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PubMed2000

[Value of fine needle puncture cytology in neoplasms of the parotid gland].

BACKGROUND: In many parts of Germany fine-needle aspiration biopsy (FNAB) is still not part of the routine preoperative diagnostic evaluation of salivary gland neoplasms. Most opponents consider the study unnecessary and recommend that all salivary gland neoplasms should be excised. OBJECTIVE: Because of this an evaluated the ability of FNAB to provide an accurate diagnosis of parotid gland neoplasms. PATIENTS AND METHOD: Between January 1992 and October 1995, 336 patients referred for operative therapy of salivary gland neoplasms underwent retrospective analysis of preoperative FNAB compared with the excised tumor histology. RESULTS: Results showed that the FNAB had a sensitivity of 93.1%, a specificity of 99.2%, a positive predictive value of 93.1%, a negative predictive value of 99.2% and an accuracy of 98.6%. Complications were observed in less than 1%. DISCUSSION: Our findings demonstrated that the FNAB is a safe diagnostic tool that has a reliable sensitivity and high specificity for the assessment of salivary gland pathology. Since many malignant salivary gland neoplasms present with a virtual lack of symptoms indicating actual malignancy we believe that there is need for FNAB in routine preoperative diagnostic testing.

Adolescent↗
PubMed1991

[Adenolymphoma or Warthin's tumor: review of 30 cases].

Perusal of Warthin's tumors treated during the past 20 years (1969-1989) in our Hospital department. As a whole 229 tumors of salivary glands were operated upon, 30 of them being adenolymphomata. The parameters of our series were confronted with those given by the cases of the literature. In the paper are also reminded the several theories concerning the origin of this tumor.

Adenolymphoma↗
PubMed1999

Oxyphilic proliferations of the respiratory tract and paranasal sinuses.

Neoplasms of the upper respiratory comprised primarily of eosinophilic cells are, in general, rare, and they include a diverse group of lesions. Low-grade oncocytic neuroendocrine neoplasms (so-called oncocytic carcinoids) can be encountered in several locations throughout the respiratory tract. The oncocytoma and related entities, lesions that presumably arise from minor gland tissue, can likewise be seen from the nasal cavity to the lung; differences in clinical significance may relate to the location of such lesions, and are discussed herein. Granular cell tumor is another entity that can involve both the upper respiratory tract and lungs, and specific features of this lesion in different anatomic sites are highlighted. The oncocytic variant of Schneiderian papilloma is an important nasal lesion to recognize, because of important therapeutic and prognostic implications of that diagnosis. Finally, unique oncocytic variants of glomus tumor and pulmonary alveolar adenoma are discussed, as well as eosinophilic varieties of pulmonary carcinomas and mesotheliomas.

Adenoma↗
PubMed1999

[Expression of C-erbB-2 oncogene mRNA in salivary gland tumors].

OBJECTIVE: To study relationship of C-erb-2 oncogene mRNA expression and histotype, tumorigenesis and biological behavior of salivary gland neoplasms. METHODS: Using 32P labeled oligonucleotide as probe, the dot blot technique was used to study the expression of C-erbB-2 oncogene mRNA in salivary gland neoplasm with normal salivary gland as control. RESULTS: With the expression in normal salivary gland as a standard, low C-erbB-2 mRNA expression was seen in adenolymphoma, basal cell adenoma. However, various degrees of over-expression of C-erbB-2 oncogene mRNA were detected in pleomorphic adenoma, mucoepidermoid carcinoma, acinic cell carcinoma, adenoid cystic carcinoma, papillary cystic carcinoma, and myoethelial cell carcinoma. CONCLUSION: C-erbB-2 oncogene mRNA over-expression in salivary gland neoplasm is related to biological behavior of salivary gland carcinoma.

Adenolymphoma↗
PubMed1990

Syringomatous adenocarcinoma of minor salivary glands.

An intraoral adenocarcinoma showing syringomatous features is reported in a woman aged 71. The tumor, which appeared to arise in minor salivary glands, ulcerated the overlying epithelium. Histologically, it was composed of dilated ductal structures and, in deeper parts, of tumor nests, elongated cords and small ducts containing small lumina. In wide areas, neoplastic ducts were lined by flattened cells, resembling syringoma of the skin. Other ductal structures were lined by atypical columnar or squamous epithelium. Solid squamous islands and superficial small horny cysts were also observed. Salivary glands tumors with syringomatous features have rarely been reported. They probably represent a rare variant of salivary adenocarcinoma.

Adenocarcinoma↗
PubMed1987

[Cystic adenoid carcinoma. Apropos of 2 cases originating in the salivary glands].

The CAQ is a tumor of the major and minor salivary glands, of superior airway glands, uterine cervix glands, and the Bartholin glands of the vulva. However, recently, primary cases of CAQ of the skin, originating in eccrine sweat glands were described. We report 2 CAQ cases, one, case 1, of minor salivary glands of the palate, that by extension, reached the skin of the face, finishing with kidney metastasis; and its histological type corresponded to the cribiform variety in both the primary tumor and the kidney metastasis. Case 2 presented in the parotid gland and its histological type is the solid variety of the CAQ.

Adult↗
PubMed1988

Oral cancer in children under 15 years of age. A clinicopathological and virological study.

11 malignant tumours of the oral region in children under 15 years of age were diagnosed in Finland during the 20-year period from 1961 to 1980; the age adjusted annual incidence rate being 0.31 per 1,000,000 children. 5 cases were intraoral cancer and 5 cases malignant tumours of the major salivary glands. The formalin-fixed tumours were studied using the in situ DNA hybridization technique for Adenovirus, group II, Epstein-Barr and human papillomavirus, type 16. For the first time, evidence was provided for the presence of Epstein-Barr virus in a malignant salivary gland tumour, implicating a possible etiological role for this virus in salivary gland neoplasms.

Adolescent↗
PubMed1985

High-resolution computed tomography of the major salivary glands: current status.

At our institution, computed tomography is the procedure of choice for evaluation of suspected mass lesions of the major salivary glands. It affords exact anatomic localization of a mass and allows simultaneous examination of the contralateral gland and other regional structures of importance in salivary gland disease. Intravenous contrast medium enhancement is always utilized; however, concomitant sialography has never been necessary. Regional anatomy of the salivary glands with respect to computed tomography imaging and clinical material demonstrating its efficacy are presented. The neoplastic and nonneoplastic diseases affecting the salivary glands are reviewed.

Adolescent↗
PubMed2002

Major salivary gland tumours in a rural Kenyan hospital.

BACKGROUND: Salivary gland tumours are not well characterised in Africa. The Kijabe Hospital Pathology Laboratory operates a pathology service utilised by twenty one church/mission hospitals and thus has accumulated data from many parts of Kenya regarding major salivary gland neoplasms. OBJECTIVE: To review the specimens in order to help understand the spectrum of the salivary gland neoplasms in Kenya. DESIGN: Data on all major salivary gland tumours examined over the study period were obtained from the Pathology department computer database. Basic information on age, tribe, pathological diagnosis and site of the tumour were available for analysis. SETTING: A rural hospital in Kenya with a pathology service serving 21 church/mission hospitals throughout Kenya. SUBJECTS: All major salivary gland neoplasms examined in the pathology laboratory over the period January 1992 to December 1999. MAIN OUTCOME MEASURES: Age, tribe, pathological diagnosis, site of specimen. RESULTS: Over the period 1992 to 1999, 135 major primary salivary gland neoplasms were examined. Amongst 103 parotid tumours, 46% were pleomorphic adenomas and 19% were monomorphic adenomas. Consistent with other studies from sub-Saharan Africa, the Warthin's tumour was rare. The commonest malignant tumour was the mucoepidermoid carcinoma comprising 14% of specimens. Thirty two submandibularneoplasms are described. The commonest tumour was the pleomorphic adenoma (78%) and the commonest malignant tumour was the mucoepidermoid carcinoma (9%). CONCLUSIONS: Compared with other African studies, these figures are similar although in Kenya there is a predominance of monomorphic adenomas. Compared with Western studies there is an increased ratio of malignant to benign tumours and Warthin's tumours are much less common in Africa.

Adenocarcinoma↗
PubMed1979

Oral pathology.

Explore the source record for details and available documents.

Adenocarcinoma↗
PubMed2001

Inactivation of p53 tumor suppressor gene acts synergistically with c-neu oncogene in salivary gland tumorigenesis.

Transgenic mice expressing specific oncogenes usually develop tumors in a stochastic fashion suggesting that tumor progression is a multi-step process. To gain further understanding of the interactions between oncogenes and tumor suppressor genes during tumorigenesis, we have crossed a transgenic strain (TG.NK) carrying an activated c-neu oncogene driven by the MMTV enhancer/promoter with p53-deficient mice. c-neu transgenic mice have stochastic breast tumor formation and normal appearing salivary glands. However, c-neu mice heterozygous for a p53 deletion develop parotid gland tumors and loose their wild type p53 allele. c-neu mice with a homozygous p53 deletion have increased rates of parotid tumor onset suggesting that inactivation of p53 is required and sufficient for parotid gland transformation in the presence of activated c-neu. In contrast to the dramatic effect of p53 in parotid gland transformation, p53 loss has little effect on the rate or stochastic appearance of mammary tumors. In addition, p53 loss was accompanied by the down regulation of p21 in parotid gland tumors but not breast tumors. The parotid gland tumors were aneuploid and demonstrated increased levels of Cyclin D1 expression. These observations suggest that in c-neu transgenic mice, p53 alterations have differential tissue effects and may be influenced by the tissue specific expression of genes influencing p53 activity.

Aneuploidy↗
PubMedDate not supplied

[Minor salivary gland tumor in nasopharynx].

Pleomorphic adenoma, or mixed tumor, is the most common tumor of the salivary glands, being responsible for 47% of minor salivary-gland neoplasms. The palate is the most frequent location, but the nasopharynx is a rare site. The case of a 64-year-old man diagnosed as pleomorphic adenoma of the nasopharynx is reported. The recent literature was reviewed and the anatomopathological and clinical features were analyzed, as well as the differential diagnosis.

Adenoma, Pleomorphic↗
PubMed1985

Salivary gland malignancies in children.

Malignant salivary gland neoplasms in children are rare. Such tumors usually occur in the parotid gland of older children. Sixteen cases of major salivary gland malignancy are reviewed, 14 occurring in the parotid gland and two in the submandibular gland. Adenoid cystic carcinoma was the most common malignancy encountered, occurring in five patients; four have died of disease. Low-grade mucoepidermoid carcinoma occurred in three patients and all remain alive and free of disease. An assorted variety of other cancers occurred in eight patients. One child died of reticulum cell sarcoma of the parotid gland, and two children have died of adenocarcinoma. The remaining five patients remain alive and free of disease. Salivary gland malignancies in children appear to have similar biological activity as those occurring in adults. Such tumors must be treated according to the same principles generally accepted for management of salivary gland malignancies in adults.

Adenocarcinoma↗