scholarly journals Outcome of surgery in different Parotid Neoplasms

2015 ◽  
Vol 20 (2) ◽  
pp. 80-86
Author(s):  
Kazi Shameemus Salam ◽  
Belayat Hossain Siddiquee ◽  
Md Mosleh Uddin ◽  
Syed Farhan Ali Razib ◽  
Ashim Kumar Biswas

Objective: To determine outcome of surgery in different parotid neoplasms. Study design: Cross sectional study from August 2010 to July 2014. Settings: Department of Otolaryngology and Head-Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Method: 60 postoperative patients of different parotid neoplasms were included in this study. 33 were males and 27 were females between 21 years to 80 years who were treated between August 2010 to July 2014. The study based on history, clinical examinations, radiological, laboratory, cytology reports and histopathological examination. Results: Majority of the patients were within 41 to 70 years of age. Frequency of benign tumour were more in 4th and 5th decade 42(87.5%) and malignant tumour in 5th and 6th decade 8(66.7%). Common presenting features were pain 8(66.7%), skin involvement 3(25.0%), facial nerve palsy 3(25.0%), metastatic neck nodes 3(25.0%) in malignant cases. In benign cases 45(93.7%) were pleomorphic adenoma, 3(6.25%) Warthin’s tumour. In malignant cases mucoepidermoid carcinoma were 7(58.3%), adenoid cystic carcinoma 3(25.0%). In benign parotid tumour, superficial parotidectomy were done in 45(93.75%) and total conservative parotidectomy 3(6.25%). In malignant tumour total conservative parotidectomy were done 5(41.7%), total radical parotidectomy done 4(33.3%), extended radical parotidectomy 3(25%). Histopathological study showed 45(93.75%) were in pleomorphic adenoma, 7(58.3%) mucoepidemoid carcinoma. DOI: http://dx.doi.org/10.3329/bjo.v20i2.22023 Bangladesh J Otorhinolaryngol; October 2014; 20(2): 80-86

2019 ◽  
Vol 9 (2) ◽  
pp. 1535-1541
Author(s):  
Aasiya Rajbhandari ◽  
Ram Chandra Adhikari ◽  
Shreya Shrivastav ◽  
Sudip Parajuli

Background: Cutaneous granulomas comprise a wide spectrum of diseases that are frequently encountered. Since clinical assessment alone is insufficient in most of the cases, skin biopsies are a basic requisite in evaluating these lesions. Histopathological examination, although helpful in deciding the nature of granulomas and etiology in most of the cases, maybe noncontributory in some cases, thus requiring further ancillary tests such as microbial culture, polymerase chain reaction. Materials and Methods: This prospective cross sectional study enrolled 109 cases of skin biopsies after histopathological confirmation of granulomatous lesions. The specimens were received at the Department of Pathology from 14th April 2017 to 13th April 2018. Results: Out of 650 skin biopsies, 109 cases (16.8%) were diagnosed as granulomatous lesions on histology. Male predilection was noted and age group of 31 to 40 years was the commonest affected. Upper extremities were more commonly involved. Leprosy was the commonest etiological agent and tuberculoid granulomas were the commonest type based on their histology. Conclusions: Leprosy was the most common cause of cutaneous granuloma followed by Tuberculosis, fungal infection and foreign body reaction. Among the cases of leprosy, borderline tuberculoid leprosy and tuberculoid leprosy were the commonest subtype.


2019 ◽  
Vol 24 (2) ◽  
pp. 149-155
Author(s):  
Lodh Dipankar ◽  
Islam Nazmul ◽  
Talukder Debesh ◽  
Majumder Rita ◽  
Arafat Shahriar ◽  
...  

Objective: To establish CT scan as a sensitive modality in the diagnosis of sinonasal mass by correlating with the findings of histopathological examination Methods: This cross sectional study was conducted in Dhaka Medical College Hospital (DMCH) from 01/07/2013 to 30/06/2014. A total of 32 cases were studied. Results: In this study male and female ratio was 1.4:1. So, the incidence of sinonasal mass slightly higher in male (59.3%) compared to the female (40.6%). Incidence of malignant tumour was found more in age group above 60 years. Out of 32 patients, 6 patients (18.7%) were diagnosed histopathologically as infective, 7 patients (21.8%) were benign and 19 patients (59%) had malignant sinonasal mass. Conclusion: Computed tomography (CT) scan examination of the sinonasal mass correlate well in most of the cases with histopathological results. It is therefore can be concluded that CT examination of nose and paranasal sinuses is a useful modality in the evaluation of sinonasal mass.  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 149-155


2015 ◽  
Vol 20 (1) ◽  
pp. 15-19
Author(s):  
Md Aktar Kamal ◽  
Md Yousuf ◽  
Md Yusuf Haider ◽  
Kamrul Hasan Tarafder

Background: Oral carcinoma is the 6th most common carcinoma worldwide. The 5 year survival rate for oral carcinoma is only 50%. Patients of oral carcinoma are at high risk from secondary neoplasm. Over 90% of all primary malignant tumour of the oral cavity is squamous cell carcinoma. Aim: To find out the difference of clinical presentation and pathological aspects of oral cancer. Methods: In this cross sectional study 30 patients with carcinoma oral cavity from the department of otolaryngology and Head neck surgery, Bangabandhu Sheik Mujib medical University, Dhaka Medical College hospital and National Institute of cancer research & hospital, Mohakhali, Dhaka were included , period from march 2009 to September 2009. The patients were examined after admission into Hospital pre-operatively and in the post-operative period. The surgical specimen were sent for Histopathology. Results: Majority of the patients were at 6th decade where female outnumbered the male with male female ratio is 5:4. Out of 30 patients majority of the patients complains of soreness/ irritation and ulceration in the oral cavity followed by difficulty in mastication, foul breath, pain in the lesion, dysphagia, spitting of blood and excessive salivation. About the site of the lesion maximum patients having the lesion in buccal mucosa(30%) then anterior 2/3rd of tongue (23.33%), retromolar area (13.33%) in decreasing frequency. Conclusion: Oral carcinoma usually a disease of middle age and elderly people. Irritation or soreness is the commonest symptom. Most affected sites are buccal mucosa and anterior 2/ 3rd of tongue. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22012 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 15-19


2020 ◽  
Vol 23 (2) ◽  
pp. 164-170
Author(s):  
Dipankar Lodh ◽  
Islam Nazmul ◽  
Talukder Debesh ◽  
Majumder Rita ◽  
Arafat Shahriar ◽  
...  

Background: CT imaging of nose and paranasal sinuses is to confirm the diagnosis, localize the disease, characterize the extent of pathology and describe any anatomical variations. A careful histopathological examination (HPE) is nesessary to decide the nature of a specific lesion. Objective: To observe performance of CT scan as a sensitive modality in the diagnosis of sinonasal mass by comparing with the findings of histopathological examination. Methods: This cross sectional study in Dhaka Medical College Hospital (DMCH). From 01/ 07/2013 to 30/06/2014 (One year), 42 patients were selected. Resuls: Here male and female ratio was found 1.4:1 So, the incidence of sinonasal growth slightly higher in male (59.3%) compared to the female (40.6%).Incidence of malignant tumour was found more in age group above 60 years. Out of 32 patients, 6 patients (18.7%) were diagnosed histopathologically as infective, 7 patients (21.8%) were benign and 19 patients (59%) had malignant sinonasal mass. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 164-170


2021 ◽  
Vol 8 (06) ◽  
pp. 293-297
Author(s):  
Gayathri B.N ◽  
Mallikarjun A. Pattanashetti ◽  
Priyadarshini M.M

BACKGROUND The most commonly done gynaecological surgery worldwide is hysterectomy. Myometrial lesions contribute to majority of cases with abnormal uterine bleeding. Leiomyoma and adenomyosis are most common lesions seen in the myometrium. The present study was undertaken to identify the various types of myometrial pathologies in hysterectomy samples. METHODS This is a two-year retrospective cross-sectional study done from January 2017 to December 2018, in the Department of Pathology, Kodagu Institute of Medical Sciences, Madikeri. All the patients who underwent hysterectomy and myomectomy for myometrial lesions of uterus were included in the study. Hysterectomy specimens showing secondaries, gross infection, massive haemorrhage and necrosis were excluded from the study. Gross appearance and microscopic pathology were noted and results were analysed. RESULTS In this study, 148 specimens were included. Age range was from 20 years to 65 years. Histopathological examination revealed that 58.25 % of myometrial lesions were present in the age group of 41 to 50 years followed by age group of 31 to 40 years. Histopathological examination done showed the following diagnosis in patients - leiomyoma (85.13 %), adenomyosis (8.79 %) and leiomyoma with adenomyosis (6.08 %). CONCLUSIONS The commonest histopathological lesion in myometrium was leiomyoma (85.13 %) followed by adenomyosis (8.79 %). It is mandatory to examine the hysterectomy specimens adequately to diagnose myometrial lesions. KEYWORDS Myometrium, Leiomyoma, Adenomyosis


Author(s):  
Dharmpal Godara ◽  
Vijay Pal Singh Dhayal

Background: The present study highlights the occurrence of Incidental gallbladder carcinoma (IGBC) detected during histopathological examination in cholecystectomy specimens removed for cholelithiasis. Methods- This is a tertiary hospital based cross-sectional study of 500 cholecystectomy specimens removed during cholelithiasis. Relevant hospital records, histopathology slides and reports were reviewed, re-evaluated and studied. Results: 4(0.80%) cases of incidental gall bladder carcinoma (IGBC) were diagnosed from the histopathological evaluation (HPE) of 500 cholecystectomy specimens, constituting 0.80% of gall bladder specimens received during the study period. The age of the patients with IGBC ranged from 51-80 years. More females were affected than males with a M:F ratio of 1:3. Conclusion: Early detection of IGBC by histopathological examination would have a favourable impact on prognosis and management thereby increasing the survival outcome. Keywords: Cholelithiasis, Incidental Gall Bladder Carcinoma


2021 ◽  
pp. 9-11
Author(s):  
Durga Nand Jha ◽  
Hari Shankar Mishra ◽  
Ajit Kumar Chaudhary ◽  
Debarshi Jana

Background:Tumours and tumour like lesions of the colon and rectum have overlapping clinical presentation and may be difcult to diagnose on clinical grounds alone. Histopathological examination although helpful to arrive at correct diagnosis, at times may be difcult and may require ancillary tests such as immunohistochemistry. Materials and Methods: A prospective cross sectional study enrolled 125 cases of colorectal biopsies after histopathological conrmation of tumours and tumour like lesions. The specimens were received at the Department of Pathology, DMCH, Laheriasarai, Bihar from December 2019 to November 2020. Results: Out of 125 cases, 32 cases were benign tumours, 36 cases were malignant tumours and 57 cases were tumour like lesions. Most common age range was 51-60 years with mean age of 38 years. Males comprised 76.74% and females 23.26% with ratio of 3:1. Juvenile polyp was the commonest lesion. Among benign tumours, tubular adenoma was the most common (19.2%), adenocarcinoma was most common malignant tumour (25.6%) and juvenile polyp was the most common tumour like lesion (27.2%). Left side was most common side (66.67%) and rectum was the most common site (48.8%). Conclusions: The commonest indications for colorectal biopsies were tumours and tumour like lesions. Juvenile polyp was the most common tumour like lesion, tubular adenoma was the most common benign tumour and adenocarcinoma was the most common malignant tumour. Histopathological examination is a gold standard for conrmation of all tumour and tumours like lesions of colon and rectum.


1970 ◽  
Vol 16 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Abu HenaMohammad Parvez Humayun ◽  
AHM Zahurul Huq ◽  
SM Tarequddin Ahmed ◽  
Md Shah Kamal ◽  
Kyaw Khin U ◽  
...  

Objective: To observe the incidence, clinical presentation and to perform comparative studyof different sinonasal masses. Study design: Prospective study. Setting: Department ofotolaryngology and Head-Neck Surgery & ENT OPD of Chittagong Medical College Hospital.Patients & methods: 50 patients are included in this study (39 male & 11 female) between theages of 3 years and 80 years who were treated between August 2006 to January 2007. Studybased on history, clinical, radiological, laboratory and histopathological examination. Results:Mean age for male was 35.12 years and for female was 22.63 years. Male to female ratio was3.5:1. Highest frequency was noted in second decade. Most of patient (78%) were from poorclass. Frequency of inflammatory nasal masses were more in second decade, benign tumourin fourth and fifth decade, malignant tumour in second decade (OAN & NHL) and fifth andsecond decades (others). Rhinosporidiosis were most frequent inflammatory nasal masses.Nasal obstruction was the commonest and orbitus symptoms were less frequent symptoms.But orbital symptoms were more prevalent in malignant lesion. Conclusion: sinonasal massesare found in all age group. Rhinosporidiosis are appearing to be the commonest nasal masses.The prevalence of nasal polyp is also high. Among the malignant sinonasal masses thepercentage of squamous cell carcinoma is high.DOI: 10.3329/bjo.v16i1.5776Bangladesh J Otorhinolaryngol 2010; 16(1): 15-22


2006 ◽  
Vol 124 (1) ◽  
pp. 42-44 ◽  
Author(s):  
Fabio Luiz de Menezes Montenegro ◽  
Marcos Roberto Tavares ◽  
Marcelo Doria Durazzo ◽  
Claudio Roberto Cernea ◽  
Anói Castro Cordeiro ◽  
...  

CONTEXT AND OBJECTIVE: Adequate management of parathyroid carcinoma apparently relates to the surgeon’s ability to identify it at the first operation. The objective of this paper was to evaluate the role of clinical suspicion in the management of parathyroid carcinoma. DESIGN AND SETTING: Retrospective analysis of parathyroid carcinoma patients treated in Department of Head and Neck Surgery, Faculdade de Medicina da Universidade de São Paulo. METHODS: Cross-sectional study of 143 patients who underwent surgery from 1995 to 2000, due to hyperparathyroidism. These cases were reviewed to ascertain whether preoperative and intraoperative suspicion of parathyroid carcinoma were helpful during the operation, and which factors demonstrated the suspicion of cancer best. RESULTS: Among 66 patients with primary hyperparathyroidism there were four cases of parathyroid carcinoma (6.1%), and one case was found in secondary hyperparathyroidism (1.3%). Palpable nodules were found in five patients with primary hyperparathyroidism, four of them with parathyroid carcinoma. Preoperative levels of calcium in primary hyperparathyroidism with cancer patients varied from 12.0 mg/dl to 18.2 mg/dl. Two patients had gross macroscopic spread of the tumor to adjacent structures. Except for one patient, with extensive disease, tumors were resected en bloc. In secondary hyperparathyroidism, parathyroid carcinoma was found in a fifth mediastinal gland. One atypical adenoma was observed. CONCLUSIONS: High levels of calcium, palpable tumors and adherence to close structures are more common in parathyroid carcinoma. These clinical signs may be helpful for decision-making during parathyroid surgery.


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Christiana Maria Ribeiro Salles Vanni ◽  
Leandro Luongo de Matos ◽  
Mário Paulo Faro Junior ◽  
Jossi Ledo Kanda ◽  
Cláudio Roberto Cernea ◽  
...  

Introduction. The reconstruction of complex cervicofacial defects arising from surgical treatment for cancer is a real challenge for head and neck surgeons, especially in salvage reconstruction surgery and/or failed previous reconstruction. The pectoralis major myocutaneous flap (PMMF) has been widely used in these specific situations due to its reliability and low rate of failure or complications.Objectives. Identify factors that determine complications and influence the final outcome of the reconstructions with PMMF in salvage cancer surgery or in salvage reconstruction.Methods. A cross-sectional study design was used to evaluate a sample including 17 surgical patients treated over a period of ten years that met the inclusion criteria.Results. Reconstruction was successful in 13 cases (76.5%), with two cases of partial flap loss and no case of total loss. Complications occurred in 13 cases (76.5%) and were specifically related to the flap in nine instances (52.9%). An association was identified between the development of major complications and reconstruction of the hypopharynx () as well as in patients submitted to surgery in association with radiation therapy as a previous cancer treatment (). The former condition is also associated with major reconstruction failure (). An even lower incidence of major complications was noted in patients under the age of 53 ().Conclusion. Older patients, with hypopharyngeal defects and submitted to previous surgery plus radiation therapy, presented a higher risk of complications and reconstruction failure with PMMF.


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