scholarly journals CLINICOPATHOLOGICAL AUDIT OF SUBMANDIBULAR GLAND SURGERY

2021 ◽  
pp. 187-189
Author(s):  
Shamikh Ansari

Aim:- Aim of this study is to evaluate clinical profile and histopathological findings in patient undergoing submandibular gland excision (due to sialadenitis and primary tumors of submandibular gland benign or malignant). Method:-we carried out retrospective analysis of submandibular gland excisions performed in our hospital over five year period and analysed clinical data and postoperative histopathological findings of excised glands. Results:- In 43 cases of submandibular gland excision main presenting symptom was swelling of submandibular gland (100%). Patients presented with pain 26 (60%), swelling 43 (100%), recurrent swelling 30 (70%), persistent swelling 13 (30%). On palpation, firm consistency was seen in 42 cases (97.67%) and hard consistency in 1 case (2.3%). Swelling was tender in 20 Cases (46.5%) and non tender in 23 cases (53.4%). Most frequent indication of submandibular gland excision was sialadenitis with sialolithiasis (37 patients, 86%). Neoplastic pathology was present in 6 patients (14%). Benign pathology (4 patients, 9.3%) was more common than malignancy (2 patients, 4.7%). Most common benign tumour was pleomorphic adenoma of submandibular gland. Among the malignant tumour 2 cases were identified in histopathogy, one of adenoid cystic carcinoma and 1 of acinic cell carcinoma of submandibular gland. Overall benign/malignant ratio was 2:1.Conclusion:- Inflammatory submandibular gland swelling are mainly enlarged and tender while neolastic swellings are non tender. The most common pathology of the patients undergoing submandibular gland excision was chronic sialadenitis followed by neoplastic Pathology. In neoplastic pathologies benign tumors were more common than malignancy

Author(s):  
Pooja Sinha ◽  
Tejavathi Nagaraj ◽  
Mahalakshmi I. P ◽  
Suchetha D. N

Author(s):  
Filippo Boriani ◽  
Edoardo Raposio ◽  
Costantino Errani

: Musculoskeletal tumors of the hand are a rare entity and are divided into skeletal and soft tissue tumors. Either category comprises benign and malignant or even intermediate tumors. Basic radiology allows an optimal resolution of bone and related soft tissue areas, ultrasound and more sophisticated radiologic tools such as scintigraphy, CT and MRI allow a more accurate evaluation of tumor extent. Enchondroma is the most common benign tumor affecting bone, whereas chondrosarcoma is the most commonly represented malignant neoplasm localized to hand bones. In the soft tissues ganglions are the most common benign tumors and epithelioid sarcoma is the most frequently represented malignant tumor targeting hand soft tissues. The knowledge regarding diagnostic and therapeutic management of these tumors is often deriving from small case series, retrospective studies or even case reports. Evidences from prospective studies or controlled trials are limited and for this lack of clear and supported evidences data from the medical literature on the topic are controversial, in terms of demographics, clinical presentation, diagnosis prognosis and therapy.The correct recognition of the specific subtype and extension of the tumor through first line and second line radiology is essential for the surgeon, in order to effectively direct the therapeutic decisions.


2020 ◽  
Vol 28 (1) ◽  
pp. 80-83
Author(s):  
Dechu Muddaiah ◽  
Srinivas Venkatarangaiah ◽  
Prashanth V ◽  
Mohammed Adil Hussain M

Introduction Mesenchymal tumours of submandibular gland are extremely rare. Schwannoma of the salivary glands is a particularly rare form of an extracranial neurogenic tumour.  Case Report Here, we present an unusual case of schwannoma of submandibular gland in a 16 year old girl, who underwent total excision of mass with submandibular gland excision with no cranial nerve deficits. The details of the histopathologic features are present .   Discussion Schwannoma of the salivary gland is a particularly rare form of an extracranial neurogenic tumour. Our case indicates good prognosis in a case of submandibular gland schwannoma after surgical excision.


2003 ◽  
Vol 117 (9) ◽  
pp. 731-733 ◽  
Author(s):  
Chia-Hug Li ◽  
Chih-Ying Su ◽  
Chih-Yen Chien ◽  
Chung-Feng Hwang ◽  
Hsiu-Yu Huang

Salivary duct carcinoma is a rare and invasive malignant tumour with rapid distant metastasis and dismal prognosis. Clinically, perineural invasion of the salivary duct carcinoma is commonly noted. Here, we present a case of salivary duct carcinoma of submandibular gland origin with perineural invasion of the trigeminal nerve proximal to the intracranium, that was well demonstrated by a magnetic resonance image (MRI) and was consistent with the clinical presentation. This case received radical resection and radiotherapy with inclusion of the skull base within the field. There was no tumour recurrence and distant metastasis 24 months post-operatively.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Beata Kucińska ◽  
Bożena Werner

The increase in the availability of transthoracic echocardiography allows the diagnosis of not only congenital heart defects, which are the most common congenital defects in children, but also detection of cardiac masses such as thrombi, vegetations or heart tumors. Performing transthoracic echocardiography one should remember about normal anatomical structures in the atria and ventricles. The presence of central catheters and intracardiac leads favors the formation of thrombi in the heart. The vegetations which are characteristic for infective endocarditis mostly occur on the aortic and/or mitral valve. Primary cardiac tumors in children are very rare (approximately 0.2% of the population) and are usually oligosymptomatic. About 90% of them are benign tumors. The most common is the rhabdomyoma, which often coexists with tuberous sclerosis. The second most frequent tumor in children is a fibroma. Less common primary tumors in children are: teratomas, hemangiomas, lipomas, papillary fibroelastomas. In the differential diagnosis of cardiac masses comprehensive assessment and analysis of both imaging results, as well as medical history, physical examination, laboratory tests and other additional tests are extremely important.


Author(s):  
Peter E. Andersen ◽  
Neil D. Gross ◽  
Mark K. Wax

2019 ◽  
Vol 34 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Carlos Pereira de Brito Neves ◽  
Renan Bezerra Lira ◽  
Thiago Celestino Chulam ◽  
Luiz Paulo Kowalski

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
P Paolisso ◽  
G Saturi ◽  
L Bergamaschi ◽  
E C D"angelo ◽  
M Coriano ◽  
...  

Abstract BACKGROUND Cardiac Masses (CM) represent a rare and heterogeneous group with a prevalence of 0.3% at autopsy, divided in benign masses - primary tumors and pseudotumors - and malignant ones - primitive tumors and metastasis, either directly invading the heart and pericardium or as a consequence of hematologic spread. 2-D Echocardiography is nowadays the first line approach to define nature and management of CM, but is it enough to guide a therapeutic strategy? PURPOSE To evaluate echocardiographic CM malignancy features in patients admitted to our Centre between 1997 and 2017. MATERIALS AND METHODS We retrospectively evaluated a population of 180 consecutive patients (45% males; mean age 60 ± 16 years; BMI 25 ± 5 Kg/m2), referred to our echocardiographic lab with suspicion CM. All patients were examined in both left lateral and supine position, and heart was visualized from all available echocardiographic windows. Definite diagnosis was obtained by histologic examination of biopsy, surgical samples or, in cases of cardiac thrombi, by radiological evidence of thrombus resolution after adequate anticoagulant treatment. We excluded normal anatomical variants in the group of pseudotumors due to the impossibility of obtaining histological examination. Comparisons between categorical variables were performed by Chi-square or Fisher exact test. P values ≤ 0.05 were considered significant. Variables with statistical signification lower than p ≤ 0.05 in univariable analysis were included in logistic regression analysis to determinate independent predictors of malignant masses. RESULTS We detected 129 benign CM (76% primitive tumors and 24% pseudotumors) and 51 malignant cardiac tumors (45% primitive tumors and 55% metastasis). In 7 cases a poor acoustic window did not allow an optimal examination; in remaining 173 patients, the classical 2-D echocardiogram identified 157 masses with a diagnostic accuracy of 91%. Benign tumors and pseudotumours were localized predominantly in left heart chambers, while malignant primitive tumors and metastasis were mainly detected in right heart, in pericardium or in pulmonary artery branches (p < 0.001). The largest ecocardiographic diameter appeared greater for the malignant masses (mean of 49 ± 26 mm) than benign ones (30 ± 16 mm, p = 0.003). The occurrance of any pericardial effusion (p < 0.001), extension to pericardium (p = 0.01) or to main vessels (p = 0.006) were also associated with malignant masses. Finally, multivariate analysis showed only largest diameter (p = 0.001) and pericardial effusion (p < 0.001) were independent predictors of malignancy. CONCLUSION 2D Echocardiography is an excellent, non invasive technique for first line evaluation of patients with suspicion CM. It is safe, accurate and have high diagnostic accuracy in identifying CM and their benign or malignant nature. In particular, a large mass associated with any pericardial effusion must pose suspect of malignancy.


Sign in / Sign up

Export Citation Format

Share Document