Sonography of the salivary glands

Gritzmann, N.; Rettenbacher, Thomas; Hollerweger, Alois; Macheiner, Peter; Hübner, Erich

doi:10.1007/s00330-002-1586-9

Cited by 188 publications

(83 citation statements)

References 76 publications

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“…Therefore, further diagnostic investigations are recommended to detect calculi in patients with normal US findings and suspected lithiasis 28 . In the workup, it is important to differentiate calculi located in the main ducts from those placed in the intraglandular ducts, as their treatment may require removal of the gland 29 . Sonographically, intraductal concretions appear as bright curvilinear echo complexes with a posterior shadowing.…”

Section: Chronic Sialadenitis and Related Conditionsmentioning

confidence: 99%

“…In calculi smaller than 2 mm, the shadow may be missing. In symptomatic sialolithiasis, a concomitant dilatation of the ductal system or inflammation is often visualised 29 . CT, MRI and MR sialography can be reserved to patients with negative or inconclusive US results and a clinical presentation suggesting ductal obstruction.…”

Section: Chronic Sialadenitis and Related Conditionsmentioning

confidence: 99%

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Diagnostic work-up in obstructive and inflammatory salivary gland disorders

Ugga

Ravanelli

Pallottino

et al. 2017

Acta Otorhinolaryngol Ital

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La patologia infiammatoria ed ostruttiva delle ghiandole salivari riconosce molteplici eziologie con coinvolgimento del parenchima ghiandolare e/o del sistema escretore. Il quadro clinico è essenziale per indirizzare lintegrazione diagnostica con adeguate metodiche di imaging. Sulla base dellanamnesi e dellesame obiettivo, possono riconoscersi quattro scenari clinici: (1) tumefazione acuta generalizzata delle ghiandole salivari maggiori; (2) tumefazione acuta di ununica ghiandola salivare maggiore; (3) tumefazione cronica generalizzata delle ghiandole salivari maggiori associata o meno a xerostomia; (4) tumefazione cronica o persistente di una singola ghiandola salivare maggiore. Lalgoritmo diagnostico per la scelta della metodica di imaging più appropriata dipende quindi dallo scenario clinico. Limaging è essenziale per confermare la diagnosi clinica, per definire lestensione della patologia ed identificare eventuali complicanze. Le metodiche di imaging disponibili includono lecografia, la tomografia computerizzata e la risonanza magnetica, anche con scialografia RM.

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Section: Chronic Sialadenitis and Related Conditionsmentioning

confidence: 99%

Section: Chronic Sialadenitis and Related Conditionsmentioning

confidence: 99%

Diagnostic work-up in obstructive and inflammatory salivary gland disorders

Ugga

Ravanelli

Pallottino

et al. 2017

Acta Otorhinolaryngol Ital

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“…1 Most parotid lesions, including oncocytoid salivary gland lesions, are hypoechoic against the typically hyperechoic appearance of the normal background parotid gland parenchyma. 2 As such, ultrasound is suitable for visualization, characterization, and imaging guidance of FNAC. However, CT is preferred for visualization of the deep lobe and extension beyond the parotid space.…”

Section: Introductionmentioning

confidence: 99%

The key radiologic and cytomorphologic features of oncocytic and oncocytoid lesions of the salivary gland

Lubin

Song

Zafar

et al. 2019

Diagnostic Cytopathology

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Oncocytic and oncocytoid lesions represent a distinct subset of salivary gland lesions. True oncocytic lesions of the salivary gland are entirely composed of oncocytes. These are characterized by the presence of abundant eosinophilic granules due to the presence of abundant cytoplasmic mitochondria. Oncocytic lesions of the salivary gland include oncocytosis, oncocytoma, and oncocytic carcinoma. In addition to the true oncocytic lesion, there exists another group of salivary gland lesions, which demonstrate cells with abundant and occasionally granular cytoplasm. These are often termed as “oncocytoid” lesions. The recently proposed Milan System for reporting salivary gland cytology clearly states that fine‐needle aspiration specimens representing oncocytic/oncocytoid lesions of salivary gland cannot effectively distinguish between a nonneoplastic lesion, benign and malignant neoplasms. Therefore, most lesions lacking classic cytomorphologic features will be classified under the umbrella diagnostic term of “Salivary Gland Neoplasm of Uncertain Malignant Potential” (SUMP). In this review, we discuss and illustrate key clinicopathologic and radiologic features that can help the practicing cytopathologist narrow down the differential and provide the best management based diagnosis.

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“…Ultrasonography is a simple non-invasive tool used for identifying salivary gland changes in patients with SS. However, the published data of the usefulness of ultrasound (US) imaging in the diagnosis of SS are somewhat conflicting (9)(10)(11)(12)(13)(14). At present, there are different scoring systems suggested in the literature for the assessment of salivary gland US imaging when investigating SS, including Salaffi et al (15), and more recently by Theander and Mandl (16).…”

mentioning

confidence: 99%