27Feb 2017

HISTOPATHOLOGICAL SPECTRUM OF SALIVARY GLAND TUMOURS. A HOSPITAL BASED STUDY.

  • Senior resident Post graduate department of Pathology Gmc Srinagar.
  • Senior resident Post graduate department of Obstetrics and GynaecologyGmc Srinagar.
  • Post graduate scholar post graduate department of pathology Gmc Srinagar.
  • Head of Department post graduate department of pathology Gmc Srinagar. 190010.
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Background: Salivary gland tumors are common neoplasms of head and neck region. These tumors are complex andsome of them exhibit great deal of morphologic overlap .The majority of these neoplasms are benign. These tumours can occur in both major and minor salivary glands. 80% of major salivary gland tumoursoccur in the parotid glands, while most minor salivary tumours are located in the palate. As a general rule in clinical practice, the smaller the salivary gland is, the more likely the tumouris malignant. Objective: This study was carried out to study the histopathological spectrum of salivary gland tumors and to know their pattern of distribution. Material and Methods:-This is a two year retrospective study which was conducted in the Post graduate department of pathology Government Medical College Srinagar from January 2015 to December 2016 . Post surgical specimens were studied in detail to know the histological patterns. In each patient, age, sex, site and histopathological diagnosis was seen from record section of the department. The histological diagnosis of each individual tumor was based on the 2005 WHO classification of salivary gland tumors. Results:- During two year ( from January 2015 to December 2016), 100 cases of salivary gland tumors were diagnosed with peak incidence in third to fourth decade (48%).Among these, 63(63%) cases were benign and 31(31%) cases were malignant. The commonest site was parotid gland (68%) followed by submandibular glands(19%) and minor salivary gland tumors were 13%. Among benign tumours of salivary glands pleomorphic adenoma (42%) was most common followed by Warthintumour (12%),basal cell adenoma (7%) andMyoepithelioma (2%) and among malignant tumours,Mucoepidermoid carcinoma (46%) was most common followed by Adenoid cystic carcinoma (32.5%), Carcinoma ex pleomorphic adenoma (10.8%), Acinic cell carcinoma and Polymorphous low grade adenocarcinoma each comprising of (5.4%). Conclusion: Histopathological study of salivary gland lesions is the most important method in establishing the final diagnosis and accordingly guides in the specific management.

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[Syed Imtiyaz Hussain, Gulshan Akhter, Farooq Sideeq, Baba Iqbal, Ruby Reshi, Farzana Manzoor and Arshi Beg. (2017); HISTOPATHOLOGICAL SPECTRUM OF SALIVARY GLAND TUMOURS. A HOSPITAL BASED STUDY. Int. J. of Adv. Res. 5 (Feb). 1912-1922] (ISSN 2320-5407). www.journalijar.com

Syed Imtiyaz Hussain
Senior resident Post graduate department of Pathology Gmc Srinagar.

DOI:

Article DOI: 10.21474/IJAR01/3361      
DOI URL: http://dx.doi.org/10.21474/IJAR01/3361

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