28 results on '"Adenoma, Pleomorphic diagnosis"'
Search Results
2. A challenging diagnosis of mammary analogue secretory carcinoma (MASC) on fine needle aspiration cytology and cell block: A cytopathologist's perspective.
- Author
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Saraf P, Bharti JN, and Malik A
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- Male, Humans, Middle Aged, Biopsy, Fine-Needle, Diagnosis, Differential, Oncogene Proteins, Fusion genetics, Biomarkers, Tumor genetics, Mammary Analogue Secretory Carcinoma diagnosis, Mammary Analogue Secretory Carcinoma genetics, Carcinoma pathology, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms genetics, Salivary Gland Neoplasms pathology, Adenoma, Pleomorphic diagnosis
- Abstract
Mammary analogue secretory carcinoma (MASC) is a recently described salivary gland carcinoma that resembles the secretory carcinoma of the breast and is characterised by t(12;15) (q13;q25) translocation, which results in an ETV6-NTRK3 gene fusion product. On cytomorphology, it is characterised by papillary fragments, clusters, and singly dispersed tumour cells. These tumour cells are large and have abundant vacuolated cytoplasm. Acinic cell carcinoma of the salivary gland is the most common differential diagnosis of MASC. Other differentials include mucoepidermoid carcinoma, salivary duct carcinoma, pleomorphic adenoma, and oncocytic salivary gland neoplasms. Immunohistochemistry and morphology are critical in establishing the correct diagnosis. We present a case of a 46-year-old male patient diagnosed as MASC of the parotid gland on fine needle aspiration cytology and cell block., (© 2023 John Wiley & Sons Ltd.)
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- 2023
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3. Classic polymorphous adenocarcinoma: Fine needle aspiration cytopathology of eight cases.
- Author
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Wakely PE Jr and Lott-Limbach AA
- Subjects
- Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Adult, Aged, Biopsy, Fine-Needle, Carcinoma, Adenoid Cystic diagnosis, Carcinoma, Adenoid Cystic pathology, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Neoplasm Recurrence, Local, Salivary Glands pathology, Adenocarcinoma diagnosis, Adenocarcinoma pathology, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms pathology
- Abstract
Introduction: The cytopathology and diagnostic accuracy of salivary gland (SG) polymorphous adenocarcinoma (PAC) is the subject of a limited number of reports. We undertook a review of our experience with fine needle aspiration (FNA) biopsy and PAC., Materials and Methods: A search was made of our cytopathology files for PAC cases that also had histopathological confirmation. FNA biopsy smears and cell-blocks were performed and examined using standard techniques., Results: Eight FNA biopsy cases of histologically proven PAC from 7 patients [F:M = 1.3:1, age 39-75 years, mean = 58] met study inclusion. Metastatic aspirates were most common (4), followed by 3 primary cases and 1 locally recurrent neoplasm. Primary FNA sites included hard palate (1 case), lip (1), and lateral tongue (1); all metastatic sites were in the neck. A precise cytologic diagnosis was made in 38% of cases; however, when applying the Milan classification system, 100% could be categorised as either malignant or of uncertain malignant potential. Ancillary immunohistochemical testing performed in 44% of the cases was non-specific. Cytologic smears showed cellular uniformity and structural variety of cell groups with tubular, branching, cribriform, and convex patterns as well as variable, but occasionally abundant globular myxoid stroma leading to confusion with adenoid cystic carcinoma., Conclusion: The imitative cytopathology of PAC with other SG neoplasms as well as its infrequency in routine FNA biopsy practice makes specific interpretation difficult, but using a classification system allows for appropriate patient management. Molecular testing in future specimens holds promise for enhancing diagnostic accuracy., (© 2021 John Wiley & Sons Ltd.)
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- 2021
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4. Why is the histomorphological diagnosis of tumours of minor salivary glands much more difficult?
- Author
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Ihrler S, Agaimy A, Guntinas-Lichius O, Haas CJ, Mollenhauer M, Sandison A, and Greber L
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- Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Carcinoma, Adenoid Cystic diagnosis, Carcinoma, Adenoid Cystic pathology, Carcinoma, Mucoepidermoid diagnosis, Carcinoma, Mucoepidermoid pathology, Diagnosis, Differential, Humans, Immunohistochemistry, Neoplasm Grading, Pathology, Molecular, Salivary Glands, Minor pathology, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms pathology
- Abstract
Aims: There is a widespread perception among clinicians and pathologists that the histomorphological assessment of minor salivary gland (MinSG) tumours is more difficult and hampered by more misdiagnoses than that of major salivary gland tumours. This is based on a vague, subjective clinical impression, lacking scientific proof. The aim of the present study was to identify and statistically verify potential reasons that could explain this difference., Methods and Results: We identified 14 putative clinical, pathological and combined clinicopathological reasons that, altogether, could explain the phenomenon of the perceived greater diagnostic difficulty associated with MinSG tumours. We performed a comprehensive literature search and a statistical comparison of data from a large personal consultation series (biased for difficult cases) with cumulated data from straightforward, unselected (non-consultation) series from the literature. By performing this comparison, we identified, with statistical significance, a comprehensive series of reasons, as well as of consequences, of the greater difficulty in diagnosing MinSG tumours., Conclusions: Among the 14 criteria, high frequencies of initial incisional biopsies and of a low-grade category in malignant tumours emerged as the two most important reasons for enhanced diagnostic difficulty. Very rare entities, unusual locations, shortcomings in clinicopathological communication, and pecularities of the special anatomical location of the hard palate, such as tumour necrosis, mucosal ulceration, pseudoinvasion, and the peculiar phenomenon of 'tumoral-mucosal fusion', contribute to further diagnostic difficulties. The awareness of these shortcomings and pitfalls enables us to provide a series of recommendations for clinicians and pathologists that might aid in assessment and reduce the rate of misdiagnosis of MinSG tumours., (© 2021 John Wiley & Sons Ltd.)
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- 2021
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5. Cytology of a mass in the hard palate: A diagnostic pitfall.
- Author
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Mohamedali R, Nath N, Mishra P, and Mitra S
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- Adenoma diagnosis, Adenoma pathology, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Adult, Cytodiagnosis methods, Humans, Male, Palate, Hard pathology
- Published
- 2021
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6. Pleomorphic adenoma: the great mimicker of malignancy.
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Hernandez-Prera JC, Skálová A, Franchi A, Rinaldo A, Vander Poorten V, Zbären P, Ferlito A, and Wenig BM
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- Adenocarcinoma diagnosis, Adenocarcinoma pathology, Biomarkers, Tumor analysis, Carcinoma diagnosis, Carcinoma pathology, Cell Transformation, Neoplastic, Humans, Metaplasia diagnosis, Metaplasia pathology, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms pathology, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Diagnosis, Differential
- Abstract
Pleomorphic adenoma (PA) is the most common salivary gland neoplasm, and its diagnosis is straightforward in the majority of cases. However, not infrequently, PA shows unusual and uncommon histological features that can be confused with those of malignancy. The difficulties in diagnosing PA arise from its ability to mimic invasion, show atypical or metaplastic cytomorphology, and show morphological features that overlap with those of established salivary gland carcinomas. In addition, recognising early malignant transformation to carcinoma ex-pleomorphic adenoma continues to be a frequent challenge. This review describes the diagnostic pitfalls of PA, and offers a systematic approach to avoid them by combining classic histopathology with novel immunohistochemical and molecular tests., (© 2021 John Wiley & Sons Ltd.)
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- 2021
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7. The accurate cytological diagnosis of salivary carcinoma ex pleomorphic adenoma may be hampered by myoepithelial differentiation.
- Author
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Marginean FE, Lesnik M, Gauthier A, and Klijanienko J
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- Humans, Male, Middle Aged, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Cell Differentiation, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms pathology
- Published
- 2021
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8. Myoepithelial sialadenitis with metachromatic matrix: A diagnostic pitfall. A case of salivary gland swelling in a paediatric patient evaluated by fine needle aspiration cytology.
- Author
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Ronchi A, Montella M, Marra PM, Colella G, Franco R, and Cozzolino I
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- Adenoma, Pleomorphic diagnosis, Child, Diagnosis, Differential, Humans, Male, Parotid Gland pathology, Parotid Neoplasms diagnosis, Parotid Neoplasms pathology, Salivary Gland Diseases pathology, Salivary Gland Neoplasms diagnosis, Sialadenitis diagnosis, Biopsy, Fine-Needle methods, Salivary Gland Neoplasms pathology, Salivary Glands pathology, Sialadenitis pathology
- Abstract
Fine needle aspiration cytology (FNAC) is generally characterized by a high diagnostic accuracy in differentiating non-neoplastic/inflammatory lesions from neoplastic lesions of the salivary glands. Lymphoepithelial sialadenitis/myoepithelial sialadenitis is exceedingly rare in paediatric patients and is characterized by a diffuse, often bilateral, salivary gland enlargement and the differential diagnosis may sometimes be difficult. We report the case of a 10-year-old boy who presented with a swelling of the left parotid gland investigated by ultrasound salivary gland FNAC., (© 2020 John Wiley & Sons Ltd.)
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- 2021
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9. Solitary fibrous tumour of the submandibular gland: Novel insights from clinical practice on a close mimicker of pleomorphic adenoma and a diagnostic challenge for the cytopathologist.
- Author
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Gonzalez MF and Husain BH
- Subjects
- Adenoma, Pleomorphic diagnosis, Aged, Biopsy, Fine-Needle methods, Diagnosis, Differential, Humans, Male, Salivary Gland Neoplasms diagnosis, Salivary Glands pathology, Solitary Fibrous Tumors diagnosis, Submandibular Gland pathology, Submandibular Gland Neoplasms diagnosis, Adenoma, Pleomorphic pathology, Salivary Gland Neoplasms pathology, Solitary Fibrous Tumors pathology, Submandibular Gland Neoplasms pathology
- Abstract
Spindle cell lesions of the salivary glands are rare and account for less than 3% of the salivary gland aspirates. A definitive classification of salivary gland neoplasms by fine needle aspiration is possible for the most common lesions but remains a challenge for the less common entities. We present a case of a 72-year-old male with a solitary fibrous tumour (SFT) of the submandibular gland mimicking a myoepithelial-rich pleomorphic adenoma (PA). In this article, we discuss novel insights that help differentiate SFT from PA and other spindle cell lesions., (© 2020 John Wiley & Sons Ltd.)
- Published
- 2021
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10. Artificial neural network model to distinguish pleomorphic adenoma from adenoid cystic carcinoma on fine needle aspiration cytology.
- Author
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Kapatia G, Dey P, and Saikia UN
- Subjects
- Adenoma, Pleomorphic pathology, Biopsy, Fine-Needle, Carcinoma, Adenoid Cystic pathology, Humans, Neural Networks, Computer, Software, Adenoma, Pleomorphic diagnosis, Carcinoma, Adenoid Cystic diagnosis, Cytodiagnosis, Diagnosis, Differential
- Abstract
Background: To differentiate pleomorphic adenoma (PA) and adenoid cystic carcinoma (ACC) on fine needle aspiration cytology (FNAC) is often challenging to cytologists., Aims: In the present study, we tried to make an artificial neural network (ANN) model from the FNAC smears to differentiate PA from ACC., Methods: The detailed cytomorphological features were analysed on the FNAC of histopathology proven cases of PA (n = 35) and ACC (n = 33) and enumerated semi-quantitatively by two independent observers. These data were used to make an ANN model to distinguish PA from ACC on FNAC material. We used neuro-intelligence software to build the ANN model. The network architecture was 10-2-1. The heuristic search engine was applied to have this model. We used backpropagation neural network to teach ANN. At least 500 iterations were done to train the model. The efficacy of this ANN model was assessed with the help of the confusion matrix and receiver operating characteristic curve., Result: The data were separated automatically by the software as a training set (n = 48), validation set (n = 10) and test set (n = 10). The ANN model was able to differentiate every case (10/10) of PA and ACC in the final test set. The area under the receiver operating characteristic curve was 1., Conclusion: The currently built ANN model is competent to identify PA and ACC cases on FNAC. Additional parameters and new cases can be incorporated into this open-ended ANN model to make it more robust., (© 2019 John Wiley & Sons Ltd.)
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- 2020
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11. Bulky cervical tumour showing mixed unique cell clusters in cervical cytology.
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Yanazume S, Togami S, Kamio M, Kitazono I, Hiraki T, Tanimoto A, and Kobayashi H
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- Adenoma, Pleomorphic pathology, Adenoma, Pleomorphic virology, Adult, Cervix Uteri virology, Female, Humans, Middle Aged, Uterine Cervical Neoplasms pathology, Uterine Cervical Neoplasms virology, Vaginal Smears, Adenoma, Pleomorphic diagnosis, Cervix Uteri pathology, Cytodiagnosis, Uterine Cervical Neoplasms diagnosis
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- 2020
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12. Pleomorphic rhabdomyosarcoma of the submandibular gland: Diagnosis on a cytology sample.
- Author
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Fabijanić I, Katavić N, and Obad Kovačević D
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- Adult, Biopsy, Fine-Needle methods, Female, Humans, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Rhabdomyosarcoma diagnosis, Rhabdomyosarcoma pathology, Submandibular Gland pathology
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- 2020
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13. Distinctive features of low-grade myofibroblastic sarcoma on aspiration cytology: A case report.
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Taweevisit M and Thorner PS
- Subjects
- Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Biopsy, Fine-Needle methods, Cytodiagnosis methods, Humans, Male, Middle Aged, Neoplasms, Muscle Tissue diagnosis, Neoplasms, Muscle Tissue pathology, Sarcoma diagnosis, Sarcoma pathology
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- 2018
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14. PLAG1 immunohistochemistry is a sensitive marker for pleomorphic adenoma: a comparative study with PLAG1 genetic abnormalities.
- Author
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Katabi N, Xu B, Jungbluth AA, Zhang L, Shao SY, Lane J, Ghossein R, and Antonescu CR
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- Adenoma, Pleomorphic genetics, DNA-Binding Proteins genetics, Diagnosis, Differential, Humans, Immunohistochemistry, In Situ Hybridization, Fluorescence, Salivary Gland Neoplasms genetics, Sensitivity and Specificity, Adenoma, Pleomorphic diagnosis, Biomarkers, Tumor analysis, Carcinoma diagnosis, DNA-Binding Proteins analysis, Salivary Gland Neoplasms diagnosis
- Abstract
Aims: Pleomorphic adenoma gene 1 (PLAG1) gene rearrangement is the most common genetic abnormality in pleomorphic adenoma (PA), resulting in overexpression of PLAG1 protein. PA and carcinoma ex pleomorphic adenoma (CA ex-PA) can mimic various benign and malignant salivary gland tumours. The aims of this study are to evaluate the sensitivity and specificity of PLAG1 immunohistochemistry (IHC) in the differential diagnosis of PA and CA ex-PA and to compare the PLAG1 immunohistochemical results to PLAG1 gene abnormalities as detected by fluorescence in-situ hybridisation (FISH)., Methods and Results: PLAG1 immunostaining was performed on 83 salivary gland tumours, including 23 PA, 15 CA ex-PA and 45 other salivary gland tumours. In addition, PLAG1 FISH was performed in 44 cases for the presence of gene rearrangements/amplifications. The results showed high sensitivity of PLAG1 IHC in 96% of PA; however, discordant results between PLAG1 FISH abnormalities and IHC were noted in 15 of 44 cases (34%). Seven PA, four de-novo myoepithelial carcinomas and one basal cell adenocarcinoma had negative FISH results, but were positive for IHC; while three salivary duct carcinomas (SDC) ex-PA were positive for FISH but negative for IHC. PLAG1 IHC can differentiate CA ex-PA from de-novo SDC (P = 0.02), but not from de-novo myoepithelial carcinoma. PLAG1 IHC is a sensitive marker for PA. This could be due to PLAG1 gene abnormalities beyond FISH resolution., Conclusions: A negative PLAG1 IHC might be helpful in excluding a PA diagnosis. Interestingly, in the context of CA ex-PA, FISH is more sensitive than IHC in detecting PLAG1 abnormalities., (© 2017 John Wiley & Sons Ltd.)
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- 2018
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15. Ectopic hamartomatous thymoma is distinct from lipomatous pleomorphic adenoma in lacking PLAG1 aberration.
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Liang PI, Li CF, Sato Y, Lee VK, Bahrami A, and Chuang SS
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- Adenoma, Pleomorphic genetics, Adenoma, Pleomorphic metabolism, Adult, Biomarkers, Tumor analysis, Diagnosis, Differential, Female, Humans, Immunohistochemistry, In Situ Hybridization, Fluorescence, Male, Middle Aged, Salivary Gland Neoplasms genetics, Salivary Gland Neoplasms metabolism, Thymoma genetics, Thymoma metabolism, Thymus Neoplasms genetics, Thymus Neoplasms metabolism, Adenoma, Pleomorphic diagnosis, DNA-Binding Proteins genetics, Salivary Gland Neoplasms diagnosis, Thymoma diagnosis, Thymus Neoplasms diagnosis
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- 2013
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16. Fine needle aspiration cytology of basal cell adenoma of the salivary gland: a cytohistological correlation study of 35 cases.
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Vicandi B, Jiménez-Heffernan JA, López-Ferrer P, González-Peramato P, Patrón M, and Viguer JM
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- Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Adult, Aged, Aged, 80 and over, Carcinoma, Acinar Cell diagnosis, Carcinoma, Acinar Cell pathology, Female, Humans, Male, Middle Aged, Adenoma diagnosis, Adenoma pathology, Biopsy, Fine-Needle, Cytodiagnosis, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms pathology
- Abstract
Objective: In order to evaluate the possibility of a specific cytological recognition of basal cell adenoma (BCA) we reviewed our experience with 35 histologically proven cases. Few series describing cytological features of BCA are available and diagnostic cytological criteria are not well established., Methods: This study was based on 41 cytology samples from 35 patients with BCA. Thirty-five aspiration procedures were performed pre-operatively and six on tumour recurrence. Nineteen of the 35 patients were men and 16 women. The mean age at diagnosis was 55 years old (range 24-92). The series includes one non-representative case. Except for one tumour located in the upper lip, all of them involved the parotid gland., Results: Aspirates were cellular, showing groups with dense, homogeneous metachromatic stroma and single cells. Relevant features were the trident-like configuration of groups, intimate relationship between neoplastic cells and stroma and cellular polymorphism. In approximately half of the cases a precise diagnosis was given. Most of the remaining tumours were diagnosed as benign but they were difficult to differentiate from pleomorphic adenoma. Regarding malignancy, there were two misdiagnoses of acinic cell carcinoma, due to high epithelial cellularity along with scarcity of stroma, and one case was considered to be suspicious of malignancy., Conclusion: BCA shows characteristic cytological features that allow a precise diagnosis. The main differential diagnosis is epithelial-rich pleomorphic adenoma, while acinic cell carcinoma is a potential false positive., (© 2011 Blackwell Publishing Ltd.)
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- 2012
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17. Quantitative immunohistochemical fingerprinting of adhesion/growth-regulatory galectins in salivary gland tumours: divergent profiles with diagnostic potential.
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Remmelink M, de Leval L, Decaestecker C, Duray A, Crompot E, Sirtaine N, André S, Kaltner H, Leroy X, Gabius HJ, and Saussez S
- Subjects
- Adenocarcinoma diagnosis, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic metabolism, Adolescent, Adult, Aged, Aged, 80 and over, Antibodies, Neoplasm immunology, Biomarkers, Tumor biosynthesis, Carcinoma, Acinar Cell diagnosis, Carcinoma, Acinar Cell metabolism, Carcinoma, Adenoid Cystic diagnosis, Carcinoma, Adenoid Cystic metabolism, Carcinoma, Mucoepidermoid diagnosis, Carcinoma, Mucoepidermoid metabolism, Diagnosis, Differential, Female, Galectins immunology, Humans, Image Processing, Computer-Assisted, Immunohistochemistry, Male, Middle Aged, Salivary Gland Neoplasms diagnosis, Young Adult, Adenocarcinoma metabolism, Galectins biosynthesis, Salivary Gland Neoplasms metabolism
- Abstract
Aims: This study tests the hypothesis that histopathological fingerprinting of galectins, which are emerging multifunctional effectors in cell sociology, could refine the differential diagnosis of salivary tumours., Methods and Results: We applied non-crossreactive polyclonal antibodies against galectin-1 (Gal-1), galectin-3 (Gal-3), galectin-7 (Gal-7) and galectin-8 (Gal-8) for immunohistochemical analysis of salivary gland tumours (72 cases with benign disease and 39 cases with malignancy) and 29 control specimens. The principal positivity of cases, the site of signal presence and the quantitative parameters concerning percentage of positive cells and labelling intensity were determined. Acinic cell and adenoid cystic carcinomas (specifically tubular and cribriform types) shared the expression signature of Gal-1, Gal-3 and Gal-8 presence combined with Gal-7 absence. Mucoepidermoid carcinomas presented a unique profile based on cytoplasmic Gal-1, Gal-3, Gal-7 and Gal-8 localization in the intermediate cells. Adenomas were separable from malignancy by a consistent decrease in the labelling index (LI) for Gal-7 and Gal-8 (LI Gal-7, P<10(-6) ; LI Gal-8, P=0.001). When present, staining for the tumour suppressor p16(INK4a) coincided with Gal-1 presence., Conclusions: Expression profiling of the four tested galectins in salivary gland tumours revealed non-uniform staining patterns with discriminatory potential based on intracellular localization and quantitative aspects., (© 2011 Blackwell Publishing Limited.)
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- 2011
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18. FNAC of nodular fasciitis mimicking a pleomorphic adenoma: another diagnostic pitfall.
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Silvanto AM, Melly L, Hannan SA, and Kocjan G
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- Adult, Biopsy, Fine-Needle, Diagnosis, Differential, Fascia pathology, Humans, Male, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Diagnostic Errors, Fasciitis diagnosis, Fasciitis pathology, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms pathology
- Published
- 2010
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19. Surgery of the parotid gland: evolution of techniques, nomenclature and a revised classification system.
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Tweedie DJ and Jacob A
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- Adenoma, Pleomorphic classification, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Adenoma, Pleomorphic surgery, Dissection classification, Dissection trends, Facial Nerve Injuries prevention & control, Facial Paralysis prevention & control, Forecasting, Humans, International Classification of Diseases, Parotid Gland pathology, Parotid Gland surgery, Parotid Neoplasms diagnosis, Parotid Neoplasms pathology, Postoperative Complications prevention & control, Otorhinolaryngologic Surgical Procedures classification, Otorhinolaryngologic Surgical Procedures trends, Parotid Neoplasms classification, Parotid Neoplasms surgery, Terminology as Topic
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- 2009
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20. CK7+/CK20- immunoexpression profile is typical of salivary gland neoplasia.
- Author
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Meer S and Altini M
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- Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic metabolism, Adenoma, Pleomorphic pathology, Carcinoma, Acinar Cell diagnosis, Carcinoma, Acinar Cell metabolism, Carcinoma, Acinar Cell pathology, Carcinoma, Adenoid Cystic diagnosis, Carcinoma, Adenoid Cystic metabolism, Carcinoma, Adenoid Cystic pathology, Carcinoma, Mucoepidermoid diagnosis, Carcinoma, Mucoepidermoid metabolism, Carcinoma, Mucoepidermoid pathology, Diagnosis, Differential, Gene Expression Regulation, Neoplastic, Humans, Keratin-20 genetics, Keratin-7 genetics, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms pathology, Salivary Glands metabolism, Salivary Glands pathology, Gene Expression Profiling, Keratin-20 metabolism, Keratin-7 metabolism, Salivary Gland Neoplasms metabolism
- Abstract
Aims: To evaluate cytokeratin (CK) 7/20 expression patterns in salivary gland neoplasia., Methods and Results: Formalin-fixed paraffin embedded tissue from 153 salivary gland tumours were evaluated for CK7/20 immunoreactivity. The tumours included pleomorphic adenoma (n = 24), myoepithelioma (n = 9), papillary cystadenoma (n = 3), oncocytoma (n = 2), adenoid cystic carcinoma (n = 22), mucoepidermoid carcinoma (n = 21), polymorphous low-grade adenocarcinoma (n = 21), carcinoma ex-pleomorphic adenoma (n = 11), acinic cell carcinoma (n = 17), epimyoepithelial carcinoma (n = 7), oncocytic carcinoma (n = 3), hyalinizing clear cell carcinoma (n = 1), papillary cystadenocarcinoma (n = 1), salivary duct carcinoma (n = 3), adenocarcinoma (not otherwise specified) (n = 4) and squamous carcinoma (n = 4). Immunohistochemical procedures were performed using monoclonal antibodies CK7 (OV-TL 12/30), CK20 (Ks 20.8) and M3515 cytokeratin (AE1/AE3) in the presence of appropriate controls. The results were expressed semiquantitatively, according to the estimated percentage of positive tumour cells: 1+, 5-25%; 2+, 26-75%; and 3+, 76-100%. All salivary gland neoplasms showed a CK7+/CK20- immunoprofile ranging from 5 to 100%. Squamous carcinoma showed negative CK7/20 immunoexpression., Conclusions: Although the CK7/20 immunoprofile is not useful in distinguishing the various types of salivary gland neoplasms or between benign and malignant salivary gland tumours, it may facilitate differentiation of primary salivary gland neoplasia from metastatic tumours and squamous carcinoma, and the diagnosis of metastatic salivary gland tumours.
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- 2007
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21. Cyclin A expression and its diagnostic value in pleomorphic adenoma and carcinoma expleomorphic adenoma of the parotid gland.
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Patel RS, Hughes CW, Fredericks S, Lee CS, Rose B, Gao K, Smith G, Hong A, and O'Brien CJ
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- Biomarkers, Tumor metabolism, Case-Control Studies, Cell Transformation, Neoplastic pathology, Cyclin A genetics, Diagnosis, Differential, Gene Expression Regulation, Neoplastic, Humans, Parotid Gland metabolism, Parotid Gland pathology, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic metabolism, Cyclin A metabolism, Parotid Neoplasms diagnosis, Parotid Neoplasms metabolism
- Abstract
Aims: To investigate cyclin A expression in pleomorphic adenoma (PA) and carcinoma expleomorphic adenoma (CXPA) of the parotid gland with a view to assessing its potential value as a diagnostic marker for CXPA., Methods and Results: Cyclin A expression in PA and CXPA was studied using semiquantitative immunohistochemistry. The epithelial component of the tumours expressed cyclin A in a statistically significantly (P < 0.005) higher number of CXPA cases (86%) compared with the PA cases (39%). Cyclin A was not expressed in normal salivary tissues of PA and CXPA., Conclusions: High cyclin A expression is a useful marker for the pathological diagnosis of CXPA.
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- 2007
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22. Fine needle aspiration (FNA) cytology of breast: refining the diagnosis.
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Ellis IO and Pinder SE
- Subjects
- Cell Nucleus pathology, Female, Humans, Metaplasia pathology, Adenoma, Pleomorphic diagnosis, Biopsy, Needle, Breast Neoplasms diagnosis, Carcinoma diagnosis
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- 1998
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23. Pleomorphic adenoma of the breast; a potential for the misdiagnosis of malignancy on fine needle aspiration (FNA).
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Parham DM and Evans A
- Subjects
- Adenoma, Pleomorphic chemistry, Adenoma, Pleomorphic surgery, Aged, Biomarkers, Tumor analysis, Biopsy, Needle, Breast Neoplasms chemistry, Breast Neoplasms surgery, Diagnosis, Differential, Diagnostic Errors, Female, Fibroadenoma diagnosis, Humans, Immunohistochemistry, Mammography, Myoepithelioma diagnosis, Phyllodes Tumor diagnosis, Adenoma, Pleomorphic diagnosis, Breast Neoplasms diagnosis
- Published
- 1998
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24. Imprint and brush cytology in the diagnosis of canine intranasal tumours.
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Clercx C, Wallon J, Gilbert S, Snaps F, and Coignoul F
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- Adenocarcinoma diagnosis, Adenocarcinoma pathology, Adenocarcinoma veterinary, Adenoma, Oxyphilic diagnosis, Adenoma, Oxyphilic pathology, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Animals, Carcinoma, Squamous Cell diagnosis, Carcinoma, Squamous Cell pathology, Carcinoma, Squamous Cell veterinary, Dogs, Epithelium pathology, Female, Male, Nose Neoplasms diagnosis, Nose Neoplasms pathology, Sensitivity and Specificity, Adenoma, Oxyphilic veterinary, Adenoma, Pleomorphic veterinary, Cytological Techniques veterinary, Dog Diseases diagnosis, Dog Diseases pathology, Nose Neoplasms veterinary
- Abstract
Fifty-four dogs with nasal tumours were included in this study. Based on histopathology 52 tumours were malignant (36 epithelial and 16 mesenchymal) and two were benign (one oncocytoma and one pleiomorphic adenoma). Malignancy was significantly more frequently diagnosed by imprint cytology (81 per cent of the cases) than by brush cytology (56 per cent). Brush cytology was a significantly more sensitive technique in epithelial than in mesenchymal tumours, while the sensitivity of imprint cytology was not affected by the histological type. Brush cytology determined an epithelial origin in 88 per cent of epithelial tumours, and imprint cytology in 90 per cent. In mesenchymal tumours, the scores were significantly lower, the histological type being determined in only 20 per cent and 50 per cent, using brush and imprint cytology, respectively.
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- 1996
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25. The value of magnetic resonance imaging in the differential diagnosis of parapharyngeal space tumours.
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Leverstein H, Castelijns JA, and Snow GB
- Subjects
- Adenocarcinoma diagnosis, Adenoma, Pleomorphic diagnosis, Adult, Aged, Angiography, Aortic Bodies pathology, Biopsy, Needle, Carotid Artery, Internal pathology, Diagnosis, Differential, Female, Glomus Tumor blood supply, Glomus Tumor diagnosis, Head and Neck Neoplasms blood supply, Humans, Image Enhancement, Male, Middle Aged, Paraganglioma diagnosis, Pharyngeal Neoplasms blood supply, Retrospective Studies, Salivary Gland Neoplasms blood supply, Salivary Gland Neoplasms diagnosis, Temporal Bone pathology, Head and Neck Neoplasms diagnosis, Magnetic Resonance Imaging, Pharyngeal Neoplasms diagnosis
- Abstract
Between 1987 and 1993 14 patients with a parapharyngeal space tumour were imaged by magnetic resonance imaging (MRI). The vagal body tumours, presenting in the poststyloid compartment, all showed flow voids with anterior and medial displacement of the internal carotid artery. None of the salivary gland tumours, all presenting in the prestyloid compartment with posterior displacement of the internal carotid artery, showed flow voids. MRI is superior compared with other modalities in evaluating the differential diagnosis, especially regarding vascular vs non-vascular tumours. It should encompass T1 SE images to assess the presence or absence of flow voids. In vascular tumours angiography must be used to assess feeding vessels, multiplicity, and sides involved. T1 GE images are useful as they allow superior identification of the internal carotid artery and its relation with the tumour accordingly. In addition to T1 SE images, T2 SE images may help in the evaluation of the differential diagnosis. In all non-vascular tumours aspiration cytology is required to differentiate between benign and malignant disease.
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- 1995
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26. Coexpression of vimentin, cytokeratin and S-100 in monomorphic adenoma of salivary gland; value of marker studies in the differential diagnosis of salivary gland tumours.
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Gupta RK, Naran S, Dowle C, and Simpson JS
- Subjects
- Adenoma diagnosis, Adenoma pathology, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic pathology, Diagnosis, Differential, Glial Fibrillary Acidic Protein analysis, Humans, Immunohistochemistry, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms pathology, Adenoma chemistry, Adenoma, Pleomorphic chemistry, Biomarkers, Tumor analysis, Keratins analysis, S100 Proteins analysis, Salivary Gland Neoplasms chemistry, Vimentin analysis
- Abstract
An unusual coexpression of glial fibrillary acid protein (GFAP), keratin and vimentin occurs in pleomorphic adenoma of salivary gland. We designed this study to see if coexpression of the markers was also present in monomorphic adenoma of the salivary gland and whether monomorphic adenoma could be distinguished from other salivary gland tumours by marker studies. Immunocytochemical markers were used on fine needle aspiration samples from four cases of monomorphic adenoma, two cases of oncocytic adenoma, three cases of adenoid cystic carcinoma and four cases of pleomorphic adenoma. While positivity for cytokeratin, vimentin and S-100 was consistently found in all cases of monomorphic adenoma, only cytokeratin was expressed in adenoid cystic carcinoma. In pleomorphic adenoma, GFAP, cytokeratin and vimentin were coexpressed while in cases of oncocytic adenoma none of the markers was localized. Thus, it appears that by using a combination of GFAP, cytokeratin, vimentin and S-100 a distinction between these neoplasms may be possible. However, a larger study is needed to establish the usefulness of this approach.
- Published
- 1992
- Full Text
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27. Parapharyngeal tumours: a review of 23 cases.
- Author
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Allison RS, Van der Waal I, and Snow GB
- Subjects
- Female, Humans, Male, Adenoma, Pleomorphic diagnosis, Adenoma, Pleomorphic surgery, Glomus Tumor diagnosis, Glomus Tumor surgery, Pharyngeal Neoplasms diagnosis, Pharyngeal Neoplasms surgery, Salivary Gland Neoplasms diagnosis, Salivary Gland Neoplasms surgery
- Abstract
The anatomy of the parapharyngeal space is described and experience with 23 patients with parapharyngeal tumours seen over a 10-year period is reported. Despite reaching a large size, these tumours may be relatively asymptomatic, or be discovered incidently. CT scan, MRI, arteriography and fine needle aspiration are useful in establishing a diagnosis. The most common histological type (13/23 patients) was pleomorphic adenoma and these tumours were managed by transoral removal if small, or a combined transoral-external approach if large. No patient required a mandibulotomy for access and no benign tumour recurred. The outcome was poor in the 5 patients with malignant tumours and a more radical approach, midline mandibulotomy, should be considered if malignancy is suspected.
- Published
- 1989
- Full Text
- View/download PDF
28. Diagnosis of salivary gland disease using ultrasound and sialography: a comparison.
- Author
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Zbaren P and Ducommun JC
- Subjects
- Humans, Middle Aged, Adenolymphoma diagnosis, Adenoma, Pleomorphic diagnosis, Salivary Gland Diseases diagnosis, Salivary Gland Neoplasms diagnosis, Sialography, Ultrasonography
- Abstract
Thirty-one patients with a suspected inflammatory or neoplastic lesion of a major salivary gland were investigated with ultrasound, and in 27 of them sialography was carried out in addition. The results of the diagnostic procedures were compared. Lesions of the gland parenchyma and intra and extra-glandular duct ectasia were demonstrated by ultrasound. Salivary stones were demonstrated by this method and ultrasound allowed assessment of periglandular structures. Sialography is indispensable for detailed assessment of the salivary ducts. The present report shows that ultrasound is superior to sialography in the assessment of salivary gland disease. The investigation is non-invasive, cheap, and requires neither contrast nor radiation and can be repeated at will for follow-up.
- Published
- 1989
- Full Text
- View/download PDF
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