Vol. 4, Issue 1, Part B (2020)

Author(s): Dr. Abhijit Medikeri and Dr. Praveen Kamatagi

Abstract: In sublingual glands 85% are malignant and only 15% are benign. The incidence of malignancy in submandibular gland is higher than parotid gland and the prognosis is poorer than parotid malignancies. Risk factors linked to the development of salivary gland neoplasia include: radiation exposure; familial or genetic predisposition; tobacco use: strong association between tobacco use and the development of Warthin's tumor; microorganisms: Epstein Barr virus linked lymphoepithelial carcinoma; exposure to industrial chemicals. Total 20 cases clinically presenting as salivary gland tumours during the study period were taken for study. Each case was examined clinically and properly in a systematic manner. The cases were treated on their individual merits. All patients presented with swelling. Features of rapid growth, pain, and associated facial paralysis were considered as signs of malignancy. One out of 20 patients presented with pain in swelling, that was malignant. Features of fixity, facial paralysis and nodal involvement were considered as signs of malignancy. Hard in consistency suggests malignancy. All patients in this study had only swelling and no other signs.