Salivary Gland Scanning (Parotid Gland and Submandibular Gland)

2017 ◽  
pp. 23-32
Author(s):  
Zhonghui Xu
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Submandibular Gland

Two malignant salivary gland tumours of different type in one patient

1994 ◽  
Vol 108 (9) ◽  
pp. 798-800 ◽  
Author(s):  
A. Hosni ◽  
C. Fisher ◽  
P. Rhŷ-Evans
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Adenoid Cystic Carcinoma ◽  
Salivary Glands ◽  
Submandibular Gland ◽  
Histological Type ◽  
Salivary Gland Tumours ◽  
Adenoid Cystic ◽  
The Right ◽  
Left Parotid Gland

AbstractThe synchronous or metachronous occurrence of two tumours of the salivary glands in one patient is rare. These are mainly benign and of the same histological type. Here we report a 56-year-old man who developed a mucoepidermoid tumour of the left parotid gland four years after diagnosis of adenoid cystic carcinoma of the right submandibular gland. This combination of neoplasms has not to our knowledge been reported before.

scholarly journals Myeloid Sarcoma That Infiltrated a Preexisting Sebaceous Lymphadenoma in the Parotid Gland: Diagnostic Challenges and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Sunmi Jo ◽  
Hye-kyung Shim ◽  
Joo Yeon Kim ◽  
Sang Kyun Bae ◽  
Mi Ra Kim
Keyword(s):  
Salivary Gland ◽  
Literature Review ◽  
Parotid Gland ◽  
Salivary Glands ◽  
Submandibular Gland ◽  
Diagnostic Methods ◽  
Myeloid Sarcoma ◽  
Histopathologic Evaluation ◽  
High Index Of Suspicion ◽  
Sebaceous Lymphadenoma

Myeloid sarcoma (MS) is a rarely encountered extramedullary localized tumor that is composed of immature myeloid cells. We reported an extremely rare case of MS with concurrent bone marrow (BM) involvement that invaded into a preexisting sebaceous lymphadenoma in the parotid gland and neck lymph nodes. Prompted by this case, we also present a literature review of MS invasion into salivary glands. A 62-year-old man was initially diagnosed with carcinoma that arose in a sebaceous lymphadenoma in the parotid gland, through a total parotidectomy with neck dissection. After an extensive histopathological review that included immunohistochemistry, a pathologic diagnosis of MS with infiltration into the sebaceous lymphadenoma with concurrent BM involvement was confirmed. MS is difficult to diagnose accurately; herein, we analyzed the clinical presentations and effectiveness of the various diagnostic methods with a review of the literature. There are 17 cases, including our case, reported in 13 studies. Of the cases in which the salivary glands were affected, 10 involved the parotid gland, six involved the submandibular gland, and one involved both. Isolated invasion of the salivary gland was found in one case of parotid gland invasion and three cases of submandibular gland invasion. In 13 cases, the salivary glands were affected by various other lesions. Although there were no incidences of isolated MS, six patients were diagnosed with secondary MS and eight patients with MS with BM involvement, including this case. The diagnosis of MS is difficult given its rarity, and a high index of suspicion and integrated radiologic and careful histopathologic evaluation are required. Most cases of MS infiltrating the salivary gland might be indicated by the possibility of BM involvement. MS with BM involvement predicts poor prognosis and the need for intensive systemic treatment.

scholarly journals Diagnostic Accuracy of Fine-Needle Biopsy for Salivary Gland Neoplasms in a Community Otolaryngology Practice

OTO Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 2473974X2094918
Author(s):  
Jennifer L. Harb ◽  
Dara Bakar ◽  
Jagdish K. Dhingra
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Diagnostic Accuracy ◽  
Submandibular Gland ◽  
Sensitivity And Specificity ◽  
Needle Biopsy ◽  
Fine Needle Biopsy ◽  
Salivary Gland Neoplasms ◽  
Community Practice ◽  
Fine Needle

Objective To assess the diagnostic accuracy of fine-needle biopsy (FNB) of salivary gland neoplasms via ultrasound (US) or palpation guidance by an otolaryngologist in a community practice. Study Design Retrospective chart review. Setting Community otolaryngology practice. Methods Retrospective analysis was conducted for all office-based salivary gland FNBs from a community practice from 2005 through 2018. There were 433 FNBs performed among 370 patients. The likelihood of achieving a diagnostic result based on method (US vs palpation guidance) was calculated. Of this cohort, 196 cases had surgical follow-up (parotid gland, n = 168; submandibular gland, n = 28). Correlation of preoperative FNB results to final surgical pathology was performed and measures of diagnostic accuracy computed. Results US-guided FNBs were more likely to achieve a diagnostic result than FNBs obtained via palpation guidance ( P = .00002). Parotid gland FNBs demonstrated a sensitivity and specificity of 78.57% and 92.44%, respectively. Submandibular FNBs demonstrated a sensitivity and specificity of 57.14% and 93.74%. Conclusion FNBs performed under US guidance are more likely to achieve a diagnostic specimen than those performed under palpation guidance. FNBs of parotid gland tumors may be assessed with diagnostic accuracy in the community setting that is similar to that achieved at tertiary care centers. Further research is needed to ascertain whether this finding extends to FNBs of submandibular gland tumors. Offering this procedure at point of care in the community may improve compliance and reduce wait time.

Electromyography Monitoring of Patients With Salivary Gland Diseases

2005 ◽  
Vol 133 (6) ◽  
pp. 869-873 ◽  
Author(s):  
Michael Vaiman ◽  
Oded Nahlieli ◽  
Samuel Segal ◽  
Ephraim Eviatar
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Healthy Volunteers ◽  
Submandibular Gland ◽  
Study Design ◽  
Flow Rate ◽  
Surface Electromyography ◽  
Salivary Flow ◽  
Reliable Data ◽  
Salivary Gland Diseases

OBJECTIVE: To provide a description of surface electromyography (sEMG) of spontaneous saliva swallowing (SSS) and monitoring of swallow rate in patients with salivary gland diseases. STUDY DESIGN: Numbers of SSS obtained during 2 hours of sEMG monitoring were compared with sialometry data for healthy volunteers (n = 100), patients with Sjögren syndrome (n = 10), and patients after parotid gland (n = 15) and submandibular gland (n = 16) surgery. RESULTS: Normative: 1 SSS every 2 minutes and 15 seconds; Sjögren: 1 SSS every 13 minutes ( P < 0.001); parotid gland surgery: 1 SSS every 3 minutes and 24 seconds ( P = 0.26); submandibular gland surgery: 1 SSS every 5 minutes and 04 seconds ( P < 0.05). Sjögren patients and patients after submandibular surgery had hyposalivation correlated with less SSS. CONCLUSION: The established normal rate of SSS makes this modality applicable for evaluating salivary flow for potentially identifying and ruling out abnormalities. Parotid gland surgery does not significantly affect salivary flow rate. Sialometry combined with sEMG monitoring give a clinician more reliable data to evaluate salivary gland disorders than sialometry alone. EBM RATING: B-2

scholarly journals Clinicopathological study of salivary gland neoplasm

1970 ◽  
Vol 15 (1) ◽  
pp. 17-25
Author(s):  
Towhidul Islam Mondol ◽  
Bithi Vhoumik ◽  
AHM Zahurul Huq ◽  
Debesh Chandra Talukder
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Submandibular Gland ◽  
Malignant Tumour ◽  
Histopathological Study ◽  
Salivary Gland Neoplasm ◽  
College Hospital ◽  
Duration Of Symptoms ◽  
Parotid Tumour ◽  
Superficial Lobe

An observational study was done in 60 cases of benign and malignant salivary gland. Patients were collected from ENT Department of Dhaka Medical College Hospital, Dhaka during the period of September 2003 to August 2004. Here patients belonged to different age group range from 21 to 80 years. Parotid gland was involved in 50 cases and submandibular gland in 10 cases. In case of parotid gland 35 cases found benign and 15 cases were malignant. In submandibular gland benign and malignant cases were equal. Histopathological study showed, 60% were pleomorphic adenoma and 10% were Warthin's tumour in case of parotid gland. In malignant cases mucoepidermoid cases, adenoid cystic carcinoma were equal 10%. Common presenting feature was swelling, that is 100% followed by pain 26.66% and skin involvement in 8.3%. Duration of symptoms varies from 2 month to 12 years. In parotid tumours, superficial lobe was affected in 97.14%. All of the patients were treated surgically. In case of benign parotid tumour. Superficial parotidectomy was done in 97.14%. Total conservative parotidectomy was done in 2.85%. In case of malignant tumour, total conservative parotidectomy was done in 33.34% case, radical energy needed in 46.66%. Key words: Salivary gland neoplasmDOI: 10.3329/bjo.v15i1.4306 Bangladesh J of Otorhinolaryngology 2009; 15(1): 17-25

Clinical Evaluation of Extracorporeal Shock Wave Lithotripsy for Salivary Stones

1996 ◽  
Vol 105 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Tomokazu Yoshizaki ◽  
Yumjxo Maruyama ◽  
Rinichiro Wakasa ◽  
Isamu Motoi ◽  
Mitsuru Furukawa
Keyword(s):  
Shock Wave ◽  
Salivary Gland ◽  
Parotid Gland ◽  
Submandibular Gland ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Clinical Symptoms ◽  
Submandibular Duct ◽  
Extracorporeal Shock Wave ◽  
Salivary Gland Stones

The treatment of sialolithiasis is discussed in this report. Generally, stones within the distal salivary duct are easily removed by transoral ductotomy, although proximal stones are usually treated by excision of the salivary gland and its duct. Since 1980, extracorporeal shock wave lithotripsy (ESWL) has been in clinical use for the treatment of renal and gallbladder stones. We used this technique as a treatment for sialolithiasis. We undertook ESWL on 14 submandibular gland stone patients, 1 parotid gland stone patient, and 3 submandibular duct stone patients. In 10 of 14 submandibular gland stone patients and 1 parotid gland stone patient, clinical symptoms such as pain and swelling disappeared without excision of the affected salivary gland. Stones larger than 10 mm seem to have a tendency to form Steinstrassen. Although computed tomography findings correlate with success in breaking up gallstones, they did not predict success for salivary stones. We conclude that sialolithiasis is treated successfully without adverse effects by ESWL in selected patients.

scholarly journals SURGICAL APPROACH AND OUTCOMES IN SALIVARY GLAND SWELLING

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Akshay Akulwar ◽  
Akshay Bavikatte
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Submandibular Gland ◽  
Clinical Examination ◽  
Salivary Gland Tumors ◽  
Sublingual Gland ◽  
Superficial Parotidectomy ◽  
Deep Lobe ◽  
Salivary Gland Tumours ◽  
Rare Tumours

Introduction: Salivary gland tumours are rare tumours and majority of these are benign and about 20% are malignant. The incidence of salivary gland cancers ranges from 0.5 to 2 per 100,000 in different parts of the world. Salivary gland swellings in the parotid or submandibular glands usually present as an enlarging mass and may be associated with neurological symptoms like facial nerve paralysis or pain. Minor salivary gland tumours present as a submucosal intraoral mass which subsequently ulcerates. Acute inflammatory conditions generally can be diagnosed by history and physical examination alone, whereas chronic inflammatory diseases and granulomatous disorders require supplemental diagnostic information including lab tests, imaging studies and biopsy. FNAC of salivary gland tumours is advantageous to both the patient and the clinician because of its immediate results, accuracy, lack of complications and economy. Appropriate therapeutic management may be planned earlier, whether it is local excision for a benign neoplasm, radical surgery for a malignant one or any other alternate treatment. Material and Methods: All patients admitted to surgical wards due to obstructions of the salivary duct and neoplasia were included in the study. Demographic data from all the patients were collected, also they were evaluated for clinical examination, routine laboratory investigations and specific investigations. After evaluation of the swellings by clinical examination and by specific investigations, a surgical plan was formulated. The final decision was taken by the operative surgeon. Results: 40 cases of salivary gland swellings were admitted during study period. Age of the patients varied from 9 years to 80 years. 62.5% (25 cases) were found in the parotid gland, 30% cases (12) in submandibular gland and 7.5% cases (3) in the sublingual gland. Surgery was the treatment for all cases of tumors. Superficial parotidectomy was done in all the 21 cases of parotid tumour (56.41%) without deep lobe involvement and total parotidectomy was done in 3 cases (7.6%) with deep lobe involvement. In all the cases of submandibular gland lesions, excision of submandibular gland was done. Excision of the sublingual gland was done in 3 cases of ranula. One case of adenoid cystic cacinoma was referred to higher center because   of the advanced malignancy. Conclusion: Salivary gland tumors occur more commonly in the parotid gland, most often benign, pleomorphic adenoma constitute majority of all neoplasm. Surgery is the main modality of treatment in salivary gland sialolithiasis. Most commonly done surgery is excision of submandibular salivary gland & superficial parotidectomy and also for salivary gland tumors. Awareness and early referral is necessary, as prognosis is good if treated early. Keywords: SALIVARY GLAND, TUMOUR, NEOPLASM, SURGERY

scholarly journals Plexiform Neurofibroma of the Submandibular Salivary Gland in a Child

2001 ◽  
Vol 15 (12) ◽  
pp. 835-837 ◽  
Author(s):  
Jacqueline M Bourgeois ◽  
Jasim Radhi ◽  
Lisa Elden ◽  
Gerald Gill
Keyword(s):  
Differential Diagnosis ◽  
Salivary Gland ◽  
Family History ◽  
Parotid Gland ◽  
Submandibular Gland ◽  
Plexiform Neurofibroma ◽  
Tumour Resection ◽  
Submandibular Salivary Gland ◽  
History Of ◽  
Gland Tumour

Plexiform neurofibromas in major salivary glands are rarely described. In the literature, most reported tumours have been present in the parotid gland region. A three-year-old boy with a family history of neurofibromatosis presented with a rapidly growing left submandibular mass. The clinical diagnosis was that of a neurofibroma rather than a primary salivery gland tumour. Resection of the lesion revealed a plexiform neurofibroma involving the submandibular gland. Although these tumours have a neurogenic rather than a salivary gland origin, they must be considered in the differential diagnosis of a salivary gland lesion in a patient with a history of neurofibromatosis.

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