Amol Dongre
Associate Professor Dept. of Medical Oncology Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences Sawangi (Meghe) Wardha
Shriram Kane
Professor Dept. of Medical Oncology Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences Sawangi (Meghe) Wardha
Abstract
BACKGROUND: Salivary gland neoplasms are head and neck tumours that are extremely rare. They make up 8.1 percent of tumours in this anatomical area and 0.2 percent of all cancers, according to the literature. Most of these tumours are benign and about 20 percent are found to be malignant, and in the sixth decade, most cases are observed.
MATERIAL AND METHODS: The research involved a total of 32 patients, of which 24 patients had parotid lesion and 8 had other salivary gland involvement. From all the participants, demographic data was obtained. Proper history taking, all routine haematological and biochemical studies were performed. There was a computed tomographic scan and fine needle aspiration.
RESULTS: 17 (53.12 percent) of the 32 patients were male and 15 (46.88 percent) were female. No preponderance of sex existed. In this series, the average age was 51.45 years and no particular age group distress was observed. 26 (81.25 percent) of 32 patients were diagnosed with benign lesions and 6 (18.75 percent) had malignant lesions. Of the 26 benign tumours in total, 22 were observed in the parotid gland and 2 in the palate and sub-mandibular gland, respectively. In the parotid and the sub-mandibular gland, 2 of the 6 malignant tumours were observed. In 4 patients, palpable cervical nodes that displayed metastasis were found. There was a superficial parotidectomy in all benign parotid cases. Mucoepidermoid carcinoma underwent a complete conservation parotidectomy, while radical parotidectomy with radical neck dissection and adjunct radiotherapy was treated in one patient who had skin tethering with neck nodes.
CONCLUSION: Surgery is the cornerstone of salivary tumour care since it serves both diagnostic and therapeutic functions. Long-term follow-up is critical for assessing therapy benefits.
KEYWORDS: Salivary gland neoplasms, parotidectomy, Mucoepidermoid carcinoma, radical neck dissection, adjunct radiotherapy