Management of Salivary Gland Tumours Our Experience

Abstract

This Prospective study was undertaken to evaluate our experience regarding incidence, pathology and management especially the surgical treatment of salivary gland tumours. Total No.21 patients were treated in three years period. Parotid gland was the commonest site followed by submandibular and minor salivary glands. Painless, slow growing lump was the usual presentation (76%) and clinical signs of malignancy was present in 24% of cases only. Male sex 4e” and 5ta) decade of life was the main sufferers. Clinical diagnosis remains the main stay, although FNAC is diagnostic in 68% of cases. Overall incidence of benign tumours was 58% with pleomorphic adenoma the commonest pathology. Incidence of malignancy is quite high (42%) with mucoepidermoid and adenoid cystic carcinoma are the common malignant tumours. Surgical therapy offers the best chance of cure. Surgery for primary tumours is very rewarding in experience hands. Surgery for recurrent tumours is not only difficult but also carries higher complication rate. Hence it is recommended that salivary gland surgery should only be performed by  experienced surgeon, with special interest in the salivary gland surgery.