A clinicopathological study on morphological pattern and management of parotid tumours: a multicentric experience

Introduction

Parotid tumours are heterogeneous neoplasms with complex morphology and dubious clinical characters. The aim of our study was to assess the demographics, frequency, morphology, management & long term follow up results of the patients undergoing parotidectomy.

 

Methodology

This prospective study was conducted on all parotidectomies performed at the Dept. of Surgery and Surgical Oncology of three premiere teaching institutes of Kolkata between January 2011 to December 2015.

 

Result and discussion

The mean age of presentation in our study was comparable with other series [9,10]. Pleomorphic adenoma was most common with 51 (41.5%) patients and Warthin's tumour was 2nd most common with 19 (15.4%) patients. Permanent facial nerve palsy was seen in 0.04% of our patients. Pain (41.3%) and swelling (100%) were the most frequent presenting feature of malignancy. 15 (34%) patients with malignant tumour required additional reconstruction by pectoralis major myocutaneous flap.

 

Conclusion

Our study came out with many similarities in clinical course of parotid tumours in other parts of the world as well as a few individual findings. Surgery with optimum preoperative planning and counselling remains the mainstay of treatment.