Pediatric Salivary Gland Pathology

Carlson, Eric R.; Ord, Robert A.

doi:10.1002/9781118949139.ch15

Cited by 3 publications

(2 citation statements)

References 43 publications

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“…Currently, there is much controversy in the relevant literature regarding the ideal surgical management of pleomorphic adenomas [ 11 ]. Despite the fact that numerous literature reports propose strict adherence to the surgical rule “avoid seeing the tumor capsule wherever possible” in PAs of the PG 6 , the most common approach in the management of PAs in the parapharyngeal space traditionally consists in a transcervical rather blunt dissection along the capsule of the lesion, which is equal to the so-called enucleation in the PG.…”

Section: Introductionmentioning

confidence: 99%

Pleomorphic Adenoma of the Parotid Gland and the Parapharyngeal Space: Two Diametrically Opposing Surgical Philosophies for the Same Histopathologic Entity?

Hornung

Constantinidis

Thimsen

et al. 2021

JCM

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Background: The aim of this study was to investigate the histopathologic findings in parotid and parapharyngeal pleomorphic adenomas and draw conclusions concerning the surgical strategy. Methods: Retrospective study of medical charts of patients with resected pleomorphic adenomas (PA) between 2005 and 2020 at two tertiary medical referral centers. Histologic specimens were reexamined by an experienced head and neck pathologist. Patients with insufficient/incomplete data were excluded from our study sample. Results: A total of 844 patients formed our study sample (291 men, 553 women, average age 48.9 years); 786 cases had a PA in the parotid gland (PG) (93.1%), and the remaining 58 cases had a PA in the parapharyngeal space (PS) (6.9%). Recurrences were detected in 8/844 cases (7/786 in the PG, 1/58 in the PS, 0.94% in total) with a mean follow-up time of 86.7 months (10–189 months) with no statistically significant differences between the study groups (p = 0.527). Our analysis showed that parapharyngeal pleomorphic adenomas are characterized by a lower incidence of an intact anatomical capsule (71.4% vs. 82.6%, p = 0.035) and a remarkably more frequent occurrence of satellite nodules (20.7% vs. 7.5%, p < 0.001). Conclusions: The more challenging histopathologic profile of parapharyngeal pleomorphic adenomas points towards the fact that parapharyngeal surgery should remain in the hands of experienced surgeons at high-volume centers.

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Section: Introductionmentioning

confidence: 99%

Pleomorphic Adenoma of the Parotid Gland and the Parapharyngeal Space: Two Diametrically Opposing Surgical Philosophies for the Same Histopathologic Entity?

Hornung

Constantinidis

Thimsen

et al. 2021

JCM

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“…Sialadenitis and sialolithiasis are disorders of the salivary glands that go hand in hand. Some consider sialolithiasis to be both a consequence and cause of sialadenitis (Berry 1995) [1] . Calculi literally refers to abnormal formation of mineral salts inside the body.…”

Section: Introductionmentioning

confidence: 99%

Sialolithiasis and homoeopathic management: A case report

Nath¹,

Palit²

2019

Int. J. Homoeopathic Sci.

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Sialolithiasis is one of the most common problems that afflict the salivary glands and is a major cause of salivary gland dysfunction. Sialolithiasis is frequently encountered in clinical practice. Sialoliths are the main cause of obstructive submandibular sialadenitis. Sialolithiasis leads to recurrent painful swelling of the involved gland, which increases in size during meals. Sialoliths occurs commonly in the submandibular gland in 80% of the cases. Pathogenesis of sialolithiasis seems to be based on anatomical position of the salivary duct and gland. This article reports a case of submandibular gland sialolithiasis of the right side in 51-year-old female patient with symptoms of pain and swelling during mealtime. Clinical and radiographic findings are important in determining the precise location and size of the sialolith. It helps in establishing the right treatment for the individual patient. Treatment was based on individualized homoeopathy resulting in quick recovery of normalcy of the subject.

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Ultrasonographic Identification of the Parotid Cystadenolymphoma (Warthin’s Tumor) by Oral and Maxillofacial Surgeons: Supplement to the Matsuda and Colleagues’ Classification

Cherniak

Savchuk

Ripolovska

et al. 2022

J. Diagn. Treat. Oral Maxillofac. Pathol.

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Warthin’s tumor (WT), which is also known as papillary cystadenoma lymphomatosum, monomorphic parotid adenoma, adenolymphoma, cystadenolymphoma, and branchiogenic adenoma, is to be differentiated (in surgical practice) from other parotid masses. The purposes of our retrospective case series study are: (1) to describe ultrasound morphology (sonomorphology) of the WT in patients referred to our hospital, (2) based on the presented cases to propose a supplement to the Matsuda and colleagues’ classification (2017) of anechoic area patterns of the WT, and (3) to expand the knowledge of oral and maxillofacial surgeons for the preoperative ultrasonographic verification of the WT and for choosing the most appropriate surgical technique. Over three years, 5 patients (mean age, 65.4 years) with parotid WT had been examined with gray-scale, color, and power Doppler ultrasonography. Cystic components are visualized in all five WT cases but in different proportions. Case 1 and 4 showed the presence of septations. According to Matsuda and colleagues’ (2017) classification of anechoic area patterns, in our cases the US patterns of the WTs belong only to Group 3 (i.e., with large anechoic areas) (n = 4) and Group 4 (multiple and sponge-like anechoic areas) (n = 1). Moreover, based on the presented five cases, we offer an addition to the classification of Japanese authors. In conclusion, our supplement to Matsuda and colleagues’ classification of anechoic area patterns of the WT can help surgeons around the globe to be more accurate in preoperative verification of cystadenolymphoma. This case series illustrate the growing importance of ultrasonography in the professional life of oral and maxillofacial and head and neck surgeons. Based on the cystic structure of this benign tumor and the ultrasound appearance presented in our case series, we propose to continue using the term “cystadenolymphoma” with a purpose to emphasize the tumor`s structure.

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Pediatric Salivary Gland Pathology

Cited by 3 publications

References 43 publications

Pleomorphic Adenoma of the Parotid Gland and the Parapharyngeal Space: Two Diametrically Opposing Surgical Philosophies for the Same Histopathologic Entity?

Pleomorphic Adenoma of the Parotid Gland and the Parapharyngeal Space: Two Diametrically Opposing Surgical Philosophies for the Same Histopathologic Entity?

Sialolithiasis and homoeopathic management: A case report

Ultrasonographic Identification of the Parotid Cystadenolymphoma (Warthin’s Tumor) by Oral and Maxillofacial Surgeons: Supplement to the Matsuda and Colleagues’ Classification

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