1
|
Mao L, Lin RZ, Fan DG. Intraductal Papillomas From the Parotid Gland. J Craniofac Surg 2024:00001665-990000000-01617. [PMID: 38771195 DOI: 10.1097/scs.0000000000010330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Accepted: 04/23/2024] [Indexed: 05/22/2024] Open
Abstract
Intraductal papillomas have been mostly described in minor salivary glands but are extremely rare in the parotid gland. Consequently, limited information is available to guide otolaryngologists and pathologists in managing intraductal papillomas, specifically in the parotid gland. Diagnosing intraductal papillomas in this location poses significant challenges. In this report, the authors present a new case and first conduct a systematic literature review of the intraductal papillomas originating from the parotid gland. This study contributes valuable insights that can improve diagnostic accuracy, providing more precise treatments, and patient outcomes in cases of intraductal papillomas in the parotid gland.
Collapse
Affiliation(s)
- Lei Mao
- Department of Neurosurgery, the First People's Hospital of Shuangliu District, Chengdu, Sichuan
| | | | - Da-Ge Fan
- Pathology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, P.R. China
| |
Collapse
|
2
|
Martinez I, Mielke B, Rutherford L, Cantatore M, Cinti F, Charlesworth T, de la Puerta B, Rossanese M. Clinical findings, surgical treatment and outcome in dogs with parotid duct ectasia: 14 cases (2010-2023). J Small Anim Pract 2024; 65:198-205. [PMID: 37936527 DOI: 10.1111/jsap.13685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 09/20/2023] [Accepted: 10/10/2023] [Indexed: 11/09/2023]
Abstract
OBJECTIVES To describe the clinical presentation, diagnostic findings, surgical treatment and outcome of dogs diagnosed with parotid duct ectasia. MATERIALS AND METHODS Medical records of dogs diagnosed with parotid duct ectasia between 2010 and 2023 at six small animal referral hospitals were retrospectively reviewed. Outcome was assessed by contacting the owners or referring veterinarians. RESULTS Fourteen dogs were included. Lateral facial swelling was the most common clinical presentation. CT revealed a tortuous cavitary tubular fluid-filled structure consistent with a dilated parotid duct in all dogs. Surgical treatment included marsupialisation of the parotid duct papilla, surgical exploration of the duct alone, parotid duct marsupialisation with surgical exploration of the duct, parotidectomy or en-bloc parotid duct resection. The aetiology of parotid duct ectasia was not established in 13 of 14 dogs. In one case, a foreign body was retrieved from the duct. No recurrence of clinical signs was noted during the follow-up period (range 21 to 2900 days). CLINICAL SIGNIFICANCE Parotid duct ectasia should be considered for dogs with a lateralised fluctuant non-painful tubular facial swelling. Surgical management was associated with a favourable prognosis without evidence of recurrence in all cases reported in the case series.
Collapse
Affiliation(s)
| | - B Mielke
- Southpaws Speciality Surgery for Animals, Melbourne, Victoria, Australia
| | - L Rutherford
- Department of Clinical Science and Services, The Royal Veterinary College, Hatfield, UK
| | - M Cantatore
- Anderson Moores Veterinary Specialists, Winchester, UK
| | - F Cinti
- Surgery Department, San Marco Veterinary Clinic and Laboratory, Veggiano, Italy
| | - T Charlesworth
- Eastcott Referrals, Edison Business Park, Dorcan Way, Swindon, UK
| | - B de la Puerta
- North Down Specialist Referrals, Bletchingley, United Kingdom
| | - M Rossanese
- Department of Clinical Science and Services, The Royal Veterinary College, Hatfield, UK
| |
Collapse
|
3
|
Tirillini F, Baines SJ, Baines E, Robinson W. Computed tomographic findings in two dogs with chronic unilateral parotid duct ectasia. VETERINARY RECORD CASE REPORTS 2022. [DOI: 10.1002/vrc2.296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
4
|
Abstract
A 3yr old spayed female Brittany was referred with a cylindrical mass on the right side of her face. Three months earlier, a small stone embedded in the right parotid duct was noted and removed through a ductal incision by the referring veterinarian. At referral, the dog's general physical condition was normal except for a cylindrical mass on the right cheek. Skull radiographs showed a possibly retained sialolith or dystrophic mineralization within the previous surgical site. Aspiration of the mass yielded a thick, yellow/tan, mucopurulent fluid. Cytology of the fluid demonstrated degenerative neutrophils without bacteria. The cylindrical mass was excised with a carbon dioxide laser. The caudal end of the mass was connected to the parotid salivary gland and the rostral one-third of the mass tapered to a point. The caudal end of the mass was ligated with 3-0 polydioxanone and excised immediately rostral to the ligation. Histopathology revealed that the mass was parotid duct ectasia. The dog completely recovered with some mild temporary facial paresis and had no recurrence of parotid duct ectasia at 4 mo follow-up. The case report describes a dog with an unusual parotid salivary duct ectasia caused by parotid duct sialolith removal.
Collapse
Affiliation(s)
- Hyun-Jung Han
- From the Department of Veterinary Surgery, College of Veterinary Medicine (H-Y.Y.), and Department of Veterinary Emergency Medicine, Konkuk Veterinary Medical Teaching Hospital (H-J.H.), Konkuk University, Seoul, South Korea; and Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, Missouri (F.A.M.)
| | - F A Mann
- From the Department of Veterinary Surgery, College of Veterinary Medicine (H-Y.Y.), and Department of Veterinary Emergency Medicine, Konkuk Veterinary Medical Teaching Hospital (H-J.H.), Konkuk University, Seoul, South Korea; and Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, Missouri (F.A.M.)
| | - Hun-Young Yoon
- From the Department of Veterinary Surgery, College of Veterinary Medicine (H-Y.Y.), and Department of Veterinary Emergency Medicine, Konkuk Veterinary Medical Teaching Hospital (H-J.H.), Konkuk University, Seoul, South Korea; and Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, Missouri (F.A.M.)
| |
Collapse
|
5
|
Sun S, Wang P, Wang Y, Su W, Wang F, Yang H. Intraductal papilloma arising from the accessory parotid gland: A case report and literature review. Medicine (Baltimore) 2018; 97:e10761. [PMID: 29768362 PMCID: PMC5976330 DOI: 10.1097/md.0000000000010761] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
RATIONALE Intraductal papillomas of the accessory parotid glands are extremely rare benign tumors that are most commonly derived from minor salivary glands and are easily misdiagnosed as other diseases. Studying these lesions by pathology and immunohistochemistry can raise awareness of the disease, reduce the rate of misdiagnosis, and provide more precise treatments. PATIENT CONCERNS A 35-year-old man first presented to our hospital with a 6-month history of a painless mass on his left parotid gland. DIAGNOSES The patient was diagnosed with intraductal papilloma of the accessory parotid gland by pathology and immunohistochemistry. INTERVENTIONS The mass was completely resected. OUTCOMES After 2 years of postoperative follow-up, the patient recovered well without recurrence. LESSONS Intraductal papilloma of the accessory parotid gland is very rare, and can easily be misdiagnosed as sialadenoma papilliferum, inverted ductal papilloma, or papillary cystadenoma, among others. It is necessary to analyze its pathology and immunohistochemistry in comparison with other diseases. Early excision and long-term follow-up are necessary to provide optimal treatment and to better understand the pathological processes of intraductal papilloma.
Collapse
Affiliation(s)
- Shuai Sun
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong
- Peking University Shenzhen Hospital Clinical College, Anhui Medical University, Hefei, Anhui, P.R. China
| | - Panpan Wang
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong
| | - Yufan Wang
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong
| | - Wen Su
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong
| | - Feng Wang
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong
| | - Hongyu Yang
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong
| |
Collapse
|
6
|
Kyste parotidien rétentionnel révélateur d’un carcinome mucoépidermoïde. ACTA ACUST UNITED AC 2008; 125:151-4. [DOI: 10.1016/j.aorl.2008.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2007] [Accepted: 02/11/2008] [Indexed: 11/18/2022]
|
7
|
Noseri H, Erden T, Toros S, Habesoglu M, Egeli E, Aker F, Cetin S. Intraductal papilloma of the parotid gland in a child. Eur Arch Otorhinolaryngol 2007; 264:1385-6. [PMID: 17598121 DOI: 10.1007/s00405-007-0371-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2007] [Accepted: 06/07/2007] [Indexed: 11/30/2022]
Abstract
Intraductal papillomas are rare benign tumors, most commonly encountered in minor salivary glands and rarely in major salivary glands. They are cystic, solitary neoplasm that arise from ductal epithelium and produce painless swelling. We report a case of intraductal papilloma of the parotid gland in a child.
Collapse
Affiliation(s)
- Hulya Noseri
- Department of Otolaryngology, Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey.
| | | | | | | | | | | | | |
Collapse
|
8
|
Baurmash HD. Sialectasis of Stensen’s Duct With an Extraoral Swelling: A Case Report With Surgical Management. J Oral Maxillofac Surg 2007; 65:140-3. [PMID: 17174780 DOI: 10.1016/j.joms.2005.12.033] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2005] [Revised: 11/02/2005] [Accepted: 12/22/2005] [Indexed: 11/20/2022]
Affiliation(s)
- Harold D Baurmash
- Columbia University, School of Dental and Oral Surgery, NY, New York, USA.
| |
Collapse
|
9
|
|
10
|
Abstract
Salivary gland papillomas are rare tumours arising from ductal epithelium. Intraduct papillomas are the most rare of all duct papillomas. Only four intraduct papillomas have been described in a review of nearly 3100 epithelial salivary tumours. Intraduct papillomas are located almost exclusively in the excretory ducts of the minor salivary glands. However, also the major salivary glands may be affected. Microscopically, the tumour consists of fibrovascular papillae covered by a columnar or cuboidal epithelium. The authors describe an intraduct papilloma of the palate in a 74-year-old woman. The excision of the lesion was curative.
Collapse
|
11
|
Iguchi H, Yamane H, Nasako Y, Nishiura H, Nakamura A, Wakasa K. Intraductal papilloma in the parotid duct. Acta Otolaryngol 2002; 122:314-7. [PMID: 12030582 DOI: 10.1080/000164802753648231] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
Intraductal papilloma arising in the major salivary gland is uncommon. We treated intraductal papilloma of the parotid gland in a 41-year-old man with a 3-week history of a painless mass in his right parotid gland. Radiologic imaging studies revealed a well-circumscribed solitary mass, 1 cm in diameter, at the posterior edge of the right parotid superficial lobe. Complete excision of the mass was performed under general anesthesia. Pathologically, the mass consisted mainly of a cystically dilated salivary duct filled with dark brown muddy components and a cluster of growing papillary cells, leading to the diagnosis of intraductal papilloma. The literature on intraductal papillomas of the major salivary glands is reviewed, with particular focus on preoperative diagnosis of this condition.
Collapse
Affiliation(s)
- Hiroyoshi Iguchi
- Department of Otolaryngology, Osaka City University Medical School, Japan.
| | | | | | | | | | | |
Collapse
|
12
|
Choi G, Choi CS, Choi JS, Choi JO. Intraductal papilloma of the parotid gland in a child. Otolaryngol Head Neck Surg 2001; 125:280. [PMID: 11555769 DOI: 10.1067/mhn.2001.115666] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- G Choi
- Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul.
| | | | | | | |
Collapse
|
13
|
Brannon RB, Sciubba JJ, Giulani M. Ductal papillomas of salivary gland origin: A report of 19 cases and a review of the literature. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 2001; 92:68-77. [PMID: 11458248 DOI: 10.1067/moe.2001.115978] [Citation(s) in RCA: 87] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The term ductal papilloma is used to identify a group of 3 rare benign papillary salivary gland tumors known as inverted ductal papilloma, sialadenoma papilliferum, and intraductal papilloma. They represent adenomas with unique papillary features and arise from the salivary gland duct system. We describe the clinical and microscopic features of 19 new cases of ductal papillomas and combine them with 116 cases previously published in the English-language medical literature. These 19 cases were composed of 13 inverted ductal papillomas, 3 sialadenoma papilliferums, and 3 intraductal papillomas. Collectively, these 19 ductal papillomas occurred most commonly in the sixth to eighth decade of life, with an average patient age of 54 years. Men predominated 1.37:1. The sialadenoma papilliferums presented as papillary lesions clinically with all 3 misinterpreted as squamous papillomas by the surgeons. The inverted ductal papillomas and intraductal papillomas appeared as submucosal nodules. The lip and the palate were the most common locations for inverted ductal papilloma and sialadenoma papilliferum, respectively. The sites for the 3 intraductal papillomas were the parotid papilla of the Stensen's duct, the upper lip, and the buccal mucosa. With light microscopy, inverted ductal papillomas appeared to arise from the excretory ducts near the mucosal surface, whereas intraductal papillomas appeared to arise from the excretory ducts at a deeper level. Sialadenoma papilliferum had a more complex histology, with a biphasic growth pattern of exophytic papillary and endophytic components. All 19 cases were treated by surgical excision. Follow-up information was available in only 2 cases, both inverted ductal papillomas. Neither case recurred during a 20-year period. Sialadenoma papilliferum, with a literature-derived recurrence rate of 10% to 15%, seems to assert a more significant biological behavior than inverted ductal papilloma and intraductal papilloma. Our findings justify the separation of these 3 entities based on clinical and histologic parameters. They are tumors of adulthood and, in addition, have in common their relationship to the excretory duct system, their anatomical distribution, and their general behavior.
Collapse
Affiliation(s)
- R B Brannon
- Oral and Maxillofacial Pathology Department, Louisiana State University School of Dentistry, LSU Health Sciences Center, New Orleans, LA 70119, USA.
| | | | | |
Collapse
|