Salivary Gland Tumors: A Diagnostic Dilemma!

Springer Science and Business Media LLC - Tập 14 Số 1 - Trang 438-442 - 2015
Peravali, Ranjit Kumar1, Bhat, H. Hari Kishore2, Upadya, Varsha H.3, Agarwal, Anmol4, Naag, Sushma5
1Department of Oral and Maxillofacial Surgery, Sibar Institute of Dental Sciences, Guntur, India
2Department of Oral and Maxillofacial Surgery, Centre for Craniofacial Anomalies, Yenepoya Dental College, Yenepoya University, Mangalore, India
3Department of Oral and Maxillofacial Surgery, Yenepoya Dental College, Yenepoya University, Mangalore, India
4Department of Oral and Maxillofacial Surgery, Sri Sai Institute of Dental Surgery, Vikharabad, India
5Department of Oral Pathology, Meghana Institute of Dental Sciences, Nizamabad, India

Tóm tắt

Salivary gland tumors generate considerable interest because of their heterogeneous and variable histology, grade of malignancy, and clinical behavior. Fine needle aspiration cytology (FNAC) is considered the first diagnostic modality for salivary neoplasms due to its ready availability and ease of performance. However it cannot always be relied upon in isolation, and should be used in conjunction with other investigations like incisional biopsy. We present two cases, which highlight the drawbacks of relying on FNAC alone, which resulted in misdiagnosis of adenoid cystic carcinoma as pleomorphic adenoma.

Tài liệu tham khảo

citation_journal_title=Int J Oral Maxillofac Surg; citation_title=Diagnostic value of ultrasound-guided core needle biopsy in patients with salivary gland masses; citation_author=J Pfeiffer, GJ Ridder; citation_volume=41; citation_publication_date=2012; citation_pages=437-443; citation_doi=10.1016/j.ijom.2011.12.005; citation_id=CR1 citation_journal_title=Int J Oral Maxillofac Surg; citation_title=The role of operator experience and fine needle aspiration cytology of head and neck masses; citation_author=M Jandu, K Webster; citation_volume=28; citation_publication_date=1999; citation_pages=441-444; citation_doi=10.1016/S0901-5027(99)80057-5; citation_id=CR2 citation_journal_title=Am J Clin Pathol; citation_title=Review of fine-needle aspiration cytology of salivary gland neoplasms, with emphasis on differential diagnosis; citation_author=Perkins Mukunyadzi; citation_volume=118; citation_issue=Suppl 1; citation_publication_date=2002; citation_pages=S100-S115; citation_id=CR3 citation_journal_title=Br J Oral Maxillofac Surg; citation_title=Fine needle aspiration cytology (FNAC) of salivary gland tumours: repeat aspiration provides further information in cases with an unclear initial cytological diagnosis; citation_author=PA Brennan, B Davies, D Poller, Z Meadb, D Bayne, R Puxeddu, RS Oeppend; citation_volume=48; citation_publication_date=2010; citation_pages=26-29; citation_doi=10.1016/j.bjoms.2008.12.014; citation_id=CR4 citation_journal_title=Int J Oral Maxillofac Surg; citation_title=Atypical features in pleomorphic adenoma—a clinicopathologic study and implications for management; citation_author=M Ethunandan, R Witton, G Hoffman, A Spedding, PA Brennan; citation_volume=35; citation_publication_date=2006; citation_pages=608-612; citation_doi=10.1016/j.ijom.2006.02.009; citation_id=CR5 citation_journal_title=Radiology; citation_title=Major salivary gland imaging; citation_author=David M Yousem, A Michael, null Kraut, AA Chalian; citation_volume=216; citation_publication_date=2000; citation_pages=19-29; citation_doi=10.1148/radiology.216.1.r00jl4519; citation_id=CR6 citation_journal_title=Radiology; citation_title=Orbit, skull base, and pharynx: contrast-enhanced fat suppression MR imaging; citation_author=JA Barakos, WP Dillon, WM Chew; citation_volume=179; citation_publication_date=1991; citation_pages=191-198; citation_doi=10.1148/radiology.179.1.2006277; citation_id=CR7 citation_journal_title=J Comput Assist Tomogr; citation_title=MR imaging of parotid mass lesions: attempts at histopathologic differentiation; citation_author=JD Swartz, MI Rothman, FI Marlowe, AS Berger; citation_volume=13; citation_publication_date=1989; citation_pages=789-796; citation_doi=10.1097/00004728-198909000-00007; citation_id=CR8 citation_journal_title=Int J Oral Maxillofac Surg; citation_title=Fine needle aspiration of salivary gland tumors; citation_author=S Shintani, H Matsuura, Y Hasegawa; citation_volume=26; citation_issue=284; citation_publication_date=1997; citation_pages=286; citation_id=CR9 citation_journal_title=Korean J Pathol; citation_title=Diagnostic difficulties in fine needle aspiration of benign salivary glandular lesions; citation_author=HJ Jo, HJAS Jung, H-K Yoon; citation_volume=46; citation_publication_date=2012; citation_pages=569-575; citation_doi=10.4132/KoreanJPathol.2012.46.6.569; citation_id=CR10 citation_journal_title=Head Neck Surg; citation_title=Fine needle aspiration of the salivary glands: a review. Operative techniques in otolaryngology; citation_author=R Gal; citation_volume=7; citation_issue=4; citation_publication_date=1996; citation_pages=323-326; citation_id=CR11 citation_journal_title=Am J Surg; citation_title=Needle aspiration biopsy in salivary gland lesions; citation_author=AR Shaha, C Webber, T DiMaio, BM Jaffe; citation_volume=160; citation_publication_date=1990; citation_pages=373-376; citation_doi=10.1016/S0002-9610(05)80546-X; citation_id=CR12 citation_journal_title=Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol; citation_title=Fine-needle aspiration biopsy as an auxiliary diagnostic tool on intraoral minor salivary gland adenoid cystic carcinoma; citation_author=JNS Netto, ÁMMA Miranda, HM Silveira, CRB Santos, FR Pires; citation_volume=106; citation_issue=2; citation_publication_date=2008; citation_pages=242-245; citation_doi=10.1016/j.tripleo.2008.04.015; citation_id=CR13 citation_journal_title=Diagn Cytopathol; citation_title=Immediate interpretation of FNA smears of the head and neck region; citation_author=T Sauer, A Freng, P Djupesland; citation_volume=8; citation_publication_date=1992; citation_pages=116-122; citation_doi=10.1002/dc.2840080205; citation_id=CR14 citation_journal_title=J Pathol; citation_title=Diagnostic accuracy and pitfalls in fine needle aspiration cytology of salivary glands: a study of 113 cases; citation_author=BJ Lü, J Zhu, L Gao, L Xie, JY Xu, MD Lai; citation_volume=34; citation_issue=11; citation_publication_date=2005; citation_pages=10-706; citation_id=CR15 citation_journal_title=Nihon Jibi inkoka Gakkai kaiho; citation_title=Fine-needle aspiration cytology of tumors of major salivary glands; citation_author=K Tanaka, M Masuda, S Shinden, A Ogata, M Suzuki; citation_volume=101; citation_issue=10; citation_publication_date=1998; citation_pages=1283-1291; citation_doi=10.3950/jibiinkoka.101.10_1283; citation_id=CR16 citation_journal_title=Acta Histochem Cytochem; citation_title=Immunohistochemical analysis of salivary gland tumors: application for surgical pathology practice; citation_author=T Nagao, E Sato, R Inoue, H Oshiro, RH Takahashi, T Nagai, M Yoshida, F Suzuki, H Obikane, M Yamashina, J Matsubayashi; citation_volume=45; citation_issue=5; citation_publication_date=2012; citation_pages=269-282; citation_doi=10.1267/ahc.12019; citation_id=CR17