Clinicopathologic investigation of parotid gland masses: Retrospective analysis of 121 cases Parotis bezi kitlelerinin klinikopatolojik incelenmesi: 121 olgunun retrospektif analizi
Medeniyet Medical Journal, cilt.31, sa.3, ss.168-173, 2016 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 3
- Basım Tarihi: 2016
- Doi Numarası: 10.5222/mmj.2016.168
- Dergi Adı: Medeniyet Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.168-173
- Anahtar Kelimeler: Fine needle aspiration biopsy, Parotid masses, Parotidectomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The aim of this study is to retrospectively analyze the data of the patients who underwent parotidectomy in our clinic, review the characteristics of parotid gland masses in the light of the literature and compare the preoperative fine needle aspiration biopsy (FNAB) results with postoperative histopathologic results. The medical files of 71 male and 50 (total n=121) female patients who underwent parotidectomy in our clinic between January 2008 and August 2015 were examined. Ages, gender, the surgical procedures, preoperative FNAB, and postoperative histopathologic results of all the patients were recorded. According to definitive postoperative histopathologic results 101 (%85.8) patients had benign and 20 (%16.2) patients had malignant parotid masses. The most common benign parotid gland masses were pleomorphic adenomas in 53 and Whartin tumors in 33 patients. Based on postoperative histopathology results the most frequent malignant tumor was squamous cell carcinoma which was encountered in 6 patients. We performed 106 superficial, 12 total and 3 radical parotidectomies in 121 patients with parotid masses. We did not observe recurrent tumors during follow-ups. Preoperative FNAB results had a diagnostic 80% sensitivity our study. Physical examination, USG, MR imaging and FNAB are important procedures in the preoperative evaluation of parotid gland masses. FNAB results are quite reliable as a guiding tool for the surgical procedures to be selected. Together with IFNB Superficial parotidectomy still maintains its distinguished place among the therapeutical armamentorium for benign tumors of the parotid gland. For malignant tumors total parotidectomy must be performed as far as possible. Neck dissection must be peformed for patients with nodal metastasis. Elective neck dissection for N0 patients is still a challenging subject because of various types ofparotid tumors, and lack of adequate number of case series in each group.