Parotis kitlelerinde tanı ve cerrahi tedavi sonuçları
Yükleniyor...
Tarih
2016
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi Tıp Fakültesi
Erişim Hakkı
Attribution-NonCommercial 3.0 United States
info:eu-repo/semantics/closedAccess
info:eu-repo/semantics/closedAccess
Özet
Amaç: Parotis bezinde kitle nedeniyle opere ettiğimiz hastaların klinik özelliklerini, histopatolojik sonuçlarını, cerrahi tedavi yöntemlerini ve komplikasyonlarını değerlendirmeyi amaçladık.
Yöntemler: Parotis bezinde kitle nedeniyle 2007 ile 2016 yılları arasında kliniğimizde opere edilen 115 hastanın klinik verileri retrospektif olarak incelendi. Bulgular: Hastaların 65’i (%56,5) erkek, 50’si (%43,5) kadındı. Hastaların yaş ortalaması 44,97 idi. Tümör hastaların 72’sinde sağ, 41’inde sol, ikisinde bilateral yerleşimliydi. 95 hastada süperfisial parotidektomi, 17 hastada total parotidektomi, iki hastada enükleasyon, bir hastada radikal parotidektomi uygulandı. Patoloji sonuçları 94’ünde benign , 13’ünde malign, 8’sinde non-neoplastik olarak geldi. Pleomorfik adenoma benign tümörler içerisinde 61
(%64,8) hastada görülürken Whartin tümörü ikinci sıklıkta ve 23 (%24,4) hastada görüldü. 11 hastada diğer benign tümörler görüldü. Adenoid kistik karsinom en sık görülen malign tümördü. Malign tümörlü hastaların altısına eş zamanlı boyun diseksiyonu uygulandı. Komplikasyon 14 hastada (%12,2) görülürken en sık fasial parezi görüldü. Sonuç: Parotis tümörlerinin tedavisi cerrahidir. Süperfisial parotidektomi en sık yapılan cerrahi olmakla birlikte komplikasyon oranı düşüktür. Histopatolojik tanı tedavi yönteminde önemlidir. Gerektiğinde boyun diseksiyonu tedaviye eklenmelidir.
Objective: We aimed to evaluate clinical presentations, histopathological diagnosis, surgical treatment modalities and complications of patients operated for a parotid gland mass. Methods: Medical records of 115 patients who operated for a parotid gland mass between 2007 and 2016 years evaluated retrospectively. Results: 65 (56.5%) of these patients were male and 50 (43.5%) were female. The mean age of the patients was 44.97. Tumor was located right sided in 72, left sided in 41 and bilateral in two patients. In 95 patients superficial parotidectomy, in 17 patients total parotidectomy, in two patients enucleation and in one patient radical parotidectomy were used as surgical procedure. Histopathological diagnosis was benign in 94 patients, malign in 13 patients and non-neoplastic in 8 patients. For benign tumors the most common histopathology was pleomorphic adenoma in 61 (64.8%) patients, and the second was Whartin tumor in 23 (24.4%) patients. The other benign tumors were seen in 11 patients. Adenoid cystic carcinoma was seen the most common malign tumor. In six patients with malign tumors neck dissection was performed simultaneously with parotidectomy. Complication ratio was 12.2% (14 patient) and facial paresis was the most common complication. Conclusion: Surgery is the treatment of parotid tumors. Superficial parotidectomy is the most used surgical procedure and has low complication rate. Histopathological diagnosis is important for the type of treatment modality. Neck dissection should be added to treatment when necessary.
Objective: We aimed to evaluate clinical presentations, histopathological diagnosis, surgical treatment modalities and complications of patients operated for a parotid gland mass. Methods: Medical records of 115 patients who operated for a parotid gland mass between 2007 and 2016 years evaluated retrospectively. Results: 65 (56.5%) of these patients were male and 50 (43.5%) were female. The mean age of the patients was 44.97. Tumor was located right sided in 72, left sided in 41 and bilateral in two patients. In 95 patients superficial parotidectomy, in 17 patients total parotidectomy, in two patients enucleation and in one patient radical parotidectomy were used as surgical procedure. Histopathological diagnosis was benign in 94 patients, malign in 13 patients and non-neoplastic in 8 patients. For benign tumors the most common histopathology was pleomorphic adenoma in 61 (64.8%) patients, and the second was Whartin tumor in 23 (24.4%) patients. The other benign tumors were seen in 11 patients. Adenoid cystic carcinoma was seen the most common malign tumor. In six patients with malign tumors neck dissection was performed simultaneously with parotidectomy. Complication ratio was 12.2% (14 patient) and facial paresis was the most common complication. Conclusion: Surgery is the treatment of parotid tumors. Superficial parotidectomy is the most used surgical procedure and has low complication rate. Histopathological diagnosis is important for the type of treatment modality. Neck dissection should be added to treatment when necessary.
Açıklama
Anahtar Kelimeler
Parotis tümörleri, Histopatoloji, Cerrahi, Parotid tumors, Histopathology, Surgery
Kaynak
Dicle Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
43
Sayı
2
Künye
Özbay, M., Şengül, E. ve Topçu, İ. (2016). Parotis kitlelerinde tanı ve cerrahi tedavi sonuçları. Dicle Tıp Dergisi, 43(2), 315-318.
