Salivary Gland Tumors: Concordance of Ultrasound Findings and Anatomopathological Diagnosis by Ultrasound-guided Fine Needle Aspiration
Abstract: Salivary gland (SG) tumors are rare, with an overall incidence of 0.4 to 13.5 per 100,000 individuals annually; including a heterogeneous variety of different degrees of aggressiveness. Ultrasonography is an accessible, rapid tool for the study of SGs and provides a lot of inform...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/35057 |
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I10-R327-article-35057 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
Ultrasonography Fine Needle Aspiration Salivary Gland Tumors Ultrasonografía punción con aguja fina tumores glándulas salivales |
| spellingShingle |
Ultrasonography Fine Needle Aspiration Salivary Gland Tumors Ultrasonografía punción con aguja fina tumores glándulas salivales Pérez , LS Godoy , JE Abrile , M Pizzi, L Castrillon , M Salivary Gland Tumors: Concordance of Ultrasound Findings and Anatomopathological Diagnosis by Ultrasound-guided Fine Needle Aspiration |
| topic_facet |
Ultrasonography Fine Needle Aspiration Salivary Gland Tumors Ultrasonografía punción con aguja fina tumores glándulas salivales |
| author |
Pérez , LS Godoy , JE Abrile , M Pizzi, L Castrillon , M |
| author_facet |
Pérez , LS Godoy , JE Abrile , M Pizzi, L Castrillon , M |
| author_sort |
Pérez , LS |
| title |
Salivary Gland Tumors: Concordance of Ultrasound Findings and Anatomopathological Diagnosis by Ultrasound-guided Fine Needle Aspiration |
| title_short |
Salivary Gland Tumors: Concordance of Ultrasound Findings and Anatomopathological Diagnosis by Ultrasound-guided Fine Needle Aspiration |
| title_full |
Salivary Gland Tumors: Concordance of Ultrasound Findings and Anatomopathological Diagnosis by Ultrasound-guided Fine Needle Aspiration |
| title_fullStr |
Salivary Gland Tumors: Concordance of Ultrasound Findings and Anatomopathological Diagnosis by Ultrasound-guided Fine Needle Aspiration |
| title_full_unstemmed |
Salivary Gland Tumors: Concordance of Ultrasound Findings and Anatomopathological Diagnosis by Ultrasound-guided Fine Needle Aspiration |
| title_sort |
salivary gland tumors: concordance of ultrasound findings and anatomopathological diagnosis by ultrasound-guided fine needle aspiration |
| description |
Abstract:
Salivary gland (SG) tumors are rare, with an overall incidence of 0.4 to 13.5 per 100,000 individuals annually; including a heterogeneous variety of different degrees of aggressiveness. Ultrasonography is an accessible, rapid tool for the study of SGs and provides a lot of information in terms of morphological characteristics. Ultrasound-guided fine needle aspiration (FNA) is a useful and safe procedure that enables obtaining samples for cytological diagnosis.
The aim of this work is to review the ultrasound characteristics of focal lesions of SGs with the cytopathologic results obtained by ultrasound-guided FNA technique.
A retrospective analysis was conducted on 20 patients treated at “Hospital Italiano” located in Córdoba, Argentina, between 2016 to 2020 (M/F: 11/9); age range 43-81 years, (16 parotid glands and 4 submaxillary glands). Results were described using relative and absolute frequencies. Five patients had to be excluded due to insufficient sample and two because the cytological diagnosis was made by histological study of the surgical specimen. The final number of patients was 13, and no complications were reported.
Of the total number of patients included in the study, there were 11 lesions with solid characteristics, all of which were hypoechogenic, and 2 lesions with a liquid appearance on ultrasonographic examination. None of the patients experienced complications.
Pleomorphic adenoma (n=8) was the most frequent tumor diagnosed cytopathologically with ultrasound characteristics of a solid hypoechogenic lesion, 5 in the parotid gland and 3 in the submaxillary gland.
A hypoechogenic solid lesion was observed in the parotid gland with histological diagnosis compatible with metastasis in relation to hidden tumor.
Two cases were lesions with liquid ultrasound characteristics: an abscess and a simple cyst. Two hypogenic solid lesions correspond to adenopathies.
Of the 8 lesions cytologically diagnosed as pleomorphic adenoma, 5 (63%) underwent surgery showing histopathologic concordance.
In conclusion, ultrasound is a useful tool for characterizing lesions in SG, and FNA is an effective technique for obtaining samples. The combination of both allows an effective diagnosis; and we observed concordance with the results of pathologic anatomy. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/35057 |
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I10-R327-article-350572024-04-15T16:19:09Z Salivary Gland Tumors: Concordance of Ultrasound Findings and Anatomopathological Diagnosis by Ultrasound-guided Fine Needle Aspiration Tumores en glándulas salivales: Concordancia de hallazgos ecográficos y diagnóstico anatomopatológico mediante punción con aguja fina guiada por ecografía Pérez , LS Godoy , JE Abrile , M Pizzi, L Castrillon , M Ultrasonography Fine Needle Aspiration Salivary Gland Tumors Ultrasonografía punción con aguja fina tumores glándulas salivales Abstract: Salivary gland (SG) tumors are rare, with an overall incidence of 0.4 to 13.5 per 100,000 individuals annually; including a heterogeneous variety of different degrees of aggressiveness. Ultrasonography is an accessible, rapid tool for the study of SGs and provides a lot of information in terms of morphological characteristics. Ultrasound-guided fine needle aspiration (FNA) is a useful and safe procedure that enables obtaining samples for cytological diagnosis. The aim of this work is to review the ultrasound characteristics of focal lesions of SGs with the cytopathologic results obtained by ultrasound-guided FNA technique. A retrospective analysis was conducted on 20 patients treated at “Hospital Italiano” located in Córdoba, Argentina, between 2016 to 2020 (M/F: 11/9); age range 43-81 years, (16 parotid glands and 4 submaxillary glands). Results were described using relative and absolute frequencies. Five patients had to be excluded due to insufficient sample and two because the cytological diagnosis was made by histological study of the surgical specimen. The final number of patients was 13, and no complications were reported. Of the total number of patients included in the study, there were 11 lesions with solid characteristics, all of which were hypoechogenic, and 2 lesions with a liquid appearance on ultrasonographic examination. None of the patients experienced complications. Pleomorphic adenoma (n=8) was the most frequent tumor diagnosed cytopathologically with ultrasound characteristics of a solid hypoechogenic lesion, 5 in the parotid gland and 3 in the submaxillary gland. A hypoechogenic solid lesion was observed in the parotid gland with histological diagnosis compatible with metastasis in relation to hidden tumor. Two cases were lesions with liquid ultrasound characteristics: an abscess and a simple cyst. Two hypogenic solid lesions correspond to adenopathies. Of the 8 lesions cytologically diagnosed as pleomorphic adenoma, 5 (63%) underwent surgery showing histopathologic concordance. In conclusion, ultrasound is a useful tool for characterizing lesions in SG, and FNA is an effective technique for obtaining samples. The combination of both allows an effective diagnosis; and we observed concordance with the results of pathologic anatomy. Resumen: Los tumores de glándulas salivales (GS) son poco frecuentes, con una incidencia global de 0,4 a 13,5 cada 100.000 personas anualmente; incluyendo una variedad heterogénea de distintos grados de agresividad. La ecografía es una herramienta accesible, rápida para el estudio de las GS y aporta mucha información en cuanto a características morfologicas. La punción aspiración con aguja fina (PAAF) ecoguiada, es un procedimiento útil y seguro que permite la obtención de muestras para el diagnóstico citológico. El objetivo del presente trabajo es revisar las características ecográficas de las lesiones focales de las GS con los resultados citopatológicos obtenidos mediante técnica de PAAF ecoguiada. Se realizó un análisis retrospectivo de 20 pacientes atendidos en el Hospital Italiano de Córdoba entre 2016 a 2020 (M/F: 11/9), rango 43-81 años, (16 glándulas parotídeas y 4 glándulas submaxilares). Los datos se describieron mediante frecuencias relativas y absolutas. 5 pacientes debieron ser excluidos por muestra insuficiente y 2 por realizarse el diagnóstico citológico mediante estudio histológico de pieza quirúrgica. El N final fue de 13, y no se observaron complicaciones. Del total de pacientes incluidos en el estudio se presentaron 11 lesiones de características sólidas de las cuales todas fueron hipoecogénicas y 2 lesiones de aspecto líquido al examen ultrasonográfico. Ninguno de los pacientes presentó complicaciones. El adenoma pleomorfo (n=8) fue el tumor más frecuente diagnosticado citopatológicamente con características ecográficas de lesión sólida hipoecogénica, presentándose 5 en glándula parótida y 3 en glándula submaxilar. Se demostró una lesión sólida hipoecogénica en glándula parotídea con diagnóstico histológico compatible con metástasis en relación a tumor oculto. 2 casos se trataron de lesiones de características ecográficas líquidas: un absceso y un quiste simple. Dos lesiones sólidas hipogénicas corresponden a adenopatías. Del total de las 8 lesiones diagnosticadas citológicamente como adenoma pleomorfo, cinco (63%) fueron a cirugía mostrando concordancia histopatológica. En conclusión, la ecografía es una herramienta útil para caracterizar las lesiones en GS, y la PAAF una técnica eficaz para la obtención de muestras. La combinación entre ambas permite realizar un diagnóstico eficaz; y efectivamente observamos concordancia con los resultados de anatomía patológica. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/35057 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |