Management of salivary gland neoplasm – study of 32 cases

Authors

  • Md Abdullah Hel Kafi Associate Professor, Department of ENT - Head & Neck Surgery, Ibn Sina Medical College and Hospital
  • Md Arif Hossain Bhuyan Assistant Professor, Department of ENT - Head & Neck Surgery, Ibn Sina Medical College and Hospital
  • Md Jahangir Hossain Bhuiyan Assistant Professor, Department of Surgery, Ibn Sina Medical College and Hospital.
  • MS Khurshid Alam Professor and Head of the Department (Retd.) of ENT- Head & Neck Surgery, Armed Forces Medical College and Combined Military Hospital, Dhaka

DOI:

https://doi.org/10.3329/bjms.v9i2.5656

Keywords:

Salivary gland tumour, Pleomorphic adenoma, Warthin's tumour, Adenoid cystic carcinoma, Mucoepidermoid carcinoma.

Abstract

Objective: To study the clinical, radiological and histopathological characteristics along with the management outcome of salivary gland neoplasm. Materials and Methods: This study included thirty two patients (16 male and 16 female) with salivary gland tumours presented at Combined Military Hospital Dhaka, Apollo Hospital Dhaka and Ibn Sina Medical College and Hospital Dhaka from January 2006 to December 2009. The data of each patient included age, sex, presenting symptoms and signs, provisional diagnosis, preoperative investigations, operation notes, histopathological examination and state at follow up. Results: The mean age was 42.5 years. 14 (43.75%) patients presented at 5th decade. Main presenting symptom was swelling (100%) followed by pain (18.75%). All patients underwent fine needle aspiration cytology which was conclusive in 26 patients (81.25%). Thirty one patients underwent surgical excision. 24 cases were parotid neoplasm and 8 cases were submandibular neoplasm. 20 patients (16 parotid and 4 submandibular) were pleomorphic adenoma. Conclusion: There is no substitute for detailed clinical history and examination in the assessment of salivary gland neoplasm. Imaging studies are probably academic but determine the extent of the disease. Early diagnosis, adequate and proper treatment improves the prognosis.

Key words: Salivary gland tumour; Pleomorphic adenoma; Warthin's tumour; Adenoid cystic carcinoma; Mucoepidermoid carcinoma.

DOI: 10.3329/bjms.v9i2.5656

Bangladesh Journal of Medical Science Vol.09 No.2 Apr 2010 pp.87-94

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Published

2010-08-04

How to Cite

Kafi, M. A. H., Bhuyan, M. A. H., Bhuiyan, M. J. H., & Alam, M. K. (2010). Management of salivary gland neoplasm – study of 32 cases. Bangladesh Journal of Medical Science, 9(2), 87–94. https://doi.org/10.3329/bjms.v9i2.5656

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Original Articles