A STUDY ON SALIVARY GLAND TUMOURS

Dr G Konda Reddy, Dr Meghamsha GSL, Dr Pavani peddi

Abstract


Salivary gland neoplasms represent the most complex and diverse group of tumours encountered by the head and neck surgeons, their diagnosis and management are complicated by their relative infrequency, the limited amount of pre-treatment information available and wide range of biological behaviour seen. Salivary gland neoplasms are rare, constitute of 3-4% of head and neck tumours. The aim of the study was to determine the incidence and management of patients with salivary gland tumours. To know the incidence of major salivary gland tumors with respect to age, sex predilection, site distribution and their clinical modes of presentation. In this Two-year study, a series of 30 cases of salivary gland tumors, which were admitted to Government General Hospital, Kurnool  during the period November 2016 to November 2018 were profiled for the study and patients were followed up postoperatively for a minimum period of 6 months, Most of the patients in this series (53.33%) were in the age group of 20-40 years, Male: Female ratio is 1:1.72. The parotid gland is the most common site accounting for 90% of all cases, followed by submandibular gland accounting for 10% of all salivary gland tumors. Superficial parotidectomy was the most commonly performed surgical procedure in 83.34% of cases. 6 patients developed facial palsy. Out of these, all were temporary and transient facial nerve weakness. In adults, the diagnosis of salivary neoplasm must be considered in any patient who presents with a salivary gland swelling. Salivary gland swellings most commonly occur in 20 – 40 years age group. Salivary gland tumors have a slight female preponderance. Most of the salivary gland tumors arise in the parotid gland. Most of them are benign, and most of the benign tumors are pleomorphic adenoma. MEC is the commonest malignant salivary gland tumor.

Keywords


Superficial parotidectomy, submandibular, muco epidermoid cancer.

Full Text:

PDF

References


Jefrey S Moyer, Theodoros N Teknos. Head and neck, salivary gland neoplasms. 4th ed. Chapter 42. In: Greenfield Surgery Textbook of Scientific Principles of Practice, Michael W Mulholland, Keith D Lillemoe, Gerard M Doherty, Ronald V Maier, Gilbert R Upehnich Jr, eds. Philadelphia: Lippincott Williams and Wilkins; 2006. pp. 647-55.

Khalid M, Durrani MB. Malignant mixed tumours of the submaxillary gland. Journal of Plastic and Reconstrictive Surgery 1964 Mar;33(3):237-46.

.Mark W Lingen. Head and neck, salivary gland neoplasms. 8thed. Chapter 16. In: Robbin’s and Cotran, the Pathologic basis of disease, Kumar, Abbas, Fauslo, Aster, eds. Philadelphia: Elsevier Publications; 2010. pp. 756-61.

4.Rashmi Koul, ArbindDubey, Aziz Binahmed, James Butter, Andrew Cooke, Ahmed Abdoh, et al. Prognostic factors depicting overall survival in lesser major submandibular, sublingual glands. Turkish Journal of Cancer 2008;38(4):159-66.

Neil Bhattacharya, Marvin P Fried. Determinants of survival in parotid gland carcinoma: A population based study. American Journal of Otolaryngology, Head and Neck Surgery 2005 Jan;26(1):39-44.

Ramsaroop L, Singh B, Allopi L, et al. 7. The surgical anatomy of the parotidfascia. SurgRadiolAnat2006; 28: 33–37

Richards AT, Digges N, Norton NS, et al. Surgical anatomy of the parotid duct with emphasis on the major tributaries form- 8. ing the duct and the relationship of the facial nerve to the duct. ClinAnat2004; 17(6): 463–67.

Stringer MD, Mirjalili SA, Meredith SJ, Muirhead JC. Redefining the surface anatomy of the parotid duct: an in vivo ultrasound study. PlastReconstrSurg2012; 130(5): 1032–37.

McCormack LJ, Cauldwell EW, Anson BJ. The surgical anatomy of the facial nerve with special reference to the parotid gland. SurgGynecolObstet1945; 80: 620–30.

Davis RA, Anson BJ, Budinger JM, Kurth RE. Surgical anatomy of the facial nerve and parotid gland based upon a study of 350 cervicofacial halves. SurgGynecolObstet1956; 102: 385–412.

Katz AD, Catalano P. The clinical signifi- cance of the various anastomotic branches of the facial nerve. Arch Otolaryngol1987; 113: 959–62.

Kwak HH, Park HD, Youn KH, et al. Branching patterns of the facial nerve and its communication with the auriculo- temporal nerve. SurgRadiolAnat2004; 26(6): 494–500.

Cox G. Salivary gland anatomy. 5. In: Gleeson MJ, Clarke RC (eds). Scott-Brown’s otorhinolaryngology, head and neck surgery. 7th ed. Boca Raton, FL: CRC Press; 2008, vol. 2, pp. 1852–57.

Zenk J, Hosemann WG, Iro H. Diameters of the main excretory ducts of the adult human submandibular and parotid gland: a histologic study. Oral Surg Oral Med Oral Pathol Oral RadiolEndod1998; 85(5): 576–80.

Horsburgh A, Massoud TF. The salivary ducts of Wharton and Stenson: analysis of normal variant sialographicmorphometry and a historical review. Ann Anat2012; 195(3): 238–42.

Isenman L, Liebow C, Rothman S. The endocrine secretion of mammalian digestive enzymes. Am J Physiol1999; 842: 156–62

Kontis TC, Johns ME. Anatomy and physiol- ogy of the salivary glands. In: Bailey BJ (ed). Head & neck surgery – otolaryngology. 2nd ed. Philadelphia: Lippincott-Raven Publishers; 1998, pp. 531–39.

Soderqvist F, Carlberg M, Hardell L. Use of wireless phones and the risk of salivary gland tumours: a case-control study. Eur J Cancer Prev2012; 21(6): 576–9.

Skalova A, Kaspirkova J, Andrle P, et al. Human papillomaviruses are not involved in the etiopathogenesis of salivary gland tumors. CeskPatol2013; 49(2): 72–5.

Hafed L, Farag H, Shaker O, El-Rouby D. Is human papilloma virus associated with salivary gland neoplasms? An in situ- hybridization study. Arch Oral Biol2012; 57(9): 1194–9.

Radiologists TRco. Recommendations for cross-sectional imaging in cancer management. 2nd ed. revised and updated. The Royal College of Radiologists, 2017. Available from: www.rcr.ac.uk/publication/ recommendations-cross-sectional-imaging- cancer-management-second-edition.

Stewart CJ, MacKenzie K, McGarry GW, Mowat A. Fine-needle aspiration cytology of salivary gland: a review of 341 cases. DiagnCytopathol2000; 22(3): 139–46.

Al-Khafaji BM, Nestok BR, Katz RL. Fine-needle aspiration of 154 parotid masses with histologic correlation: ten-year experience at the University of Texas M. D. Anderson Cancer Center. Cancer 1998; 84(3): 153–9


Refbacks

  • There are currently no refbacks.