 cases

Öz

Objective : To evaluate histopathological results with retrospective analysis of patients who came to our clinic with a salivary gland pathology. Material and methods: 158 patients (96 men, 62 women; mean age: 44.3; distribution 18-77) with parotid, submandibular and sublingual salivary gland pathology compliants (mass,pain) who came to our clinic between January 2000 and June 2009 had been included in this study. Data of salivary glands in which mass located and results of postoperative histopathological examinations were assessed. Results: 130 patients (82%) were operated because of parotid pathology , 26 of them(16%) because of submandibular gland pathology and 2 of them(1%) because of sublingual pathology.Histopathological results were 14(8,9%) malignant, 123(77.8%) benign and 21(13.3%) nonneoplastic. Of those who had been operated because of a parotid gland pathology 115(88.5%) were benign, 12(9.1%) malignant and 3(2.2%) nonneoplastic. Our submandibular gland results were 7(26.9%) benign, 18(69.2%) nonneoplastic and 1(3.9%) malignant. One of two cases who had been operated because of sublingual gland pathology was malignant and the other one was benign. Conclusion: Because of histopathological diversity; provisional diagnosis of salivary gland mass is important. Radiological techniques such as ultrasonography, computerized tomography and magnetic resonance and fine needle aspiration biopsi help us seperation of benign and malign histopathology. After diagnosing the salivary gland mass, the most appropriate surgical technique should be applied to the patient. 

Anahtar Kelimeler

• Salivary glands
• mass
• histopathology

TÜKÜRÜK BEZİ KİTLELERİNDE HİSTOPATOLOJİK ÇEŞİTLİLİK:158 OLGUNUN ANALİZİ

Öz

Amaç: Tükürük bezi patolojisi nedeniyle kliniğimize başvuran hastaları retrospektif olarak inceleyerek; histopatolojik sonuçlarını değerlendirmek. Hastalar ve yöntemler: Ocak 2000 ile Haziran 2009 tarihleri arasında parotis, submandibuler ve sublingual tükürük bezi patolojisi (şişlik, ağrı) şikayetleri ile kliniğimize başvuran 158 hasta (96 erkek, 62 kadın; ortalama yaş 44.3 ; dağılım 18-77) çalışmaya dahil edildi.Kitlelerin yerleştiği tükürük bezi ve postoperatif histopatolojik sonucları değerlendirildi.. Bulgular: Olgularımızın 130'u (% 82) parotis, 26'sı (% 16) submandibuler ve 2'si (% 1) sublingual tükürük bezi patolojisi nedeniyle opere edildi. Ameliyat sonrası vakalarımızın histopatolojik sonuçları toplamda 14'ü (% 8.8) habis , 123'ü (% 77.8) selim ve 21'i(% 13.3) ise nonneoplastikti. Bunlardan parotis bezi patolojisi ile opere olan hastaların 116'sı (% 88.5) selim, 12'si (% 9.1) malign, 3'ü (% 2.2) nonneoplastik karakterdeydi. Submandibuler bezde olgularımız arasında 7 (% 26.9 ) selim, 18 (% 69.2) nonneoplastik histopatolojik sonuç var iken ; 1(% 3.9) vakada malign patoloji mevcuttu. Sublingual bez patoloji nedeniyle opere edilen 2 olgumuzun 1'i selim 1'i habisti. Sonuç: Histopatolojik olarak tükürük bezi tümörlerinin çeşitliliği, varyasyonları ve preoperatif tanı zorluğu, tükürük bezinde kitle ile gelen hastalara uygulanabilecek standart bir cerrahi protokolünü zorlaştırmaktadır.

Anahtar Kelimeler

• Tükrük bezleri
• kitle
• histopatoloji

Kaynakça

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