Age and Gender Differences with Clinical Presentation of Patients with Histopathological and CT-Scan Confirmed Parapharyngeal Mass

Journal of Current and Advance Medical Research Pub Date : 2023-11-29 DOI:10.3329/jcamr.v10i1.69404

Rehana Khanam, Shafeya Khanam, Tasnia Kabir, Ehsanul Kabir

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Abstract

Background: Parapharyngeal Mass can occur in different age and gender group with varied clinical features. Objective: The purpose of the present study was to see the age and gender differences with clinical presentation of patients with histopathological and CT-scan confirmed parapharyngeal mass. Methodology: This was a cross sectional type of study. This study was carried out in the Department of Radiology and Imaging at Dhaka Medical College, Dhaka, Bangladesh. This study was carried out from January 2014 to December 2016. Clinically suspected cases of para pharyngeal space mass lesions attended in the otolaryngology and Radiology & Imaging department of Dhaka Medical College, Dhaka, Bangladesh were enrolled in this study. The patient in this study was evaluated according to the management plan for surgery followed in Otolaryngology department, which includes History, Clinical examination, CT-scan and Histopathology. Detail history about the illness, chief complains taken in formatted history sheet. All patients were undergone CT examination of neck in the Department of Radiology and Imaging at Dhaka Medical College, Dhaka. After resection of the mass, the specimen was sent to histopathological examination to the Department of Pathology at Dhaka Medical College, Dhaka, Bangladesh. Results: Male and female ratio was 2.57:1. Maximum 54% patients were belonged to 21-40 years’ age group followed by 38% 41 and above age group and 8.0% up to 20 years’ age group. Mean (±SD) age of the patients was 37.76 (14.82). Presence of mass, fever, malaise, pain, otalgia or fullness in ear, dysphagia, facial nerve dysfunction, trismus, dyspnea and deviation of tongue were the main presenting features of this study. Out of all lesions 58% were in left parapharyngeal space and 42% were in right. Of all patients, 20% had nerve sheath tumour (14% schwannoma & 6% neurofibroma), 6% had paraganglioma, 14% had chronic nonspecific lymphadenitis, 12% had tuberculosis, 16% had squamous cell carcinoma (invasion from adjacent spaces). Parotid pleomorphic adenoma (6%) & mucoepidermoid carcinoma (4%). Rests had, lipoma (4.0%), branchial cleft cyst (4.0%), lymphoma (6.0%), and abscess (2.0%). After histopathological evaluation 24% were malignant and 76% were benign. Conclusion: In conclusion majority of the study population are young adult male presented with mass, fever and malaise. Journal of Current and Advance Medical Research, January 2023;10(1):25-30

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组织病理学和 CT 扫描证实咽旁肿块患者临床表现的年龄和性别差异

背景：咽旁肿块可发生在不同年龄和性别的人群中，其临床特征各不相同。本研究的目的是了解组织病理学和 CT 扫描证实的咽旁肿块患者的年龄和性别差异以及临床表现：本研究旨在了解组织病理学和 CT 扫描证实的咽旁肿块患者在临床表现上的年龄和性别差异。研究方法：这是一项横断面研究。研究在孟加拉国达卡医学院放射学和影像学系进行。研究时间为 2014 年 1 月至 2016 年 12 月。在孟加拉国达卡医学院耳鼻喉科和放射影像科就诊的咽旁间隙肿块病变临床疑似病例被纳入本研究。本研究根据耳鼻喉科的手术管理计划对患者进行评估，包括病史、临床检查、CT 扫描和组织病理学检查。在格式化的病史表中详细记录病史和主诉。所有患者均在达卡医学院放射与影像系接受了颈部 CT 检查。切除肿块后，标本被送往孟加拉国达卡医学院病理学系进行组织病理学检查。结果男女比例为 2.57:1。最大 54% 的患者属于 21-40 岁年龄组，其次是 38% 的 41 岁及以上年龄组和 8.0% 的 20 岁以下年龄组。患者的平均年龄（±SD）为 37.76（14.82）岁。肿块、发热、乏力、疼痛、耳痛或耳胀满、吞咽困难、面神经功能障碍、肢体瘫痪、呼吸困难和舌偏斜是本研究的主要表现特征。在所有病变中，58%位于左侧咽旁间隙，42%位于右侧。在所有患者中，20%患有神经鞘瘤（14%为分裂瘤，6%为神经纤维瘤），6%患有副神经节瘤，14%患有慢性非特异性淋巴结炎，12%患有结核病，16%患有鳞状细胞癌（从邻近间隙侵入）。腮腺多形性腺瘤（6%）和粘液表皮样癌（4%）。其余病例有脂肪瘤（4.0%）、腮裂囊肿（4.0%）、淋巴瘤（6.0%）和脓肿（2.0%）。经组织病理学评估，24%为恶性，76%为良性。结论总之，研究对象大多为年轻男性，以肿块、发热和不适为主要症状。最新医学研究杂志》，2023 年 1 月；10（1）：25-30

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Journal of Current and Advance Medical Research

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