RETROSPECTIVE ANALYSIS OF THE EPIDEMIOLOGICAL DATA OF THE PATIENTS WITH NECK MASSES FOLLOWED FOR 19 YEARS
1Cumhuriyet Üniversitesi, KBB, Sivas, Türkiye2Cumhuriyet Üniversitesi, Patoloji, Sivas, Türkiye Objective: The aim was to evaluate demographic and clinical data and distribution of the histopathological diagnoses of the 481 neck mass cases who have been treated and and followed for the last 19 years.
Material and Method: 481 cases (229 female, 252 male; mean age 38.3±18) had been operated for diagnosis or for treatment of a neck mass was retrospectively analysed for their age and sex distribution, clinical and histopathologic findings.
Findings: 481 patients with a neck mass were distributed as 230 (47.8%) inflammatory 203 (42.2%) neoplastic, 48 (9.9%) congenital origin. Mean age was 23.5±14.9 in congenital cases whereas 37.4±15.3 in inflammatory masses; 36.8 ±17 in benign cases, 50.4±19.6 years in malignant ones. The most common diagnoses in inflammatory masses was tuberculosis lymphadenitis (101 cases 43.9%) and in congenital ones thyroglossal duct cysts (16 cases 33.3%) respectively. Neoplastic masses were distributed as 105 (51.7%) malignant, 98 (49.3) benign in nature and the most common malignant mass was lymphoma (53 cases, 51.4%) and the most common benign mass was pleomorphic adenoma (55 cases, 56.1%) histopathological diagnosis.
Result: Tuberculosis lymphadenitis was found to be the most common cause of the neck masses socioeconomically underdeveloped provinces like our province Sivas. Additionally the age of the patients were seen an important factor in the differential diagnoses of the neck masses. By the advanced age neoplastic causes becomes more prominent.
Keywords : Neck mass, histopathology