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Volume 12 Issue 2 ( April- June) 2023

Original Articles

An observational study of parotid tumour – clinicopathological correlation and various treatment modalities
Dr. Ravindra Singh

Background: Parotid tumors are growths of cells that begin in the parotid glands. The parotid glands are two salivary glands that sit just in front of the ears, one on each side of the face. Aims and Objective: To evaluate the various clinicopathological features, investigations and treatment modalities of parotid tumour. Materials and Methods: The present study was conducted in the Department of General Surgery, Armed Forces Medical College, Pune to observe parotid tumour clinicopathological features and various treatment modalities in 68 patients. Results: Out of 68 patients of parotid tumour, 48 patients with benign tumour and 20patients had malignant tumour. Benign tumours were found in all age groups, commonly in second to fourth decade of life. Carcinomas were mostly found in fourth and fifth decade. 62% patients were male and 38% were male. Swelling was the commonest presenting feature. Mean duration of the swelling varied between 20 to 80 months. Facial nerve involvement was present in 70% of carcinomas and fixation was present in 80% of the carcinomas. Palpable cervical lymph nodes were present in 50% of the carcinomas. Maximum tumours were confirmed by fine needle aspiration cytology preoperatively. Surgery was the main stay of the treatment. Cervical lymphadenopathy was treated by radical neck dissection. Postoperative radiotherapy was given in 70% of the carcinomas. Temporary facial nerve palsy found to be very common after parotid surgery. Conclusion: Study concluded that fine needle aspiration cytology to be highly accurate diagnostic modality in the evaluation of parotid gland tumours. Superficial conservative parotidectomy found to be treatment of choice in pleomorphic adenoma and adenolymphoma of parotid gland. Study recommended that operable malignant tumours should be subjected to total parotidectomy with sacrifice of facial nerve, if necessary.

 
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