Tumori žlijezda slinovnica

Tumori žlijezda slinovnica su morfološki raznolika skupina neoplazmi koja se pojavljuje u velikom broju dobroćudnih i zloćudnih histoloških podtipova. Većinom se javljaju u pacijenata iznad 60 godina. Najćešći su dobroćudni tumori koji nastaju u parotidnoj žlijezdi. Klinički se očituju kao bezbolna oteklina, a dijagnosticiraju se citopunkcijom i grand biopsijom. Kiruško odstranjenje dijela ili cijele ţlijezde predstvalja primarno liječenje svih tumora slinovnica. Svrha ovog rada bila je ispitati učestalost tumora ţlijezda slinovnica prema spolu, dobi, citološkoj dijagnozi, patohistološkom nalazu i tipu operativnog zahvata. Osim toga cilj je bio uočiti najčešću lokalizaciju i stranu na kojoj se pojavljuju tumori, te njihovu raspodjelu prema kliničkoj klasifikaciji tj. biološkom ponašanju. Istraţivanje je obuhvatilo 95 ispitanika koji su kiruški liječeni na Klinici za maksilofacijalnu kirurgiju KBC-a Rijeka od početka 2009. do kraja 2015. godine. U prosjeku je liječeno 14 ispitanika po godini. Prema rezultatima ovog istraţivanja, dobroćudni tumori puno su ćešći nego zloćudni (8:2), a najčešće sijelo tumora je parotidna ţlijezda. Incidencija tumora slinovnica među spolovima nije pokazala statistički značajnu razliku. Alkohol i pušenje ne igraju ulogu u nastanku zloćudnih tumora. Citopunkcija je takoĎer potvrdila mnogo više dobroćudnih tumora. Najćešče evidentiran tumor prema patohistološkoj dijagnozi bio je Whartinov tumor. Najčešće metoda liječenja je bila superficijalna parotidektomija. Kardiovaskularne bolesti kao komorbiditet su uočene u polovice pacijenata.Tumors of the salivary glands are morphologically diverse group of neoplasms that appears in a various number of benign and malignant histological subtypes. Tumors are present mainly after the age of 60. The most common are benign tumors that arise in the parotid gland. These tumors are clinically manifested as a painless swelling and diagnosed by fine needle aspiration and grand biopsy. Surgical removal of part or the entire gland represents the primary treatment of salivary tumors. The purpose of this study was to examine the incidence of tumors of the salivary glands by gender, age, cytological diagnosis, histopathologic analysis and the type of surgery. In addition the aim was to determine the most common localization, the most common side of the appearance and their distribution according to the clinical classification. The study included 95 patients who were surgically treated at the Department of Maxillofacial Surgery, University Hospital Rijeka since the beginning of 2009 until the end of 2015. They were treated 14 patients per year. According to the results of this study, benign tumors are more common than malignant (8: 2), with the most common localization being the parotid gland. The incidence of salivary gland tumors between the sexes showed no significant difference. Tobacco and alcohol don't play a role in the development of malignancies of the salivary glands. FNAC has also confirmed more benign tumors than maligant. The most evident tumor according to hystopathological diagnosis was Whartin's tumor. The most common method of treatment was superficial paroditectomy. Cardiovascular disease as a comorbidity were observed in a half of the patients