Profile of parotid cancers at the ENT clinic Lamine Sine Diop of Fann teaching hospital

INTRODUCTION: Parotid cancers are characterized by a great histological diversity and they pose diagnostic, therapeutic and evolutionary problems. We deliver through this study our experience on the management of malignant parotid tumors. MATERIALS AND METHODS: This is a retrospective, descriptive and analytical study carried out over a period of 12 years in the ENT department of Fann teaching hospital. RESULTS: The mean age at diagnosis was 48 years with a sex-ratio of 1.6. The time to symptom progression was approximately 47 months. Parotid swelling was present in all patients and peripheral facial palsy was found in 31% of patients. Ultrasound of the parotid region was performed in 11 patients, i.e. 34%, and computed tomography in 18 patients, i.e. 56%. Fine needle aspiration was performed in 11 patients. Parotid cancers accounted for 44% of all parotid tumors. Sixty-eight percent of patients consulted at the T4 stage. Seventy-one percent of patients received surgical treatment. The most common histologic type was muco-epidermoid carcinoma. Five patients received radiotherapy. The postoperative effects were dominated by PFP (18%). Seven cases of death were recorded. CONCLUSION: The management of parotid cancer still poses diagnostic and above all therapeutic problems. The combination of radiotherapy surgery, very rarely encountered in our study, provides a better prognosis and better survival.

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Parotid Tumors: How Rare are They?

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1197 ◽

2014 ◽

Vol 5 (3) ◽

pp. 126-129

Author(s):

Vadisha S Bhat ◽

Rajeshwary Aroor ◽

Satheesh Kumar Bhandary ◽

Anusha S Shetty ◽

KS Gangadhara Somayaji

Keyword(s):

Malignant Tumors ◽

Needle Aspiration ◽

Benign Tumors ◽

Aspiration Cytology ◽

Parotid Tumors ◽

Parotid Swelling ◽

Needle Aspiration Cytology ◽

And Behavior ◽

Malignant Parotid Tumors ◽

Head Neck

ABSTRACT Objectives Salivary gland neoplasms are uncommon, but they are of much interest and debate because of their remarkable variability in structure, clinical presentation, and behavior. We have studied 56 cases of parotid tumors and shared our views on the diagnosis and management of these rare tumors. Materials and methods Fifty-six patients with parotid swelling presented to us over a period of 5 years. Preoperatively, all these patients were evaluated with fine needle aspiration cytology (FNAC). Depending on the report, they were subjected to further treatment. Results Out of 56 cases, 44 (79%) were benign and 12 (21%) were malignant. Pleomorphic adenoma being the commonest benign tumor [32 cases (72%)] and among the malignant tumors, mucoepidermoid carcinoma was the commonest. Parotidectomy is the gold standard treatment for both the benign and malignant parotid tumors. Conclusion Parotid tumors are a rare entity. Among which benign tumors are more common than malignant. An accurate diagnosis preoperatively and timely surgical management would reduce the recurrence rate and risk of complications. How to cite this article Aroor R, Shetty AS, Bhandary SK, Bhat VS, Somayaji KSG. Parotid Tumors: How Rare are They? Int J Head Neck Surg 2014;5(3):126-129.

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Evaluation of Preoperative Fine Needle Aspiration Accuracy in Diagnosis of Malignant Parotid Tumors

International Journal of Otolaryngology and Head &amp Neck Surgery ◽

10.4236/ijohns.2020.93014 ◽

2020 ◽

Vol 09 (03) ◽

pp. 101-110

Author(s):

Alaa Q. Mandeel ◽

Esra M. Qadami ◽

Zahra A. Abdeen ◽

Sayed Ali I. Al Mahari ◽

Sayed Husain A. Alawi

Keyword(s):

Fine Needle Aspiration ◽

Needle Aspiration ◽

Fine Needle ◽

Parotid Tumors ◽

Malignant Parotid Tumors

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Role of fine needle aspiration in malignant parotid tumors at a single-center experience: A retrospective cohort study

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102229 ◽

2021 ◽

Vol 64 ◽

pp. 102229

Author(s):

Ashwag Alwagdani ◽

Mohammad Alhejaili ◽

Abdulaziz Alanzi ◽

Saif Alghamdi

Keyword(s):

Cohort Study ◽

Fine Needle Aspiration ◽

Retrospective Cohort ◽

Needle Aspiration ◽

Single Center ◽

Fine Needle ◽

Single Center Experience ◽

Parotid Tumors ◽

Malignant Parotid Tumors

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Perfusion Computed Tomography Scan Imaging in Differentiation of Benign from Malignant Parotid Lesions

International Archives of Otorhinolaryngology ◽

10.1055/s-0039-1697005 ◽

2019 ◽

Vol 24 (02) ◽

pp. e160-e169

Author(s):

Masume Niazi ◽

Maryam Mohammadzadeh ◽

Kayvan Aghazadeh ◽

Hashem Sharifian ◽

Ebrahim Karimi ◽

...

Keyword(s):

Computed Tomography ◽

Parotid Gland ◽

Malignant Tumors ◽

Ct Perfusion ◽

Mean Transit Time ◽

Perfusion Ct ◽

Perfusion Computed Tomography ◽

Parotid Tumors ◽

The Mean ◽

Malignant Parotid Tumors

Abstract Introduction The most common site of salivary gland tumors is the parotid gland. Computed tomography (CT), magnetic resonance imaging (MRI), and sonography are imaging modalities to differentiate benign from malignant parotid tumors. Objective The aim of this study is the evaluation of the diagnostic value of perfusion CT for differentiating histological categorization of benign and malignant parotid tumors. Methods A total of 29 patients with parotid neoplasms were enrolled in this study. Mean age and all CT perfusion variables (gradient and permeability, blood flow [BF], blood volume [BV], mean transit time [MTT], permeability surface [PS], maximum intensity projection [MIP], time-density curve [TDC], and time to peak [TTP]) were compared among three groups (malignant tumors [MTs], Warthin's tumor [WT] and pleomorphic adenomas [PA]). Results The mean age of the patients was 55.9 ± 14.1 (26–77), and 15 of them were male (51.7%). Eleven lesions were PAs [37.9%], 8 lesions were WTs (27.6%0 and 10 lesions (34.5%) were MTs (6 acinic cell carcinomas [ACCs], 3 adenocystic carcinomas [AdCCs], and 1 mucoepidermoid carcinoma [MEC]). The mean age of the patients with WTs was 62 ± 7.5 years; 52 ± 14.2 for patients with Pas, and 55.2 ± 17.2 for those with MTs (p = 0.32). The mean MIP was 122.7 ± 12.2 in WT, while it was 80.5 ± 19.5 in PA, and 76.2 ± 27.1 in MTs (p < 0.001); The mean MIP for WT was higher than for PAs and MTs; the values of MTs and PAs were not statistically different. The average of BF, BV, and curve peak were higher in WTs in comparison with the other two groups, and curve time 2 and TTP were higher in PAs in comparison with MTs. Conclusion Based on this study, perfusion CT of the parotid gland and its parameters can distinguish between benign and malignant parotid masses.

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Accuracy of preoperative fine needle aspiration in diagnosis of malignant parotid tumors

Saudi Medical Journal ◽

10.15537/smj.2017.10.20988 ◽

2017 ◽

Vol 38 (10) ◽

pp. 1000-1006 ◽

Cited By ~ 1

Author(s):

Hani Marzouki ◽

Mohammed Altabsh ◽

Mohammed Albakrei ◽

Talal Al-Khatib ◽

Mazin Merdad ◽

...

Keyword(s):

Fine Needle Aspiration ◽

Needle Aspiration ◽

Fine Needle ◽

Parotid Tumors ◽

Malignant Parotid Tumors

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F.N.A.C. AS DIAGNOSTIC TOOL OF PAROTID TUMORS AND ASSOCIATED PITFALLS IN CORRELATION WITH HISTOPATHOLOGY

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i1.1153 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Bhawana Pant ◽

Sanjay Gaur ◽

Prabhat Pant

Keyword(s):

Preoperative Diagnosis ◽

Histopathological Examination ◽

Clinical Information ◽

Final Diagnosis ◽

Needle Aspiration ◽

Histopathological Diagnosis ◽

Cytological Diagnosis ◽

Tertiary Referral Centre ◽

Clear Cut ◽

Parotid Tumors

F.NA.C has been used for ages as a safe and economical tool for fast preoperative diagnosis of parotid tumors. It has certain pitfall which sometimes leads to misdiagnosis and consequently it may have affect on treatment of the tumors. Keeping in view of the diverse classification of parotid tumors’ information from cytology should be combined with radiology as well as clinical diagnosis. Aim: To discuss some cases where there was discrepancy between cytological diagnosis and histopathological result and also suggest measures to improve the efficacy of F.N.A.C. Material and methods: The study includes 50 cases of parotid tumours who presented to the department of ENT at Government medical college Haldwani which is a tertiary referral centre during 2009 to 2016. Only adult patients were included and inflammatory swelling were excluded from the study. All patients evaluated Contrast enhanced computerized tomography(CECT) and Magnetic resonance imaging (MRI) followed by Fine needle aspiration cytology .Preoperative diagnosis was made upon the findings of the above investigations and different types of parotid surgeries were done. . Final diagnosis was made on histopathological examination. Result :The most common tumour came out to be pleomorphic adenoma (23 cases-46%) followed by mucoepidermoid carcinoma(12cases-24%). In ten cases there was no clear cut association between cytological diagnosis and final histopathological diagnosis. Conclusion: FNAC is highly sensitive and specific technique for diagnosis of many salivary gland swellings. FNAC can be used preoperatively to avoid unnecessary surgery and biopsy. Details of clinical information and radiologic features may help the pathologist to arrive at the appropriate diagnosis and reduce false interpretation. Pitfalls may also occur with improper technique of FNAC which can be overcome by proper caution.

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Effectiveness of adenotonsillectomy in improving of nocturnal enuresis in children with adenotonsillar hypertrophy

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v9ispl1.1289 ◽

2018 ◽

Vol 9 (SPL1) ◽

Author(s):

Kassim R Dekhil ◽

Ali abd-almer Jwad ◽

Abbas Alyasiry

Keyword(s):

Teaching Hospital ◽

Nocturnal Enuresis ◽

Adenotonsillar Hypertrophy ◽

Number Of Children ◽

The Mean ◽

Childhood Condition ◽

Rule Out

Nocturnal enuresis (NE) is an old & common childhood condition. It has been found that,there is a relationship between adenotonsillar hypertrophy in children & nocturnal enuresis. This study was conducted to see the effects of adenotonsillectomy on nocturnal enuresis in children with adenotonsillar hypertrophy.This study was conducted in Diwaniyah teaching hospital,Diwaniyah city,Iraq from May 2012 to August 2014. The total number of children admitted for adenotonsillectomy or tonsillectomy alone were 287. 76 children out of the total number were included in the study. The children were followed by the same questionnaire for four months postoperatively,including,age,the number of night bed wettings,type of enuresis and the results of urine examinationof total 287 children who were submitted for surgery,76 children were eligible for the study,48 (63.16%) of the total number included in the study were males and 28 (36.84%) were females. The mean age was 7.2 years. Adenotonsillectomy was performed in 64 children,and tonsillectomy in12 children. A complete improvement of nocturnal enuresis (NE) & daytime incontinence was achieved in 32 (42.11%) children. A mild to moderateimprovement was observed in 38 (50%),while no improvement seen in the remaining 6 (7.89%) children postoperatively.Nocturnal enuresis (NE) is an old & common childhood condition & there is a relation between nocturnal enuresis in children & adenotonsillar hypertrophy. Children with nocturnal enuresis should be evaluated by ENT surgeon to rule out any adenotonsillar hypertrophy for possible adenotonsillectomy effect. However,a wide base studies are needed to clarify these results.

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Deep Lobe Parotid Tumors: A Systematic Review and Meta-analysis

Otolaryngology ◽

10.1177/01945998211009235 ◽

2021 ◽

pp. 019459982110092

Author(s):

Margaret H. Aasen ◽

Michael J. Hutz ◽

Brian T. Yuhan ◽

Christopher J. Britt

Keyword(s):

Facial Nerve ◽

Imaging Modality ◽

Meta Analysis ◽

Needle Aspiration ◽

Computed Tomography Scan ◽

Fine Needle ◽

Deep Lobe ◽

Parotid Tumors ◽

Superficial Lobe ◽

Tomography Scan

Objective We performed a systematic review and meta-analysis of deep lobe parotid tumors to evaluate their unique characteristics. Data Sources PubMed/Medline, Embase, Web of Sciences, and Cochrane Library databases were queried for relevant literature. Review Methods Studies were individually assessed by 2 independent reviewers. Risk of bias was assessed with the Cochrane bias tool, GRADE criteria, and MINORS criteria. Results were reported according to the PRISMA guidelines. Statistical analysis was performed by comparing rates of malignancy between deep and superficial lobe tumors. Results In total, 8 studies including 379 deep lobe parotid tumors met inclusion criteria. Mean age at diagnosis was 44.9 years. Computed tomography scan was the most common imaging modality. Preoperative diagnostic fine-needle aspiration was utilized in 39.4% of patients and demonstrated high sensitivity for malignant disease. The most common approach was subtotal parotidectomy with facial nerve preservation (58.9%). The rate of malignancy was 26.6%, which was significantly higher than that of the superficial lobe tumors in this study (risk ratio, 1.25; 95% CI, 1.01-1.56). The rate of temporary postoperative facial nerve weakness between deep and superficial lobe tumors was 32.5% and 11.7%, respectively. Conclusion Deep lobe parotid tumors had a 26.6% rate of malignancy. On meta-analysis, deep lobe tumors appeared to have higher rates of malignancy than superficial lobe tumors. Surgical excision of deep lobe tumors showed increased rates of temporary facial nerve paresis as compared with superficial lobe tumors. Computed tomography scan was the most common imaging modality. There were limited data regarding the utility of fine-needle aspiration.

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