Parotidektomi Yapılan Olguların Histopatolojik ve Cerrahi Sonuçları: Tek Merkez Deneyimi
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2020
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info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı parotidektomi yapılan 67 hastanın yaş, cinsiyet, pre-operatif ince iğne aspirasyon sitolojisi ve insizyonel biyopsi tanı, uygulanan cerrahi işlem ve histopatolojik sonuçlarını retrospektif olarak değerlendirmektir. Materyal ve Metot: Çalışmaya Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi ‘nde farklı lezyonlar sebebiyle 2011-2019 yılları arasında opere edilen 67 parotidektomi hastası dahil edilmiştir. Hastaların yaş, cinsiyet, ince iğne aspirasyon sitolojisi ve biyopsi sonuçları ile ameliyat şekli ve ameliyat sonrası histopatolojik sonuçları ve tümör boyutları değerlendirilmiştir. İnce iğne aspirasyon sitolojisi ve insizyonel biyopsi sonuçları histopatolojik verilerle kıyaslanarak bu yöntemlerin etkinliği karşılaştırılmıştır. Bulgular: Altmışyedi hastanın parotidektomi sonuçlarına göre 58’i(%86,5) benign(Pleomorfik adenom, Whartin, Sebase lenfadenom, Siyalolitiyazis), dokuzu(%13,5) malign tanı almıştır. Altmışyedi hastadan ameliyat öncesi 20’sine ince iğne aspirasyon sitolojisi ve 25’ine insizyonel biyopsi uygulanmıştır. İİAS uygulanan 20 hastadan 16’sı(%80) tanısal, dördü tanısal değildir. İnsizyonel biyopsi uygulanan 25 hastadan 21’i(%84) tanısal, dördü tanısal değildir. Sonuç: Parotiste meydana gelen tükrük bezi tümörlerinin %80’i benign karakterdedir. Bu benign tümörlerin de çoğunluğu (%61-90) pleomorfik adenomdan oluşmaktadır. Bizim çalışmamızda da literatürdekine benzer şekilde parotidektomi olgularımızn %86,5’i benign tümörlerdir. Bu benign olgularımızın %52’si pleomorfik adenom, ikinci sıklıkta görülen benign tümör ise whartin olup benign tümörlerin %43’ünü oluşturmaktadır.
Aim: The aim of this study was to retrospectively evaluate the age, sex, pre-operative fine needle aspiration cytology and incisional biopsy diagnosis, surgical procedure and histopathological results of patients who underwent parotidectomy. Materials and Methods: A total of 67 patients with different parotid gland tumors underwent surgery at Tekirdag Namik Kemal University Faculty of Medicine between 2011-2019 years. The patients’s age, sex, fine needle aspiration cytology and biopsy results, histopathological and postoperative histopathological results and tumor sizes were evaluated. Fine needle aspiration cytology and incisional biopsy results were compared with histopathological data and efficacy of these methods were compared. Results: According to the parotidectomy results of 67 patients, 58(%86.5) were diagnosed as benign (Pleomorphic adenoma, Whartin, Sebaceous lymphadenoma, Sialolithiasis) and nine (13.5%) were diagnosed as malignant. Twenty patients underwent fine needle aspiration cytology and 25 patients underwent incisional biopsy before surgery. Of the 20 patients who underwent FNAC, 16 (80%) were diagnostic and four were non-diagnostic. Of the 25 patients who underwent incisional biopsy, 21 (84%) were diagnostic and four were non-diagnostic. Conclusion: 80% of salivary gland tumors that occur in the parotid are benign. The majority of these benign tumors (61-90%) are pleomorphic adenomas. In our study, 86,5% of the parotidectomy cases were benign tumors similar to the literature. 52% of these benign cases are pleomorphic adenoma, the second most common benign tumor is whartin and constitutes 43% of benign tumors.
Aim: The aim of this study was to retrospectively evaluate the age, sex, pre-operative fine needle aspiration cytology and incisional biopsy diagnosis, surgical procedure and histopathological results of patients who underwent parotidectomy. Materials and Methods: A total of 67 patients with different parotid gland tumors underwent surgery at Tekirdag Namik Kemal University Faculty of Medicine between 2011-2019 years. The patients’s age, sex, fine needle aspiration cytology and biopsy results, histopathological and postoperative histopathological results and tumor sizes were evaluated. Fine needle aspiration cytology and incisional biopsy results were compared with histopathological data and efficacy of these methods were compared. Results: According to the parotidectomy results of 67 patients, 58(%86.5) were diagnosed as benign (Pleomorphic adenoma, Whartin, Sebaceous lymphadenoma, Sialolithiasis) and nine (13.5%) were diagnosed as malignant. Twenty patients underwent fine needle aspiration cytology and 25 patients underwent incisional biopsy before surgery. Of the 20 patients who underwent FNAC, 16 (80%) were diagnostic and four were non-diagnostic. Of the 25 patients who underwent incisional biopsy, 21 (84%) were diagnostic and four were non-diagnostic. Conclusion: 80% of salivary gland tumors that occur in the parotid are benign. The majority of these benign tumors (61-90%) are pleomorphic adenomas. In our study, 86,5% of the parotidectomy cases were benign tumors similar to the literature. 52% of these benign cases are pleomorphic adenoma, the second most common benign tumor is whartin and constitutes 43% of benign tumors.
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Namık Kemal Tıp Dergisi
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8
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1
