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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 24(4); 1981 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1981;24(4): 637-48.
A Statistical Analysis of 626 Patients of E.N.T. Biopsy
Jae Joon Kim, MD, Jae Dal Choi, MD, Kee Young Lee, MD, and Chu Bang Park, MD
Department of Otolaryngology, College of Medicine, Chosun University, Korea
이비인후과 영역의 조직생검 626례에 대한 통계적 고찰
김재준 · 최재달 · 이기영 · 박주방
조선대학교 의과대학 이비인후과학교실
ABSTRACT

A statistical analysis of 626 biopsy done between March-1971 and February-1981 at the department of Otolaryngology, Chosun University Hospital was carried out. The results are as follows; 1) Among 14,569 new patients at E.N.T. department, 626 patients (4.3%) took diagnostic biopsy. Male patients were 392 (63%), female 234 (37%). Among 626 patients who had taken diagnostic biopsy, 34 patients (5.4%) had to take repeated biopsies, especially in case of nasal and paranasal cavity and larynx. 2) The site of biopsy included neck (24.3%), larynx (15.5%), nose and paranasal sinuses (14.2%), tongue (12.0%), other parts of oral cavity (8.0%) and oropharynx (6.2%). 3) Histologic findings are as below; primary malignancy 34.7%, specific inflammation 11.0%, nonspecific inflammation 23.5%, secondary malignancy 5.3%, benign tumor 15.3%, cyst 3.5%. 4) Of 217 patients with primary malignancy, male to female ratio is 3.3 : 1, and most prominent in patients between 40's and 60's (81.8%). Cytologic finding included squamous cell carcinoma (60.4%), malignant lymphoma (12.4%) and undifferentiated carcinoma (4.1%). 5) Of 147 patients with nonspecific inflammation, there is no particular difference in age and sex ratio. 6) 96 patients with benign tumor are almost distributed between 20's and 40's (57.3%). And almost all the tumors are originated either from epithelial cell (66.7%) or mesenchymal cell (27.0%). 7) 69 patients with specific inflammation were found to have the nature of tuberculosis (89.9%). 8) There are 33 patients with metastatic tumors and all the metastatic tumors are found on cervical lymph node except one (97%). Their primary focuses included G-I tract (25%), hepatobiliary tract (12.5%), bronchial tree (9.4%), breast (6.3%) and unknown (37.5%). 9) Cysts were found in 22 patients with same incidence in both sexes and most frequently noticed in the site of neck (45.5%).

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