1
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Tatsis D, Kechagias N, Tsekos A, Petrakis G, Vahtsevanos K. Intraductal papilloma of the sublingual gland imitating a ranula. J Korean Assoc Oral Maxillofac Surg 2022; 48:59-62. [PMID: 35221308 PMCID: PMC8890967 DOI: 10.5125/jkaoms.2022.48.1.59] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Revised: 04/30/2020] [Accepted: 05/06/2020] [Indexed: 11/28/2022] Open
Abstract
Ductal papillomas are rare benign lesions of the salivary glands with two distinctive types, intraductal and inverted. The rarest anatomical location where intraductal papillomas occur is the major salivary glands. In the present study, we report an intraductal papilloma of the left sublingual gland with the relevant clinical, imaging, and histopathological findings and postoperative follow-up. To our knowledge, this is the fourth case of an intraductal papilloma of a sublingual gland to be reported in the international literature. We present this rare case because of its clinical and radiological imitation of a ranula.
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Affiliation(s)
- Dimitris Tatsis
- Department of Oral and Maxillofacial Surgery, General Hospital of Thessaloniki "G. Papanikolaou", Pylaia
| | - Nikolaos Kechagias
- Department of Oral and Maxillofacial Surgery, St. Lukes Hospital, Pylaia
| | - Antonios Tsekos
- Department of Oral and Maxillofacial Surgery, St. Lukes Hospital, Pylaia
| | | | - Konstantinos Vahtsevanos
- Department of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
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2
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Abstract
Papillary lesions of the salivary duct systems are uncommon. They encompass a heterogeneous group of benign, intermediate, and potentially aggressive neoplasms. With a few exceptions, historical descriptive terms such as papillary adenocarcinoma, papillary cystadenocarcinoma, and papillary adenoma are being replaced by defined entities, at same time acknowledging the papillary features as a histologic pattern. The evolving genetic landscape of these lesions increasingly permits their reproducible categorization. This article discusses those papillary proliferations encountered in the salivary glands with a focus on intraductal papillary mucinous neoplasms and cystadenomas. Intraductal carcinomas and sialadenoma papilliferum are addressed in separate articles in this issue.
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Affiliation(s)
- Abbas Agaimy
- Institute of Pathology, University Hospital, Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Krankenhausstrasse 8-10, 91054 Erlangen, Germany.
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3
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Sublingual Gland Tumors Worldwide: A Descriptive Retrospective Study of 839 Cases. J Oral Maxillofac Surg 2020; 78:1546-1556. [DOI: 10.1016/j.joms.2020.04.023] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 04/14/2020] [Accepted: 04/14/2020] [Indexed: 12/18/2022]
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4
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Hara S, Ohba S, Arakawa A, Matsumoto F, Ito S, Fujimaki M, Kojima M, Ikeda K. Intraductal Papilloma Arising From the Minor Salivary Glands of the Larynx: A Case Report. EAR, NOSE & THROAT JOURNAL 2020; 101:NP73-NP77. [PMID: 32744904 DOI: 10.1177/0145561320944638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
It is rare for intraductal papilloma, a benign papillary tumor, to occur in the salivary glands. To our knowledge, intraductal papilloma occurring in the minor salivary glands of the larynx has not been reported. In this report, we describe a case of intraductal papilloma that occurred in the minor salivary glands of the larynx. A woman in her 30s presented with hoarseness and dyspnea since a year. Fiber-optic laryngoscopy revealed a submucosal tumor involving the left aryepiglottic fold and the left false vocal fold. Computed tomography and magnetic resonance imaging revealed a 17 × 15 × 10 mm3 mass with homogenous isodensity, with regular, well-defined margins located on the left aryepiglottic fold and the left false vocal fold. Surgical resection was performed, and subsequently a diagnosis of intraductal papilloma was made by pathologic evaluation. During the follow-up period of over 3 years, the lesion has not recurred. In conclusion, intraductal papilloma of the minor salivary glands should be considered in the differential diagnosis of laryngeal submucosal tumors.
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Affiliation(s)
- Satoshi Hara
- Department of Otorhinolaryngology, Juntendo University Graduate School of MedicineTokyo, Japan.,Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, Japan
| | - Shinichi Ohba
- Department of Otorhinolaryngology, Juntendo University Graduate School of MedicineTokyo, Japan
| | - Atsushi Arakawa
- Department of Human pathology, Juntendo University Graduate school of Medicine, Tokyo, Japan
| | - Fumihiko Matsumoto
- Department of Otorhinolaryngology, Juntendo University Graduate School of MedicineTokyo, Japan
| | - Shin Ito
- Department of Otorhinolaryngology, Juntendo University Graduate School of MedicineTokyo, Japan
| | - Mitsuhisa Fujimaki
- Department of Otorhinolaryngology, Juntendo University Graduate School of MedicineTokyo, Japan
| | - Masataka Kojima
- Department of Otorhinolaryngology, Juntendo University Graduate School of MedicineTokyo, Japan
| | - Katsuhisa Ikeda
- Department of Otorhinolaryngology, Juntendo University Graduate School of MedicineTokyo, Japan
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5
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Nakaguro M, Urano M, Ogawa I, Hirai H, Yamamoto Y, Yamaguchi H, Tanigawa M, Matsubayashi J, Hirano H, Shibahara J, Tada Y, Tsuzuki T, Okada Y, Sato Y, Ikeda K, Sukeda A, Honda Y, Mikami Y, Nagao T. Histopathological evaluation of minor salivary gland papillary–cystic tumours: focus on genetic alterations in sialadenoma papilliferum and intraductal papillary mucinous neoplasm. Histopathology 2019; 76:411-422. [DOI: 10.1111/his.13990] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Revised: 09/05/2019] [Accepted: 09/05/2019] [Indexed: 12/16/2022]
Affiliation(s)
- Masato Nakaguro
- Department of Pathology and Laboratory Medicine Nagoya University Hospital Nagoya Japan
| | - Makoto Urano
- Department of Diagnostic Pathology School of Medicine Fujita Health University Toyoake Japan
| | - Ikuko Ogawa
- Centre of Oral Clinical Examination Hiroshima University Hospital Hiroshima Japan
| | - Hideaki Hirai
- Department of Anatomical Pathology Tokyo Medical University Tokyo Japan
| | | | - Hiroshi Yamaguchi
- Department of Anatomical Pathology Tokyo Medical University Tokyo Japan
| | - Maki Tanigawa
- Department of Anatomical Pathology Tokyo Medical University Tokyo Japan
| | - Jun Matsubayashi
- Department of Anatomical Pathology Tokyo Medical University Tokyo Japan
| | - Hiroshi Hirano
- Department of Pathology Tokyo Medical University Hachioji Medical Centre Tokyo Japan
| | | | - Yuichiro Tada
- Department of Head and Neck Oncology and Surgery International University of Health and Welfare Mita Hospital Tokyo Japan
| | | | - Yasuo Okada
- Department of Pathology The Nippon Dental University School of Life Dentistry at Niigata Niigata Japan
| | - Yuichiro Sato
- Department of Head and Neck Surgery Niigata Cancer Centre Hospital Niigata Japan
| | | | - Aoi Sukeda
- Department of Anatomical Pathology Tokyo Medical University Tokyo Japan
| | - Yumi Honda
- Department of Diagnostic Pathology Kumamoto University Hospital Kumamoto Japan
| | - Yoshiki Mikami
- Department of Diagnostic Pathology Kumamoto University Hospital Kumamoto Japan
| | - Toshitaka Nagao
- Department of Anatomical Pathology Tokyo Medical University Tokyo Japan
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6
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Intraductal Papillary Mucinous Neoplasms of Minor Salivary Glands With AKT1 p.Glu17Lys Mutation. Am J Surg Pathol 2018; 42:1076-1082. [DOI: 10.1097/pas.0000000000001080] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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7
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Nakaguro M, Urano M, Suzuki H, Yamada K, Sakaguchi A, Ogura K, Matsumoto T, Ono N, Asato T, Mikami Y, Imai H, Nagao T. Low-grade intraductal carcinoma of the salivary gland with prominent oncocytic change: a newly described variant. Histopathology 2018; 73:314-320. [DOI: 10.1111/his.13517] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Revised: 03/06/2018] [Accepted: 03/12/2018] [Indexed: 01/29/2023]
Affiliation(s)
- Masato Nakaguro
- Department of Pathology and Laboratory Medicine; Nagoya University Hospital; Nagoya Japan
| | - Makoto Urano
- Department of Diagnostic Pathology; Fujita Health University, School of Medicine; Toyoake Japan
| | - Hiroaki Suzuki
- Department of Diagnostic Pathology; National Hospital Organisation Hokkaido Cancer Center; Sapporo Japan
| | - Kazuyuki Yamada
- Department of Head and Neck Surgery; National Hospital Organisation Hokkaido Cancer Center; Sapporo Japan
| | - Asumi Sakaguchi
- Department of Diagnostic Pathology; Juntendo University Nerima Hospital; Tokyo Japan
| | - Kanako Ogura
- Department of Diagnostic Pathology; Juntendo University Nerima Hospital; Tokyo Japan
| | - Toshiharu Matsumoto
- Department of Diagnostic Pathology; Juntendo University Nerima Hospital; Tokyo Japan
| | - Noritsugu Ono
- Department of Otorhinolaryngology; Juntendo University Nerima Hospital; Tokyo Japan
| | - Tsuguharu Asato
- Department of Diagnostic Pathology; Kumamoto University Hospital; Kumamoto Japan
| | - Yoshiki Mikami
- Department of Diagnostic Pathology; Kumamoto University Hospital; Kumamoto Japan
| | - Hiroshi Imai
- Pathology Division; Mie University Hospital; Tsu Mie Japan
| | - Toshitaka Nagao
- Department of Anatomic Pathology; Tokyo Medical University; Tokyo Japan
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8
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Papillary Carcinoma of Stensen's Duct with Intestinal Differentiation. Head Neck Pathol 2018; 13:512-515. [PMID: 29774486 PMCID: PMC6684672 DOI: 10.1007/s12105-018-0932-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 05/10/2018] [Indexed: 10/16/2022]
Abstract
Stensen's duct carcinoma (StDC) is an extremely rare neoplasm, with fewer than 40 cases reported in the literature. We report a unique case of primary StDC with papillary features and intestinal differentiation of a 74-year-old male. We discuss the radiologic and pathologic correlation along with the differential diagnosis of this rare entity.
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9
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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.
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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
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10
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Ohta Y, Hirota Y, Kohno Y, Kishimoto K, Norose T, Ohike N, Takimoto M, Shiokawa A, Ota H. Cytology of low-grade cribriform cystadenocarcinoma in salivary glands: Cytological and immunohistochemical distinctions from other salivary gland neoplasms. Diagn Cytopathol 2015; 44:241-5. [DOI: 10.1002/dc.23411] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Revised: 11/14/2015] [Accepted: 11/24/2015] [Indexed: 11/11/2022]
Affiliation(s)
- Yoshiki Ohta
- Department of Clinico-Diagnostic Pathology; Showa University Fujigaoka Hospital; Kanagawa Japan
| | - Yuko Hirota
- Department of Clinico-Diagnostic Pathology; Showa University Koto-Toyosu Hospital; Tokyo Japan
| | - Yohko Kohno
- Division of Pathology; Department of Oral Diagnostic Sciences, Showa University School of Dentistry; Tokyo Japan
| | - Koji Kishimoto
- Department of Clinico-Diagnostic Pathology; Showa University Fujigaoka Hospital; Kanagawa Japan
| | - Tomoko Norose
- Department of Clinico-Diagnostic Pathology; Showa University Fujigaoka Hospital; Kanagawa Japan
| | - Nobuyuki Ohike
- Department of Clinico-Diagnostic Pathology; Showa University Fujigaoka Hospital; Kanagawa Japan
| | - Masafumi Takimoto
- Department of Pathology; Clinico-Diagnostic Pathology, Showa University School of Medicine; Tokyo Japan
| | - Akira Shiokawa
- Department of Pathology; Clinico-Diagnostic Pathology, Showa University School of Medicine; Tokyo Japan
| | - Hidekazu Ota
- Department of Pathology; Clinico-Diagnostic Pathology, Showa University School of Medicine; Tokyo Japan
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11
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Abstract
Primary carcinoma of the parotid duct (Stensen's duct carcinoma) is a rare entity, first described in 1927 and with approximately thirty-one cases reported in the English literature. Criteria for diagnosis are primarily demonstration of an origin from the Stensen's duct lining and exclusion of parotid gland, accessory parotid, oral mucosal and adjacent minor salivary gland origin. The carcinoma is usually of a specific type, and most have been described as squamous, mucoepidermoid, or undifferentiated adenocarcinomas. We report an unusual case of Stensen's duct carcinoma showing a primarily basaloid phenotype with focal squamous differentiation and a partial papillary architecture raising the possibility of malignant transformation in a ductal papilloma. Wide local excision was performed with postoperative radiotherapy and the patient is free of complications one and a half years postoperatively. Due to the small number of cases reported, the overall prognosis is not well defined, but seems to depend on the tumour size. Regional metastasis confers a 14 % mortality rate but there appears to be no relationship between histological type and prognosis.
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12
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Intraductal papilloma: atypical presentation. Case Rep Dent 2013; 2013:652728. [PMID: 23762648 PMCID: PMC3677017 DOI: 10.1155/2013/652728] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2013] [Accepted: 05/08/2013] [Indexed: 11/20/2022] Open
Abstract
Ductal papillomas have unique papillary features arising from the salivary gland duct system. They comprise three rare benign adenomas, namely, inverted ductal papilloma, sialadenoma papilliferum, and intraductal papilloma. Intraductal papilloma is an extremely rare benign salivary gland tumor that occurs most commonly in the minor salivary glands. Here, we are presenting a case report of intraductal papilloma in an 18-year-old patient.
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13
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Tandon A, Wadhwa N, Jain B, Tandon R, Bhatt S. Intraductal Papilloma of the Extraglandular Segment of the Stensen Duct. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2012. [DOI: 10.1177/8756479311431306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Intraductal papillary neoplasm of major salivary glands is exceedingly rare. Most reported cases have been diagnosed on histopathology; an extensive literature search found no case where a preoperative imaging diagnosis was suspected or established. This report depicts the sonographic diagnosis of intraductal papilloma of the extraglandular segment of the Stensen duct. The sonographic and histological appearances of this rare entity are illustrated.
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Affiliation(s)
- Anupama Tandon
- Department of Radiology & Imaging, UCMS & GTB Hospital, New Delhi, India
| | - Neelam Wadhwa
- Department of Pathology, UCMS & GTB Hospital, New Delhi, India
| | - Bosky Jain
- Department of Radiology & Imaging, UCMS & GTB Hospital, New Delhi, India
| | - Rajesh Tandon
- Department of Pathology, Max Superspeciality Hospital, New Delhi, India
| | - Shuchi Bhatt
- Department of Radiology & Imaging, UCMS & GTB Hospital, New Delhi, India
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14
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Kämmerer PW, Kreft A, Toyoshima T, Al-Nawas B, Klein MO. Misleading initial histological diagnosis of a polymorphous low-grade adenocarcinoma in situ ex pleomorphic adenoma-a case report. Oral Maxillofac Surg 2009; 13:99-103. [PMID: 19189140 DOI: 10.1007/s10006-009-0150-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
INTRODUCTION Polymorphous low-grade adenocarcinoma (PLGA) are frequent tumours of palatinal minor salivary glands. They appear clinically as solid mass located beneath intact surface epithelium, thus quite similar with benign neoplasm. PLGA displays a low tendency of aggressive behaviour. The correct aetiology of this disorder is still unknown. CASE REPORT In this contribution, a PLGA is reported which was located in a pleomorphic adenoma (PA). Out of an initially incisional biopsy, only the benign part of the lesion was diagnosed. Definitive histological examination of the whole tumour revealed a small malignant fraction of the specimen besides a major part of benign tissue formations (PA). CONCLUSION This case shows the uncertain confidence of incisional biopsy, the variably biologic behaviour of PA, providing hints for consideration of the PLGA aetiology and highlights both the necessity to remove whole PA-like lesions as well as to perform systematically histological examination of whole specimens.
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Affiliation(s)
- P W Kämmerer
- Department of Oral and Maxillofacial Surgery, Johannes Gutenberg-University, Augustusplatz 2, 55131, Mainz, Germany.
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15
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Tomonao A, Kishino M, Masuda T, Isomura ET, Tanaka S, Namikawa M, Iida S. Intraductal papilloma arising from sublingual minor salivary gland: Case report and immunohistochemical study. ACTA ACUST UNITED AC 2009; 107:e34-7. [DOI: 10.1016/j.tripleo.2009.01.019] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2008] [Revised: 01/08/2009] [Accepted: 01/09/2009] [Indexed: 11/25/2022]
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16
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Akhtar I, Ispas CL, Flowers R, Siddiqi A, Young L, Donnellan KA, Heard K, Baliga M. Ductopapillary apocrine carcinoma of the eyelid metastatic to the parotid gland: Report of a case diagnosed by fine-needle aspiration biopsy. Diagn Cytopathol 2009; 37:91-5. [DOI: 10.1002/dc.20956] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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17
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Chen YK, Chen JY, Hsu HR, Wang WC, Lin LM. Intraoral intraductal papilloma: a case report. Gerodontology 2008; 25:258-60. [DOI: 10.1111/j.1741-2358.2007.00201.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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18
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Fahim L, Weinreb I, Alexander C, Perez Ordoñez B. Epithelial proliferation in small ducts of salivary cystadenoma resembling atypical ductal hyperplasia of breast. Head Neck Pathol 2008; 2:213-7. [PMID: 20614317 PMCID: PMC2807557 DOI: 10.1007/s12105-008-0061-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2008] [Accepted: 05/06/2008] [Indexed: 11/27/2022]
Abstract
Salivary gland cystadenomas are cystic neoplasms with diverse architecture and cytology. Cystadenomas may have a considerable intracystic epithelial component, but an epithelial proliferation in small ducts and cysts resembling atypical ductal hyperplasia of breast has not been documented. The patient was a 68-year-old man with a slow growing right submandibular mass. He has no recurrence 13 months after resection. The tumor was polycystic and measured 3.0 x 2.5 x 2.5 cm. The epithelium of the larger cysts was composed of flat, cuboidal, columnar, and apocrine-like cells. Many of the larger cysts showed "Roman bridges", epithelial tufting, and papillae. The smaller cysts and ducts had apocrine-like cells forming secondary glandular lumens. The ductal cells were surrounded by clear myoepithelial cells. Nuclear pleomorphism and hyperchromasia was seen in the apocrine-like cells. Adjacent to the larger cysts, there was an adenomatoid proliferation of small ducts surrounded by myoepithelial cells. No mitotic activity, necrosis, or stromal invasion was identified. The ductal cells were diffusely positive for keratin 7 and androgen receptors with focal expression of keratin 19 and high-molecular weight keratin. S-100, estrogen and progesterone receptors, and BRST-2 were negative in the ductal cells. Recognition of a prominent intraductal epithelial component in cystadenomas is important to avoid a misdiagnosis of cystadenocarcinoma or low-grade salivary duct carcinoma. Cystadenomas join the list of salivary gland lesions with microscopic similarities to primary lesions of the breast.
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Affiliation(s)
- Lisa Fahim
- Department of Pathology, University Health Network, 200 Elizabeth Street, Toronto, ON Canada M5G 2C4 ,Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON Canada
| | - Ilan Weinreb
- Department of Pathology, University Health Network, 200 Elizabeth Street, Toronto, ON Canada M5G 2C4 ,Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON Canada
| | | | - Bayardo Perez Ordoñez
- Department of Pathology, University Health Network, 200 Elizabeth Street, Toronto, ON Canada M5G 2C4 ,Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON Canada
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19
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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.
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Affiliation(s)
- Hulya Noseri
- Department of Otolaryngology, Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey.
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20
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Cabov T, Macan D, Manojlović S, Ozegović M, Spicek J, Luksić I. Oral inverted ductal papilloma. Br J Oral Maxillofac Surg 2004; 42:75-7. [PMID: 14706310 DOI: 10.1016/s0266-4356(03)00195-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Tomislav Cabov
- Department of Maxillofacial and Oral Surgery, University Hospital Dubrava, School of Dental Medicine, School of Medicine, University of Zagreb, Av. G. Suska 6, 10000 Zagreb, Croatia
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21
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Kapila K, Verma K. Cytomorphologic features of papillary cystadenocarcinoma of the parotid. Diagn Cytopathol 2002; 26:392-7. [PMID: 12112832 DOI: 10.1002/dc.10110] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
The fine-needle aspiration cytology findings in four cases of recently classified cystadenocarcinoma of the parotid gland are reported. In three cases a recurrent tumor was aspirated. Smear preparations in all four cases were cellular, with numerous papillary projections, single cells, and sheets of cells in varying proportion in a proteinaceous to mucoid background. The background mucin was in varying proportions. The cells were cuboidal to tall columnar with basal nuclei and mild pleomorphism. The cytoplasm was dense in three cases with variable amounts of mucin. In one case (Case 4) the epithelial cells resembled mucin-secreting goblet cells, while in another case (Case 1) the cytoplasm showed multiple vacuolations. Mitosis was rare. Lymphoid tissue was seen in one case while macrophages and giant cells were seen in two cases. Epidermoid differentiation was absent in all four cases. Pathologic evaluation of the resected tumor confirmed the cytologic diagnosis. Clinical and radiologic evaluation failed to reveal any other potential primary site. Papillary cystadenocarcinomas of the parotid are rare but can be accurately diagnosed on FNAC. However, they need to be differentiated from mucoepidermoid and papillary acinic cell tumors.
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Affiliation(s)
- Kusum Kapila
- Cytopathology Laboratory, Department of Pathology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India.
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22
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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.
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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.
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Affiliation(s)
- Hiroyoshi Iguchi
- Department of Otolaryngology, Osaka City University Medical School, Japan.
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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.
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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.
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