عنوان : بررسي فراواني تومورهاي حفره و درمانهاي انجام گرفته در 5 سال اخير در بيمارستان امام خميني

نويسندگان : دكتر محمد نژاد كاظم و دكتر انظاري

نشاني : بخش گوش و حلق و بيني بيمارستان امام تبريز

مواد و روش :

32 بيمار تومورهاي داخل دهان مورد مطالعه قرار گرفت .

نتيجه :

7/18% خوش خيم و بقيه 3/81% بدخيم و شايعترين تومور SCC بود . گرفتاري غدد لنفاوي 6/66 % بود .

از نظر جنس تقريبا توزيع بين زن و مرد يكسان و دردهه هاي 7 ، 6 ، 5 مشاهده شد . اعمال انجام گرفته شده بر حسب اندازه و مراحل تومور از رزكسيون محدود و راديوتراپي تا رزكسيون كامل و عمل كوماندو و ديسكسيون گردني متغير بود . ديسكسيون گردني بيشتر مديفه 5/37 % ، راديكال 2/31% و نوع سوپراموهيوئيد 2/31% انجام گرفته بود . شايعترين تومور كانسر زبان 8/68 % و شايعترين علامت و نشانه زخم 8/42% و بعد توده 25% بود . يافته جالب استفاده بيماران از دندان مصنوعي 42% و كمتر بودن سيگاري 44% كه برخلاف نوشتجات است كه آنها 90% بيماران سيگاري هستند . و يا موادي را كه در دهان بصورت عادتي مي جوند د راين يافته وجود نداشت .

بحث :

در اين بررسي يافته هاي متفاوتي با نوشتجات داشت كه شامل توزيع جنس بود كه برخلاف نوشتجات توزيع تقريبا مساوي بود و بالا بودن يافته زخم ضايعه كه نشانه مراجعه دير مي باشد . و ديگري داشتن دندان مصنوعي كه همگي حكايت از وضع اقتصادي و سوء تغذيه و عدم بهداشت دهان مي باشد كه بايستي بررسي دقيق تري انجام گيرد .

Title of Article : A Study about oral cavity tomor in ENT depatement of Immam Khomeini Hospital from 1996-2000

Author(S) : Dr.mohammad Nejad kazem . Dr.Masoud Anzari

Address: Tabriz , Medical University

Introduction & Objective :

The study of abandance of oral cavity tumor and managements during last five years in Immam Khomeini Hospital .

Study design : retrospective .

Methods :

32 patients with oral cavity tumor .

Results :

%18.7 . of the patients . had benign tumor and the rest , %81.3 . , had Malignant tumor . The prevailing tumor was scc. The lymphatic involvement was %66.6 . The distribution of tumor between male and female . Was almost equal and was noticed among paritnets in their fifties , sixties and seventies . The managements were variable according to the size and tumor stages , ranging from limited resection and radiotherapy to full resection and commando operation with ceck dissection . Neck dissection was made with the following ranges : modified : % 37.5 , radical : % 31.2 , and supraomohyoid , %31.2 . linqual cancer was the most common tumor , about %68.8 . the dominant symptom was erosion % 42.3 . and mass %25 . There was an interesting point , in comparison to the literatnre in wich there are %90 of patients are smoker , only %44 of the patients in this study were smokers . In contrast , %42 of the patients had artificial teeth . Conclusion : Finding in this study are quiete different from that mentioned in other studies . The following are the main factors making the differece , sex distribution that was equal , there were high rate of erosion in the first visit , and artificial teeth , Increase of the erosion , showing that the patients had delayed to refer to physieian : and dentnre are the factor stemming from poor economic condition , malnutrition , and poor mouth hygiene , all of wich should be considered seriously .