2021, Volume 27, Issue 2
PAROTIDECTOMY AND SUBMANDIBULECTOMY IN THE MATERIAL OF THE OTOLARYNGOLOGY CLINIC OF THE MILITARY INSTITUTE OF AVIATION MEDICINE IN THE YEARS 2014-2022. RESULTS OF RETROSPECTIVE ANALYSIS
AGNIESZKA WITKOWSKA1, ANDRZEJ WOJDAS1
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1Department of Otolaryngology, Military Institute of Aviation Medicine
Autor korenspondencyjny: AGNIESZKA WITKOWSKA; Department of Otolaryngology, Military Institute of Aviation Medicine; email: awitkowska@wiml.waw.pl
Streszczenie
Introduction: Tumors of the salivary glands constitute 3-6% of head and neck tumors. The majority of these are benign lesions, although recently there has been an observed increase in the incidence of tumors in this region of the body. The aim of the study is to analyze patients operated on for submandibular and parotid gland tumors and to compare the concordance between preoperative fine-needle aspiration biopsy and postoperative histopathological examination.
Methods: The medical records of all patients who underwent parotidectomy or submandibulectomy were retrospectively analyzed. The data obtained included age, sex, date of surgery, results of preoperative fine-needle aspiration biopsy, and postoperative histopathological examination.
Results: The medical histories of 146 patients were analyzed—77 women and 69 men with an average age of 53.7 years. In the histopathological examination results, 137 tumors were benign, and 9 cases were malignant. The most frequently diagnosed benign tumors of the parotid gland were pleomorphic adenoma and Warthin's tumor. The most prevalent malignant tumors were mucoepidermoid carcinoma, acinic cell carcinoma, and squamous cell carcinoma. Tumor recurrences were observed in three patients. The concordance between the results of preoperative fine-needle aspiration biopsy and histopathological examination was 83.5%. The sensitivity and specificity in diagnosing tumors were 66.7% and 93.4%, respectively.
Conclusions: Performing cytological and imaging studies is essential for properly planning the scope of the surgery. The results obtained in this study mostly reflect data from other centers.
Słowa kluczowe
salivary gland, parotid gland, submandibular gland, salivary gland tumors, parotidectomy, submandibulectomy, mucoepidermoid carcinoma, salivary gland tumors, retrospective analysis