Masses of the Salivary Gland Region in Children

Bentz, Brandon G.; Hughes, C.; Ludemann, Jeffrey P.; Maddalozzo, John

doi:10.1001/archotol.126.12.1435

Cited by 123 publications

(89 citation statements)

References 11 publications

(14 reference statements)

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“…The histopathological spectrum of pediatric salivary carcinomas in our cohort agrees with those published by other authors 1,2,6 . In their series of 43 pediatric solid salivary gland lesions, Bentz et al 3 reported a similar high frequency of pilomatrixomas. They represented 27.9% of benign and 20.9% of all histopathological entities.…”

Section: Discussionmentioning

confidence: 83%

“…Albeit showing a similarly high 80% parotid prevalence, they differ from those affecting adult populations primarily in their histopathological spectrum, with lymph-and hemangiomas being the most frequent entities 3 . Another striking differentiating feature is the rarity of pediatric salivary epithelial tumors, They represent only 3% of all pediatric salivary tumors 4,5 .…”

Section: Introductionmentioning

confidence: 98%

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Pediatric parotideomasseteric pilomatrixoma in children

Salzman

Stárek²,

Faisal³

et al. 2014

BIOMED PAP

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Aims. To review definitive histological diagnoses of patients with great salivary gland tumors with focus on the relatively high incidence of pediatric pilomatrixomas. The authors focus on clinical investigation, imaging methods and fine needle aspiration cytology of pilomatrixomas. Methods. We treated 12 children with great salivary gland masses aged from 6 months to 18 years from 1995 to 2010. The records of these patients were reviewed to determine sex, age, clinical presentation, and histological findings. Results. Among children having true neoplasms, there was a prevalence of carcinomas (6 out of 9), with low-grade mucoepidermoid and acinic cell carcinomas (two each) as the dominating histopathological diagnosis. There was one adenoid cystic carcinoma and one curious undifferentiated carcinoma in a 6 month old baby. Among all 6 benign lesions, accounting for a half of the total, pilomatrixoma was the most common (2 out of 6) diagnosis, representing 17% (2 out of 12) of all salivary gland lumps and 66% (2 out of 3) of all true benign neoplasms. Conclusions. Pilomatrixoma should be included in the differential diagnosis of pediatric parotideomasseteric lumps. Clinical investigation reveals adherence to the skin but not to the underlying tissue. Clinical assessment and ultrasound guided fine needle aspiration cytology in typical findings strongly support the diagnosis. Cytopathologists must be aware of the preliminary diagnosis of a pilomatrixoma to use proper fixation of the smears. In doubts, frozen biopsy must be sent before parotidectomy is performed.

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 98%

Pediatric parotideomasseteric pilomatrixoma in children

Salzman

Stárek²,

Faisal³

et al. 2014

BIOMED PAP

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“…It is seen 10 times more often in parotid than in submandibular gland (9). Therefore, pediatric submandibular gland pleomorphic adenomas are sporadically reported rather as case reports.…”

Section: Discussionmentioning

confidence: 99%

Submandibular Gland Surgery: Our Clinical Experience

Erbek¹,

Köycü²,

Topal³

et al. 2016

Turk Arch Otorhinolaryngol

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Objective: The aim of this study was to assess the demographic findings and surgical results of patients who underwent submandibular gland excision at a tertiary care center. Methods:The clinical characteristics and histopathological results of 45 patients who had undergone submandibular gland excision between 1997 and 2014 were evaluated in detail.Results: Twenty-eight (62.2%) and 17 (37.8%) patients presented with a complaint of a painful mass and painless mass, respectively. Histopathologic investigation of the surgical specimens revealed sialolithiasis in 14 patients (31.1%), chronic sialadenitis in 16 (35.6%), benign tumor in 12 (26.7%), malignant tumor in two (4.4%), and mucocele extravasation in one. As complications, permanent paralysis of the marginal mandibular branch of the facial nerve was seen in one patient (2.2%), temporary paralysis of the marginal mandibular branch of the facial nerve was seen in seven (15.6%), orocutaneous fistula was seen in one (2.2%), and temporary paralysis of the hypoglossal nerve was seen in one (2.2%). Conclusion:This study revealed that in patients presenting with complaints of a submandibular gland mass, sialolithiasis, sialadenitis, and benign masses were the mostly diagnosed disorders. Transcervical submandibular gland excision is a satisfactory procedure with low complication and recurrence rates when it is performed on selected patients and obeyed to surgical techniques.

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“…Опухоли слюнных желез составляют 1-3% среди опухолей головы и шеи [4,8]. Среди них преоб- ладают опухоли эпителиального происхождения (95%).…”

Section: Discussionunclassified