DOI: http://dx.doi.org/10.18203/2349-2902.isj20174654

Mystery in parotid

T. Mohanapriya, T. P. Karthikeyan, K. Balaji Singh, T. Arulappan

Abstract


Background: Parotid gland is the largest of the salivary glands present in the body. Neoplastic lesions in parotid gland always causes difficulty in tissue diagnosis due to their diversified histology. Lesion in the superficial lobe of parotid is more amenable for clinical diagnosis but deep lobe lesion requires imaging to confirm the diagnosis. Managing parotid swelling seems like a mystery due to these issues.

Methods: There were 30 patients who presented with complaints of swelling in the parotid region. For all these patients detailed history was taken and clinical examination was done and findings noted. Contract enhanced computed tomography (CECT) of the parotid region was done followed by fine needle aspiration cytology (FNAC) and the management was planned accordingly.

Results: All the 30 patients were within the age group of 25 years to 65 years. All the patients presented with swelling in the parotid region. Among the 30 patients, 10 patients had complaints of associated pain in the parotid region. On clinical examination, all the patients had lesion in the superficial lobe of parotid and 2 patients had deep lobe involvement. 1 patient had features of facial nerve palsy. Contrast enhanced computed tomography (CECT) and Fine needle aspiration cytology (FNAC) was done. For all the patients’ surgical management was planned accordingly.

Conclusions: Routinely submitting all parotid swelling patients to Fine needle aspiration cytology and computed tomography helps to solve the mystery of diversified histology and presentation.


Keywords


Contrast enhanced computer tomography, Fine needle aspiration cytology, Parotid

Full Text:

PDF

References


Byrne MN, Spector JG. Parotid masses: evaluation, analysis, and current management. Laryngoscope. 1988;98:99-105.

Nagarkar NM, Bansal S, Dass A, Singhal SK, Mohan H. Salivary gland tumors- our experience. Indian J Otolaryngology Head Neck Surg. 2004;56:31-4.

Fernandes GC, Pandit AA. Diagnosis of salivary gland tumours by FNAC. Bombay Hosp J. 2002;4:201-6.

Zbaren P, Guélat D, Loosli H, Stauffer E. Parotid tumors: Fine-needle aspiration and/or frozen section. Otolaryngology Head Neck Surg. 2008;139:811-5.

Javadi M, Asghari A, Hassannia F. Value of fine-needle aspiration cytology in the evaluation of parotid tumors. Indian J Otolaryngology Head Neck Surg. 2012;64:257-60.

Das DK, Petkar MA, Al-Mane NM, Sheikh ZA, Mallik MK, Anim JT. Role of fine needle aspiration cytology in the diagnosis of swellings in the salivary gland regions: A study of 712 cases. Med Princ Pract. 2004;13:95-106.

Yousem DM, Kraut MA, Chalian AA. Major salivary gland imaging. Radiology. 2000;216:19-29.

Liyanage SH, Spencer SP, Hogarth KM, Makdissi J. Imaging of salivary glands. Imaging. 2007;19:14-27.

Barnes L, Eveson JW, Reichart P. World Health Organization classification of tumors. Lyon: IARC Press; Pathology and genetics, head and neck tumours; 2005:209-281.

Maynard JD. Management of pleomorphic adenoma of the parotid. British J Surgery. 1988;75(4):305-8.

Teymoortash A, Krasnewicz Y, Werner JA. Clinical features of cystadenolymphoma (Warthin's tumor) of the parotid gland: a retrospective comparative study of 96 cases. Oral Oncol. 2006;42:569-73.

Baschinsky D, Hameed A, Kehyani S. Fine needle aspiration cytological features of Dermoid cyst of parotid gland: a report of two cases. Diagnostic Cytopathology. 1999;20(6):387-8.

Youngberg G, Rao MS. Ultrastructural features of monomorphic adenoma of the parotid gland. Oral Surg Oral Med Oral Pathol. 1979;47(5):458-61.

Ellis GL, Auclair PL. Myoepithelioma. Atlas of Tumor Pathology: Tumors of the Salivary Glands. 3rd ed. Washington: Armed Forces Institute of Pathology. 1996;1:57-68.

Alos L, Cardesa A, Bombí JA, Mallofre C, Cuchi A, Traserra J. Myoepithelial tumors of salivary glands: A clinicopathologic, immunohistochemical, ultrastructural, and flow-cytometric study. Semin Diagn Pathol. 1996;13:138-47.

Stewart FW, Foote FW, Becker WF. Muco-epidermoid tumors of salivary glands. Ann Surg. 1945;122(5):820-44.

Jones AS, Hamilton JW, Rowley H, Husband D, Helliwell TR. Adenoid cystic carcinoma of the head and neck. Clin Otolaryngology. 1997;22:434-43.

Gal R, Strauss M, Zohar Y, Kessler E. Salivary duct carcinoma of the parotid gland. Cytologic and histopathologic study. Acta Cytol. 1985;29:454-6.

Lewis JE, Olsen KD, Sebo TJ. Carcinoma ex pleomorphic adenoma: pathologic analysis of 73 cases. Hum Pathol. 2001;32:596-604.