The 9-tier system defines a cytology specimen as inadequate if the specimen is nondiagnostic, paucicellular, cyst aspirate only, blood only, necrotic debris/pus only, normal salivary gland tissue (technical miss or sialadenosis
), or preparation artifact.
Of the 38 inflammatory salivary gland lesions, sialadenitis was the most common lesion: 18 cases (47.36%) followed by by sialadenosis: 8 cases (21.05%), chronic non-specific reactive hyperplasia [Intra-parotid lymph node]: 6 cases (15.78%), non--neoplastic cysts: 4 cases (10.25%) and two cases of abscess.
Table Showing Inflammatory Lesions FNAC Diagnosis Number of Cases Percentage Sialadenitis 18 47.36% Sialadenosis 08 21.05% Reactive Lymphoid Hyperplasia 06 15.78% Non- Neoplastic Cysts 04 10.52% Abscess 02 5.26 Total 38 100% Table 2.
Parotid swelling can result from a diverse spectrum of pathologies: inflammation or infections [e.g., bacterial, viral (e.g., mumps or HIV sialopathy), or chronic sialadenitis], autoimmune diseases (e.g., Sjogren's disease and chronic recurrent parotitis), granulomatous diseases (e.g., Wegener's granulomatosis and sarcoidosis), Kimura's disease, miscellaneous diseases (e.g., sialadenosis
, polycystic disease, radiation sialadenitis, and pneumoparotid), neoplastic diseases (e.g., pleomorphic adenoma, Warthin's tumor, and mucosa-associated lymphoid tissue lymphoma), and pseudolesions (e.g., hypertrophy of the masseter muscle) (2).
caused long-term Valproate medication.
Biochemical analysis, as revealed by oxidative stress, also shows changes that can occur in pathological situations, as in the case of EtOH chronic consumption, showing involvement of oxidative stress in parotid gland sialadenosis .
Brigagao, "Oxidative stress in alcohol-induced rat parotid sialadenosis," Archives of Oral Biology, vol.
On fine needle aspiration cytology possibilities were given acinic cell carcinoma or sialadenosis
. Superficial parotidectomy was done as the tumour did not seem to involve either facial nerve or any adjacent bony structure.
Other pathologic lesions included were chronic sialadenitis 18 (16%), retention cysts 12 (10%), malignant lesions in 11 (9%), sialadenosis
8 (7%) and other benign neoplasms 3 cases (3%) (Fig.
Other oral complications frequently reported in association with bulimia include sialadenosis
, which is hypertrophy of serous acinar cells, often with infiltration of adiopocytes and without an inflammatory component.
For the salivary gland, there were 272 pathologist responses from 147 laboratories for which the correct (reference) diagnosis was normal salivary gland or sialadenosis
. Of the 272 pathologists, 218 (80%) gave the reference diagnosis, whereas another 19 gave an alternate nonneoplastic diagnosis (sialoadenitis or granulomas, 18; lymphoepithelial lesions or lymphoepithelial cyst, 1), and 4 gave a diagnosis of "unsatisfactory" for evaluation.