Department of Oral and Maxillofacial Surgery
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Browsing Department of Oral and Maxillofacial Surgery by Author "Abdulkareem, FB"
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- ItemOpen AccessSubmandibular gland excision: a 16 year clinicopathological reviewof cases in a Nigerian Teaching Hospital.(Blackwell Munksgaard, 2008-02-04) Adeyemo, W.L.; Ajayi, O.F.; Anunobi, C.C.; Ogunlewe, M.O.; Ladeinde, A.L.; Omitola, O.G.; Abdulkareem, FBAim: This study presents a review of the clinicopathological features of excised submandibular glands over a 16 year period of time at the Lagos University Teaching Hospital, Nigeria. Materials and methods: A retrospective review of excised submandibular glands over a period of 16 years (January 1990 to December 2005) was conducted. Parameters studied included: age and gender of patients, symptoms and duration of symptoms and histologic diagnosis. Results: A total of 47 patients had their submandibular gland excised during the period of the study. There were 28 men and 19 women (men : women ratio of 1.5:1). Mean age [standard deviation (SD)] of patients at presentation was 40.5 18.1 years (range, 13–84 years). There were 34 (72%) histologically diagnosed neoplasms and 13 (28%) non-neoplastic pathologies. Patients with neoplastic pathologies were significantly older than those with non-neoplastic pathologies (P = 0.004). The most common neoplasm was pleomorphic adenoma (35%), followed by adenocystic carcinoma (12%) and anaplastic carcinoma (12%). Chronic sialadenitis with or without sialolithiasis (85%) was the most common non-neoplastic pathology. Conclusion: The most common submandibular salivary gland pathology that necessitated surgical excision, in our institution, was neoplasia, predominately pleomorphic adenomas. The most common non-neoplastic pathology was chronic sialadenitis with or without sialolithiasis.
- ItemOpen AccessTumours of the submandibular salivary gland: a clinicopathologic review of cases over a 17-year period.(West Indian Medical J, 2009-09-01) Adeyemo, W.L.; Ajayi, O.F.; Anunobi, C.C.; Ogunlewe, M.O.; Ladeinde, A,.L.; Omitola, O.G.; Abdulkareem, FBOBJECTIVE: This study presents a clinicopathologic review of cases of submandibular salivary gland tumours at the Lagos University Teaching Hospital, Nigeria, over a period of 17 years. METHODS: The records of all patients with histological diagnosis of submandibular salivary gland tumours at the Lagos University Teaching Hospital over a period of 17 years (January 1990 to December 2006) were retrospectively reviewed. Parameters studied were; age and gender of patients, symptoms and duration of symptoms, and histological diagnosis. RESULTS: A total of 36 patients with submandibular gland tumours were seen during the period. Male-to-female ratio was 1.8:1 (male=23, female=13). Mean age (+/- SD) at presentation was 43 (+/- 19) years (age range, 17-84 years). There were 19 malignant tumours and 17 benign ones. Pleomorphic adenoma (36.1%) was the most frequent tumours, followed by adenoid cystic carcinoma (11.1%), anaplastic carcinoma (11.1%) and malignant lymphoma (11.1%). Patients with histological diagnosis of malignant tumours were significantly older than those with benign tumours (p = 0.01). Most patients (80.6%) presented with painless swelling. CONCLUSION: Malignant submandibular salivary gland tumours were slightly more than the benign ones in the studied population. Painful swelling or ulceration is indicative of a malignant submandibular gland tumour