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. 2015 Feb 12:20:121.
doi: 10.11604/pamj.2015.20.121.3458. eCollection 2015.

Malignant salivary gland tumours of the head and neck region: a single institutions review

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Malignant salivary gland tumours of the head and neck region: a single institutions review

Ahmed Oluwatoyin Lawal et al. Pan Afr Med J. .

Abstract

Introduction: Malignant salivary gland tumours (MSGTs) comprise about 3% of all head and neck cancers; they demonstrate an unpredictable clinical course. The purpose of this study is to review MSGTs seen at a tertiary Health centre, and compare findings with those of previous studies.

Methods: The records of the Department of Oral Pathology and the Department of Pathology, University College Hospital Ibadan were reviewed over a 19 year period and lesions diagnosed as MSGTs according to 2005 WHO histological classification were analysed for age, gender and site using SPSS for Windows (version 20.0; SPSS Inc. Chicago, IL).

Results: MSGTs were more common in males (55.2%) than females (44.8%). The mean age of was 47.9 (±17.0) years and peak age was the fifth decade. The parotid gland was the commonest site with 62 (28.1%) cases. The palate was the commonest intraoral site with 61(27.6%). The nose with 19 (8.6%) was the commonest minor extra-oral site.

Conclusion: The findings were essentially similar to reports from Europe and America. Adenoid Cystic Carcinoma was the most common MSGT in this series. A high proportion of salivary gland tumours in sublingual gland were malignant. The reason(s) for high proportion of MSGTs in sublingual glands requires further investigation.

Keywords: Malignant salivary gland tumour; adenoid cystic carcinoma; mucoepidermoid carcinoma; polymorphous low-grade adenocarcinoma.

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