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Parotis tüberkülozu: Üç olgu sunumu

Tuberculosis of the parotid gland: Three case repoıt

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Abstract (2. Language): 
İn this study the pathologic types of the tuberculosis of the parotid gland and the necessity of performing open bıop-sy in the cases who can not be diagnosed preoperatively were discussed in the three cases Two ofthese cases were nodular (localizedj type and the other was diffuse type. The dıagnoses vvere estabiished in the localized type by extra-capsular dissection and the diffuse type by open biopsy. İn the parotid gland mass, minimal surgical approach is superficial parotidectomy and open biopsy or extracapcular dissection surgeries shouid not be performed routinely The diagnosis of the parotid gland involvement with tuberculosis has traditionally been made after superficial parotidectomy, then appiied medical therapy. Due to simiiarity to mucoepidermoid carcinoma and diffuse fıbrosis was in the paranchymatous case. open biopsy was performed planning the surgeryaccording to the histopathologic diag¬nosis. If the differential diagnosis cannot be made with fine needle aspiration biopsy (FNABj in as these cases preop¬eratively, open biopsy can be performed for diagnosis.
Abstract (Original Language): 
Bu makalede üç olgu sunularak parotis tüberkülozunun patolojik tipleri ve ameliyat öncesi tanı konulamayan vakalar¬da açık biyopsinin önemi tartışıldı. Olgulardan ikisi lokalize. biri diffüz tutulumlu parotis tüberkülozu idi. Lokalize olgu¬larda ekstrakapsüler diseksiyon ile, diffüz tip olan olguda ise açık biyopsi ile tanı konuldu. Parotis bezi kitlelerinde mini¬mal cerrahi süperfısyel parotidektomi olup, açık biyopsi ve enükleasyon tarzında cerrahi rutin olarak uygulanmaz. Parotis tüberkülozlarında ise geleneksel olarak süperfısyel parotidektomi yapılarak spesmenin histopatolojisl ile tanı konulur ve medikal tedavi uygulanır. Parankimatöz tipteki olgumuzda, mukoepidermoid karsınoma benzerliği ve yaygın fıbrozis olduğu için, kitlenin histopatolojisine göre cerrahi planlanarak açık biyopsi yapıldı. Ameliyat öncesi, ince iğne aspirasyon biyopsisi (İ/ABJ ile kesin tanı konulamayan bu gibi olgularda, ayırıcı tanı amacıyla açık biyopsi yapılabilir.
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REFERENCES

References: 

1. Holmes S. Gleeson t Al, Cavvson RA. Mycobacterial dısease of the parotid gland Oral Surg Oral Med Oral Pathcl Oral Radiol Endod 2000;90:292-8.
2. O'Connell JE. George MK. Speculand 8. Pahor ALMycobacterial infectıon of the parotid gland. an unusual cause of parotid swelling, J Laryngol Otol 1993;107:561-4.
3. Singh B, Maharaj TJ. Tuberculosis of tb parotid gland: cli-nically İndistinguısable from a neoplasm. J Laryngol Otol 1992;106:929-31.
4. Weiner GM, Pahor AL.Tuberculosis parotitıs: lımiting the role of surgery. J Laryngol Otol 1996.110:96-7.
5. Coen LD. Tuberculosis of the parotid gland in a child. J. Pediatr. Surg. I 987;22.367-8.
6. Rowe-Jones JM. Vowles R, Leighton SE, Freedrnan AR. Diffuse tuberculous parotitis. J Otol Laryngol 1992;106:1094-5.

7. Norman JEB, Mıtchell RD, Chaudhary S. Schonell M, Lubovvsky DZ. Unusual condition of majör and minör sali¬vary glands. İn: Normon JED, McGurk M; eds. Salivary Glands 2nd ad. London: Mosby-V/olfe Meciical Communications; 1997.337-9.
8 Van der Walt JD. Leake J. Granulomatous sıaledenrtrs of the majör salivary glands. A dinicopathologicjl study of 57 cases. Histopathology 1987;! 1:131-44
9. Lau S. Weı W, Hsu C, Engzell UC. Effıcacy of FNA cyıology in the diagnosis of tuberculous cervical lymphadenopa-thy. J Laryngol. Otol 1990; 104:24-7.
10. Ronald GA. Nina RD. Fine-needle Aspiratıon Bıyopsy Laryngoscope 2001; 111:1551-7.

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