Claim Missing Document
Check
Articles

Found 2 Documents
Search
Journal : e-CliniC

Oncocytic Carcinoma of Parotid Gland: A Case Report Nico Lumintang; Sherly Tandililing; Calenthia Ekawati
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.46277

Abstract

Oncocytic carcinoma is a rare malignant carcinoma, representing only 5% of all oncocytic tumors. Furthermore, oncocytic carcinoma of the parotid gland is uncommon, accounting only for under 1% of all salivary gland tumors. We reported an 82-year-old female presented with a right parotid mass. She had experienced a similar complaint six months ago and had undergone treatment. Physical examination showed a mobile and painless cystic mass of the right parotid without facial nerve involvement. Fine needle aspiration biopsy (FNAB) finding suggested benign cystic lesions with inflammatory cells and amorphous debris. Subsequently, she underwent surgical tumor excision and right-sided partial parotidectomy. Histopathological examination showed proliferative tumor cells with an atypical nucleus, abundant eosinophilic cytoplasm, and solid, trabecular, and tubular growth pattern, suggesting an oncocytic carcinoma of the parotid gland. In conclusion, oncocytic carcinoma must be considered in all parotid gland tumors with oncocytic cells despite the rarity. Considering its recurrence and metastasis nature, patients with oncocytic carcinoma should remain in a long-term follow-up. The role of radiotherapy and chemotherapy remains controversial but may be used for treating advanced-stage cases or distant metastasis Keywords: oncocytic carcinoma; parotid gland; partial parotidectomy
Identifikasi Nervus Laringeus Rekuren pada Tiroidektomi dan Ismolobektomi dengan Menentukan Vasa Nervorum pada Nervus Laringeus Rekuren Saat Pembedahan di RSUP Prof. Dr. R. D. Kandou Manado Periode 2017-2018 Diornald J. Mogi; Nico Lumintang
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.44763

Abstract

Abstract: There are two sets of nerves near the thyroid gland for voice control namely recurrent laryngeal nerve and external branch of the superior laryngeal nerve. There peripheral nerves rely on blood supply to maintain their structural and functional requirements, therefore, their vasa nervorum have to be identified in thyroidectomy and isthmolobectomy. This study aimed to obtain data on vasa nervorum whether it was visible or not in the recurrent laryngeal nerve during thyroidectomy and isthmolobectomy. This was a retrospective study using medical record data of observed vasa nervorum in all patients undergoing elective surgery for thyroidectomy and isthmolobectomy at Prof. Dr. R. D. Kandou Hospital in 2017-2018. The results obtained 48 cases who underwent elective surgery for thyroidectomy and isthmolobectomy. There were 33 cases with excellent visualization of the vasa nervorum against the recurrent laryngeal nerve (+++), 15 cases were visible but not very clear (++), and three cases were vague and difficult to observe (+). In conclusion, in most thyroidectomy and isthmolobectomy surgeries at Prof. Dr. R. D. Kandou Hospital visualization of vasa nervorum on recurrent laryngeal nerve is excellent to prevent nerve injury. Visual identification and dissection of this nerve is a standard technique to prevent the nerve injury during thyroidectomy or isthmolobectomy and other open neck surgeries. Keywords: recurrent laryngeal nerve; superior laryngeal nerve; thyroidectomy; isthmolobectomy   Abstrak: Terdapat dua kelompok saraf di dekat kelenjar tiroid yang membantu mengendalikan suara, yaitu nervus laringeus rekuren dan cabang eksternal nervus laringeus superior. Saraf perifer ini bergantung pada pasokan darah untuk mempertahankan kebutuhan struktural dan fungsional; oleh karena itu, vasa nervorum perlu diidentifikasi pada operasi tiroidektomi dan ismolobektomi. Penelitian ini bertujuan untuk mendapatkan data tentang vasa nervorum yang teramati pada nervus laringeus rekuren selama operasi tiroidektomi dan ismolobektomi. Jenis penelitian ialah retrospektif menggunakan rekam medis mengenai kasus vasa nervorum yang diamati pada semua pasien yang menjalani operasi elektif untuk tiroidektomi dan isthmolobectomi di RSUP Prof. Dr. R. D.  Kandou Manado pada 2017-2018. Hasil penelitian mendapatkan 48 kasus yang menjalani operasi elektif untuk tiroidektomi dan ismolobectomi. Terdapat 33 kasus dengan visualisasi vasa nervorum terhadap nervus laringeus rekuren sangat baik (+++), 15 kasus terlihat tetapi tidak terlalu jelas (++), dan tiga kasus samar-samar dan sulit diobservasi (+). Simpulan penelitian ini ialah pada sebagian besar operasi tiroidektomi dan ismolobektomi di RSUP Prof. Dr. R. D. Kandou Manado telah dilakukan visualisasi vasa nervorum terhadap nervus laringeus rekuren yang jelas untuk menghindari cedera pada nervus laringeus rekuren. Identifikasi visual dan diseksi nervus laringeus rekuren sekarang merupakan teknik standar untuk menghindari cedera nervus tersebut selama tiroidektomi atau ismolobektomi dan operasi leher terbuka lainnya. Kata kunci: nervus laringeus rekuren; nervus laringeus superior; tiroidektomi; ismolobektomi