Objective: This retrospective study aimed to investigate the types and distribution of neoplasm of salivary glands in a Turkish population. Study Design: The histological diagnosis records of the Department of Pathology at Cumhuriyet University were reevaluated for 125 patients who were treated for salivary gland tumors from 1987 to 2008. The neoplasms were analyzed for histological diagnosis, age, sex, and site. The histological diagnoses were analyzed according to the 2005 WHO classification. Results: A total of 125 primary salivary gland neoplasms, consisting of 95 (76%) benign and 30 (24%) malignant groups were recorded. The most common major and minor salivary gland sites were the parotid (61.6%) and palatal glands (9.6%), respectively. Pleomorphic adenoma was the most frequent benign tumor followed by Warthin's tumor. Among the malignant group, adenoid cystic carcinoma was the most prevalent. Age for all cases ranged from 16-80 years; mean age was 41.97 years, with a female to male ratio of 1:1.15. Conclusions: Although there were some discrepancies, the characteristics of salivary gland tumors of Turkish patients are in line with those of patients from other countries according to tumor type, tumor site distribution, and age and sex of patients.
Intumescentia septi nasi anterior (ISNA) is a common anatomical variation that is not routinely noticed by surgeons or radiologists. ISNA is a mucosal bulging located on each side of the anterior part of the septum. The aim of this study was to investigate the prevalence of ISNA in different ages and sexes. In this study, computerized tomography (CT) scans of the paranasal sinus were obtained from 595 patients who had symptoms of chronic sinusitis. Among 595 subjects, ISNA was found in 332 (55.79 per cent) of subjects. It was found more frequently in males than females in every age group. Although ISNA is a common anatomical variation, it is generally overlooked. This is the first report on ISNA in different age groups and sexes.
Primary malignant melanoma of the nose and paranasal sinus mucosa is a rare disease and seen in less than 1% among all melanomas. Malignant melanomas have 2 origins: cutaneous and mucosal. The mucosal form has a worse prognosis because of its aggressiveness compared with that of the cutaneous form. Mucosal melanomas often occur at a rate of 2% to 3% among all melanomas and are typically found in the nasal cavity and paranasal sinuses. Generally, it is more common in males and in those older than 50 years. In this study, 4 patients were observed at the Cumhuriyet University Faculty of Medicine; 2 of them were a 64-year-old man and an 82-year-old woman who had a malignant melanoma originating from the nasal septal mucosa, 1 patient was a 72-year-old woman whose malignant melanoma originated from the inferior turbinate, and 1 patient was a 77-year-old woman with a sinonasally located melanoma. The conditions of these patients were discussed under the light of literature instructions.
In this study a total of 175 coronal CT scans of the nasal cavity and paranasal sinuses have been investigated. A secondary middle concha was detected bilaterally in 12 (6.8%) out of 175 patients. In all cases, the ethmoidal infundibulum was placed anteroinferior to the lateral origin of the secondary middle concha. This structure did not obstruct the osteo-meatal complex in any of the 12 cases.
The isolated pulmonary involvement as well as upper respiratory tract involvement is declining in consequence of anti-tuberculosis treatment and vaccine programs. However, the incidence of tuberculosis is increasing in less developed and in some developed cities. A 56-year-old woman presented with 5-6 years history of nasal obstruction, sleep with open mouth, and snoring. The mass of the nasopharynx biopsy was performed under local anesthesia. The biopsy material's histopathological examination showed features of tuberculosis and diagnosis confirmed as tuberculosis by the pathologists. Primary nasopharyngeal tuberculosis without the lung involvement is very rare; otorhinolaryngologists should keep in mind the possibility of tuberculosis in the differential diagnosis of nasopharyngeal mass as the incidence of tuberculosis in developed countries is steadily increasing.
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