ABSTRACT
Authors have described a case of bilateral acinic cell carcinoma of parotid gland. The patient has been treated successfully by left superficial parotidectomy and right total parotidectomy followed by complementary Co 60 therapy. During 3 years after surgery the patient revealed no recurrence of the disease. Clinical course, histology and pathology have also been presented. The authors have pointed out the difficulties in diagnosing ACC because of the variety of histological pictures and unclear terminology.
Subject(s)
Carcinoma, Acinar Cell/pathology , Parotid Neoplasms/pathology , Carcinoma, Acinar Cell/surgery , Humans , Male , Middle Aged , Parotid Neoplasms/surgeryABSTRACT
From 1992 to 1994 23 patients with tumor or nodular goiter of thyroid gland have been treated in Otolaryngology Department of County Hospital No 1 in Rzeszów, Poland. Histology examination has revealed malignant tumors in 5 (21.7%) cases: papillary carcinoma in 3 cases and follicular carcinoma in 2 cases. Based on own material and references authors present the model of diagnostic course in case of single or multiple nodules of thyroid gland. Physical examination, ultrasonography, thyroid hormone levels, fine-needle biopsy, nuclear scan and intrasurgery pathology examination in case of malignancy suspicion have been taken into consideration. Treatment of thyroid gland tumors requires cooperation otolaryngology, endocrinology, oncology and surgery specialties. In a case of thyroid carcinoma radical surgery must be followed by radiotherapy with using radioactive iodine and/or external radiotherapy.
Subject(s)
Carcinoma/diagnosis , Thyroid Neoplasms/diagnosis , Adolescent , Adult , Aged , Biopsy, Needle , Carcinoma/therapy , Combined Modality Therapy , Diagnostic Imaging/methods , Female , Humans , Male , Middle Aged , Physical Examination/methods , Retrospective Studies , Thyroid Neoplasms/therapyABSTRACT
From 1974 to 1994 in Otolaryngology Department of County Hospital No 1 in Rezszów, Poland in 35 patients tumor of neck derived from thyroid gland has been revealed. There were 22 females and 13 males, aged 16 to 78 (mean age 48), among the patients. Pathology examination of surgery removed tumors has revealed malignancy in 19/35 (54%) cases, non-neoplastic tumors in 11/35 (32%) cases and non-malignant tumors in 5/35 (14%) cases. Among malignant tumors metastasis of papillare adenocarcinoma was the most frequent pathology (37%). Authors analyze feature of the thyroid gland derived tumors based on their size, consistency, localization, mobility, towards surroundings and the picture during surgery. Because of the presence of thyroid gland malignant tumor metastasis without clinical symptoms, author emphasised the necessity of its consideration in differential diagnosis.
Subject(s)
Thyroid Diseases/diagnosis , Adenocarcinoma, Papillary/diagnosis , Adenocarcinoma, Papillary/metabolism , Adenocarcinoma, Papillary/surgery , Adolescent , Adult , Aged , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Retrospective Studies , Thyroid Neoplasms/diagnosis , Thyroid Neoplasms/surgeryABSTRACT
From 1974 to 1993 in Otolaryngology Department of County Hospital No 1 in Rzeszów, Poland in 98 patients cancers of the oral tongue and/or floor of the mouth have been diagnosed. Pathology examinations revealed squamous cell carcinoma in 98% of the total number of patients. Based on the hospital data and control examinations authors have analyzed retrospectively 42 patients (35 male and 7 female, aged 32-90). Because of the advanced stage of the disease as many as 17 patients have applied only palliative treatment. 13 patients were treated surgically followed by radiotherapy and/or chemotherapy, 9 patients were treated with radiation and 3 patients have radiotherapy and chemotherapy. 3, 5, and 10 years survivals have been estimated.
Subject(s)
Carcinoma, Squamous Cell/therapy , Tongue Neoplasms/therapy , Adult , Aged , Aged, 80 and over , Carcinoma, Squamous Cell/mortality , Carcinoma, Squamous Cell/pathology , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Palliative Care , Retrospective Studies , Survival Rate , Tongue Neoplasms/mortality , Tongue Neoplasms/pathologyABSTRACT
Bilateral suprahyoid lymphangiectomy have been made in 95 patients because of suspicion of submandibular lymph nodes metastases. The patients with lip carcinoma have been previously treated with surgery, surgery and radiotherapy or with radiotherapy followed by surgery. Histological examinations have revealed lymph node metastases in 62 (65.3%) patients, in 31 (32.6%) patients histology has been negative and in 2 (2.2%) patients lymphonodular tuberculosis has been stated. Authors have analyzed 3, 5 and 10 years survivals in 65 patients after suprahyoid lymphangiectomy during lip cancer treatment.