ISSN: 1300 - 6525 E-ISSN: 2149 - 0880
kulak burun boğaz
ve baş boyun cerrahisi dergisi
http://dergi.kbb-bbc.org.tr
Kayıtlı İndeksler








ORIGINAL RESEARCH

Clinical And Pathological Evaluation Of Parotid Gland Tumors
Parotis Bezi Tümörlerinin Klinik ve Patolojik Olarak Değerlendirilmesi
Received Date : 23 Oct 2018
Accepted Date : 15 Jan 2019
Doi: 10.24179/kbbbbc.2018-63431 - Makale Dili: TR
KBB ve BBC Dergisi 2019;27(1):1-8
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: The aim of this study was to review the findings, commplaints, pre operative evaluations, surgical treatments, pathological diagnosis and complications of the patients who underwent parotidectomy for primary parotid tumor in the department of otorhinolaryngology at Karadeniz Technical University Medical Faculty. Material and Methods: A total of 306 patients who underwent parotidectomy in our clinic between 2006-2016 were identified. Age, gender, clinical signs and symptoms, fine needle aspiration biopsy findings, preoperative imaging methods, surgery, histopathological findings, complications were evaluated. Results: Between 2006-2016, 253 patients underwent parotidectomy for primary parotid tumor. 140 patients were male and 113 were female. The postoperative histopathological results of the patients included benign tumors in 203 patients and malignant tumors in 50 patients. Conclusion: In the evaluation of parotid masses, patient complaints and clinical findings are important. In benign parotid tumors, superficial parotidectomy is an adequate and effective surgical procedure and the complication rate is very low when administered carefully. Today, however, more limited surgeries are discussed in parotid gland tumors. Superficial, total or radical parotidectomy should be performed in malignant tumors and neck dissection and/or postoperative radiotherapy should be added if necessary.
ÖZET
Amaç: 2006-2016 yılları arasında, Karadeniz Teknik Üniversitesi Tıp Fakültesi KBB Hastalıkları Ana Bilim Dalında primer parotis tümörü nedeni ile parotidektomi yapılan hastaların bulgularının retrospektif olarak incelenerek, hastaların kliniğimize başvuru şikâyetlerinin, kliniğimizde preoperatif değerlendirme sonuçlarının, hastalara uygulanan cerrahi işlemlerin, karşılaşılan patolojilerin insidansının ve cerrahi komplikasyonların incelenmesidir. Gereç ve Yöntemler: 2006-2016 yılları arasında kliniğimizde parotidektomi yapılan 306 hasta belirlendi. Hastaların her biri yaş, cinsiyet, klinik bulgular ve semptomlar, ince iğne aspirasyon biyopsisi bulguları, preoperatif görüntüleme yöntemleri, uygulanan cerrahi, histopatolojik bulguları, ortaya çıkan komplikasyonlar yönünden değerlendirildi. Bulgular: 2006-2016 yılları arasında primer parotis tümörü nedeni ile 253 hastaya parotidektomi yapılmıştır. Hastaların 140’ı erkek ve 113’ü kadın idi. Hastalarımızın postoperatif histopatolojik sonuçlarında 203 hastada benign tümör ve 50 hastada malign tümör gözlendi. Sonuç: Parotis kitlelerinin değerlendirilmesinde hasta şikâyetleri ve klinik bulgular önemlidir. Benign parotis tümörlerinde süperfisyel parotidektomi yeterli ve etkili bir cerrahidir ve dikkatli uygulandığında komplikasyon oranı oldukça düşüktür. Ancak, günümüzde parotis benign tümörlerinde daha kısıtlı cerrahiler tartışılmaktadır. Malign tümörlerde ise süperfisyal, total veya radikal parotidektomi uygulanmalı, gerektiğinde boyun diseksiyonu ve/veya postoperatif radyoterapi tedaviye eklenmelidir.
KAYNAKLAR
  1. Demireller A, Saatci MR, Vural E, Cuhruk C. [Our clinical observations ond principles of treatment in malignant tumors of the parotis gland]. Turk Otolarengoloji Arsivi. 1995;33(4): 212-22.
  2. Spiro IJ, Wang CC, Montgomery WW. Carcinoma of the parotid gland. Analysis of treatment results and patterns of failure after combined surgery and radiation therapy. Cancer. 1993;71(9):2699-705. [Crossref] 
  3. Kane WJ, McCaffrey TV, Olsen KD, Lewis JE. Primary parotid malignancies. A clinical and pathologic review. Arch Otolaryngol Head Neck Surg. 1991;117(3):307-15. [Crossref]  [PubMed] 
  4. Koc C. Tukruk Bezi Hastaliklari. Kulak Burun Bogaz Hastaliklari ve Bas-Boyun Cerrahisi. 1. Baski. Yilmaz O. Ankara: Gunes Kitapevi; 2004. p.909-26.
  5. Veyseller B, Aksoy F, Yildirim YS. [Our experience in parotid gland surgery: analysis of 128 cases]. Haseki Tip Bulteni. 2010;48:24- 7.
  6. Frable MA, Frable WJ. Fine-needle aspiration biopsy of salivary glands. Laryngoscope. 1991;101(3):245-9. [Crossref] 
  7. Lima RA, Tavares MR, Dias FL, Kligerman J, Nascimento MF, Barbosa MM, et al. Clinical prognostic factors in malignant parotid gland tumours. Otolaryngol Head Neck Surg. 2005;133(5):702-8. [Crossref]  [PubMed] 
  8. Yilmaz T, Unal OF. [Parotid gland tumors: experience with 593 cases]. KBB ve Bas Boyun Cerrahisi Dergisi. 2000;8(1):33-9.
  9. Spiro RH, Huvos AG, Strong EW. Cancer of the parotid gland. A clinicopathologic study of 288 primary cases. Am J Surg. 1975;130(4): 452-9. [Crossref] 
  10. Upton DC, McNamar JP, Connor NP, Harari PM, Hartig GK. Parotidectomy: ten-year review of 237 cases at a single institution. Otolaryngol Head Neck Surg. 2007;136(5): 788-92. [Crossref]  [PubMed] 
  11. Pinkston JA, Cole P. Incidence rates of salivary gland tumours: results from a populationbased study. Otolaryngol Head Neck Surg. 1999;120(6):834-40. [Crossref] 
  12. Alvi A, Myers EN, Carrau RL. Malignant tumors of the salivary glands. In: Myers, Suen, eds. Cancer of the Head and Neck. 3rd ed. Philadelphia: WB Saunders; 1996. p.964.
  13. Kelley DJ, Spiro RH. Management of the neck in parotid carcinoma. Am J Surg. 1996;172(6): 695-7. [Crossref] 
  14. Lee YY, Wong KT, King AD, Ahuja AT. Imaging of salivary gland tumours. Eur J Radiol. 2008;66(3):419-36. [Crossref]  [PubMed] 
  15. Lunna MA. Pathology of tumors of the salivary glands. In: Thawley SE, Panje WR, Batsakis JG, Lindberg RD, eds. Comprehensive Management of Head and Neck Tumors. 2nd ed. Philadelphia: WB. Sanders Company; 1999. p.1106-46.
  16. Schmidt RL, Hall BJ, Wilson AR, Layfield LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. Am J Clin Pathol. 2011;136(1):45-59. [Crossref]  [PubMed] 
  17. Lin AC, Bhattacharyya N. The utility of fine needle aspiration in parotid malignancy. Otolaryngol Head Neck Surg. 2007;136(5):793- 8. [Crossref]  [PubMed] 
  18. Kawata R, Lee K, Yoshimura K, Nishimawa S, Araki M. [Review of 300 cases of parotidectomy for benign parotid tumors]. Nihon Jibiinkoka Gakkai Kaiho. 2012;115(6): 618-24. [Crossref]  [PubMed] 
  19. Bilici S Akpinar ME, Yigit O, Donmez Z. The clinical management of the parotid masses: a five year study. Istanbul Med J. 2012;13(3): 125-32. [Crossref] 
  20. Zbaren P, Schar C, Hotz MA, Loosli H. Value of fine-needle aspiration cytology in parotid gland masses. Laryngoscope. 2001;111(11 Pt 1):1989-92. [Crossref] 
  21. Wong DS, Li GK. The role of fine-needle aspiration cytology in the management of parotid tumors: a critical clinical appraisal. Head Neck. 2000;22(5):469-75. [Crossref] 
  22. Laccourreye H, Laccourreye O, Cauchois R, Jouffre V, Menard M, Brasnu D. Total conservative parotidectomy for primary benign pleomorphic adenoma of the parotid gland: a 25 year experience whit 229 patients. Larygoscope. 1994;104(12):1487-94. [Crossref]  [PubMed] 
  23. Loggins JP, Urquhart A. Preoperative distinction of parotid lymphomas. J Am Coll Surg. 2004;199(1):58-61. [Crossref]  [PubMed] 
  24. Rice DH. Diagnostic imaging and fine needle aspiration of the salivary glands. In: Cummings CW, ed. Otolaryngology Head and Neck Surgery. 4th ed. Philadelphia: Elsevier Mosby; 2005. p.1313-22.
  25. Bron LP, O'Brien CJ. Facial nerve fonction after parotidectomy. Arch Otolarngol Head and Neck Surg. 1997;123(10):1091- 6. [Crossref] 
  26. Mehle ME, Kraus DH, Wood BG, Benninger MS, Eliachar I, Levine HL, et al. Facial nerve morbidity following parotid surgery for benign disaese: the Cleveland Clinic Foundation experiense. Larygoscope. 1993;103(4 Pt 1):386-8. [Crossref] 
  27. Gaillard C, Perie S, Susini B, St Guily JL. Facial nerve dysfunction after parotidectomy: the role of local factors. Laryngoscope. 2005;115 (2):287-91. [Crossref]  [PubMed]