A STUDY OF PAROTID LESIONS AND THEIR SURGICAL MANAGEMENT FROM A TERTIARY MEDICAL CENTRE OF EASTERN INDIA

Abstract

Aloke Bose Majumdar, Radhe Shyam Mahato, Soumendu Guha, Shib Shankar Paul, Barun Bhattacharjee, Rupam Sil, Souradeep Ray

BACKGROUND: The Parotid gland is commonly affected by swellings of diverse pathology which present as a mass in the retromandibular area. The pathology of these lesions are diverse varying from inflammatory lesions, cysts to benign and malignant tumors. In our study the commonest benign tumor is pleomorphic adenoma (76.69%) and commonest malignant tumor is squamous cell carcinoma (4.85%). METHODS: A retrospective study of 103 cases of parotid swellings was carried out in the department of Otorhinolaryngology & Head Neck Surgery, MGM Medical College & LSK Hospital Kishanganj, Bihar, India from April 2010 to March 2015. All the cases of parotid swellings which were admitted for treatment were analyzed taking detailed history, clinical features, ultrasonographic & CT scan findings, and FNAC. Surgical treatment was done for all cases in this study. Operated specimens underwent thorough histopathological evaluation. RESULTS: In our series there were 58 females (56.3%) and 45 males (43.6%) with a female to male ratio of 1.2:1. The mean age of presentation was 33.6 years with an age ranging from 3 years to 67 years. Most of the cases were in the third and fourth decade of life (65%). Mean age of presentation for benign tumors was 36 years and for malignant tumors was 57 years

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