Volume : 5, Issue : 9, September - 2016

Prognostic factors in malignant parotid carcinoma: A single Centre study.

Dr. Abhishek Jain, Dr. Vikas Warikoo, Dr. Ramesh Kumar

Abstract :

<p>&nbsp;Objectives- To assess the prognostic factors in malignant parotid carcinoma influencing local and distant recurrence Methods- The present study is prospective observational study comprised of 42 patients of operable parotid carcinoma treated at our institute, from 2005 to 2010. All patients were already undergone parotidectomy &plusmn; neck dissection followed by radiotherapy in some patients based on final histopathological report. Results-Out of 42 patients, 28 were male and 14 were female. Mean age was 50 years. Mucoepidermoid carcinoma was most common pathology, present in 30 (71%) patients. Twelve patients showed recurrences, (8 local recurrence, 2 local + distant and only 2 distant recurrence). Out of these 12 patients 9 patients showed high grade, 8 patients were T4 and 6 patients presented with facial nerve palsy. Conclusion- Presence of high clinical stage, facial nerve palsy at presentation, high tumor grade are poor prognostic factors in malignant parotid carcinoma. Limitation- Small sample size. A prospective multicentric study with large sample size is needed for better understanding of male east cancer.</p>