[Adenoma polymorphum localised out of salivary glands in material of ENT Department MSS Hospital between 2007-2009 - two cases]. / Pozasliniankowa lokalizacja gruczolaka wielopostaciowego w materiale Oddzialu Otolaryngologii MSS w latach 2007-2009--opis dwóch przypadków.

The adenoma polymorphum is benign salivary glands tumor. The most common location of occurrence is the parotid followed by the minor salivary glands in which the palate, upper lip and buccal mucosa are most commonly affected. It is a demarcated from the surronding, painless, capsulated and slow growing mass. Microscopically these tumors are composed of varying proportions of epithelial and mesenchymal tissue. Treatment of adenoma polymorphum is complete surgical excision with a surronding margin of normal tissue. This procedure avoids local recurrence. In two years (2007-2009) In Otolaryngology Ward In Miedzyleski Szpiatl Specjalistyczny treated four patients with adenoma polymorphum localised out of salivary glands. The authors described two cases of tumor mixtus localised on soft palate and in external ear canal. The first is a 57-year old male presented a painless swelling over the palate of four months duration. Admitted to ENT Unit on april 2009. He denier dysphagia and dyspnoea. On examination there was a firm, circumscribed tumor of the palate in the right side. CT scans show a right soft palate well-defined mass. He underwent transoral surgical excision. Postoperative period was uneventful. Another case is 18-year old girl with progressive worsening of hearing .On examination external ear canal was blocked due to firm and round tumor on his upper wall. The tumor was excised In local anesthesia. During two years observation there was no evidence of local reccurence.

[Unusual pathology of submandibular gland--Küttner tumor]. / Rzadka patologia slinianki podzuchwowej--guz Küttnera.

Küttner tumor (chronic sclerosing sialadenitis) is a chronic, benign lesion of salivary gland. Its clinical course resamble malignant process. Authors report two typical cases of CSS affecting submandibular gland. We inform, that we start follow up of those cases consist of--us imaging /twice a year/, indication of LE and IgG level, protein electrophoresis.

[Neoplasms of paranasal sinuses in material of ENT Department MSS Hospital in Warsaw between 2006-2007]. / Nowotwory zatok przynosowych w materiale oddzialu Otolaryngologii Miedzyleskiego Szpitala Specjalistycznego w Warszawie w Latach 2006-2007.

Tumors of paranasal sinuses present a small percent of tumors detected in the region of head and neck 3-4% and they present a fraction of a percent of tumors in general /0.16%/. MATERIAL: In the years 2004 and 2005, the National Register of Neoplasms recorded 120 and 132 cases of malignant tumors of paranasal sinuses, respectively. Between 2006-2007 we treated 15 patients with tumors of paranasal sinuses underwent treatment at the ENT department of the MiEdzyleski Szpital Specjalistyczny in Warsaw. The following were analyzed: the advancement stage of the tumor, symptoms, the time that has elapsed from the first appearance until the admission for treatment at the department, the methods of treatment, and the histological differentiation of neoplasms. THE RESULTS: We detected the following:--benign neoplasms: 2 cases of angiofibroma, 3 cases of inverted papilloma;--malignant tumors: 4 cases of Ca planoepitheliale, 1 instance of adenocarcinoma, 1 instance of Ca anaplasticum, 1--melanoma, 1--esthesioneuroblastoma, 1--lymphoma malignum, 1--metastatic tumor. THE CONCLUSIONS: at the moment of the admission for treatment at the ENT department, the advancement stage of tumor T3/T4, from the first signs until the proper diagnosis was that marked with the passage of eight months. Ca planoepitheliale is the most common type of malignant tumors of paranasal sinuses. It is only good cooperation between the surgeon and the pathologist which makes it possible to put the proper diagnosis.