Abstract

STUDY OF DISTRIBUTION OF TUMOURS IN HEAD AND NECK REGION

Author(s): O. P. Bhargava, K. L. Azad, Pranati, J. Sandhya Rani

“Head and neck tumours” form highly specific group, mainly arising in the peripheral nerves, salivary glands, paranasal sinuses, connective tissue, epithelium and skin. Fine needle aspiration cytology (FNAC) is well accepted as a useful diagnostic technique in the management of adult patients with head and neck lumps. Objective was to study the incidence of various” Head and Neck Tumours” in patients attending medical college Hospital Jabalpur and also to correlate histo-cyto pathological findings with clinical findings. MATERIALS AND METHODS The present study comprises of 379 patients who attended the outpatient department or were admitted in the wards of associated hospital of N.S.C.B. Medical College, Jabalpur during the period from July 2003 to July 2005 with the presenting complaint of Tumour. The study was carried out for two years. Permission from Institutional Ethics Committee was obtained. From each and every patient included in the study, initially informed individual consent was taken. RESULTS Benign tumours constitute 107 (28.2 percent) and malignant tumours constitute 272 (71.80 percent) benign and malignant tumour were more common in males constitutes (56.1 percent) and (66.2 percent) respectively. Male to Female ratio for all head and neck tumours was (1. 72:1) for malignant tumours were (2:1) and for benign tumours was (1.27: 1). Cytology was also done in 51 cases out of which 26 were lymph node showing metastatic squamous cell carcinoma 13 FNA were from primary lesions shows squamous cell carcinoma. In four cases, FNA was negative for malignancy but positive histopathologically. 2 benign tumours were incorrectly diagnosed remaining 6 tumours were diagnosed correctly, which were benign. CONCLUSION Incidence, patterns and trends of head and neck tumours were analysed in all age group patients. Incidence of head and neck tumours in relation to all tumours was 23.56 percent. Total 379 cases were studied, out which 272 (71.8 percent), were malignant while 107 (28.2 percent) were benign. 213 tumours were found in oral cavity out of them 187(87.8 percent) were malignant and 26 (13.2 percent) were benign.