Necrotizing sialometaplasia. A condition simulating malignancy

Raugi, G. J.

doi:10.1001/archderm.115.3.329

Cited by 13 publications

(6 citation statements)

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“…A correct diagnosis is mandatory since NS may clinically and histologically simulate malignancy, such as squamous cell carcinoma or mucoepidermoid carcinoma (Anneroth, Bystedt, & Hammarstrom, ; Coley‐Smith & Ellis, ; Gad, Willen, Willen, Thorstensson, & Ekman, ; Granick, Solomon, Benedetto, Hannegan, & Sohn, ; Joshi, Halli, Koranne, & Singh, ; Poulson, Greer, & Ryser, ; Santis, Kabani, Roderiques, & Driscoll, ), possibly resulting in unnecessary radical surgery (Fechner, ). Indeed, goblet cells may occur within the metaplastic squamous cell, thus suggesting an inaccurate diagnosis of mucoepidermoid carcinoma (Birkholz, Minton, & Yuen, ; Donath & Seifert, ; Fechner, ; Gahhos et al, ; Lynch, Crago, & Martinez, ; Myers, Bankaci, & Barnes, ; Raugi & Kessler, ; Santis et al, ; Taxy, ).…”

Section: Discussionmentioning

confidence: 99%

Necrotizing sialometaplasia can hide the presence of salivary gland tumors: A case series

et al. 2019

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Objective Necrotizing sialometaplasia (NS) is an uncommon benign process which affects minor and, more rarely, major salivary glands. While self‐limiting, the condition might be clinically and histologically mistaken for malignancy. Furthermore, NS may accompany neoplasms. The aim of this paper was to report a series of Italian patients affected by NS associated with an unusual high presence of neoplasms of minor and major salivary glands. Study Design Clinical and histological features of twelve patients with NS were retrospectively evaluated. Results Eight patients presented NS of the minor salivary glands of the palate, and two of them had associated neoplasms (pleomorphic adenoma and adenoid cystic carcinoma) at the same site. Four patients had NS of the parotid gland associated with a history of fine‐needle aspiration biopsy performed to diagnose parotid neoplasms. These were epithelial–myoepithelial carcinoma, adenoid cystic carcinoma, Warthin's tumor, and oncocytoma, respectively. Conclusion Tumors of minor and major salivary glands might be associated with NS more frequently than previously reported. While NS of the parotid is generally the result of invasive diagnostic procedure and is detected after the excision of the tumor, NS of the minor salivary glands may obscure an underlying neoplasm, resulting in delays in referral or treatment.

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Section: Discussionmentioning

confidence: 99%

Necrotizing sialometaplasia can hide the presence of salivary gland tumors: A case series

et al. 2019

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“…La SMN peut survenir sur un terrain vasculaire : une athé-rosclérose [8], une hypertension artérielle [8][9][10][11][12][13][14][15][16], une maladie de Buerger [17]. Dans d'autres cas, un facteur traumatique (physique, chimique, thermique…) précédant la survenue de la SMN a été retrouvé : injections d'anesthésiques locaux et usage de produits chimiques lors des soins dentaires [15,[17][18][19][20][21][22][23], ingestion de boissons chaudes [24], port de prothèses dentaires [3, 8-11, 18, 21, 23, 25-39], intervention chirurgicale loco-régionale [18][19][20][21][22][23][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54].…”

Section: Théorie Vasculaireunclassified

La sialométaplasie nécrosante : revue systématique de la littérature

Aubies-Trouilh¹,

Fricain²

2012

Med Buccale Chir Buccale

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Résumé -Objectif :Répertorier les caractéristiques épidémiologiques, étiopathogéniques, cliniques, histologiques et thérapeutiques de la sialométaplasie nécrosante (SMN). Results: NSM is an uncommon benign disease of salivary glands. Usually, NSM affects the minor salivary glands of the hard palate. It occurs primarily in adults, NSM is manifested by a sharply demarcated crater-like palatal ulcer. Although the etiology is uncertain, the lesion heals spontaneously. Conclusion: Dental surgeon has to know this lesion because of the risk of histological and clinical confusion with malignant lesions which may lead to mutilating radical treatment.

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“…[1011] These features are strongly suggestive of a carcinoma, leading to frequent erroneous diagnosis of carcinoma. The ulcer is tender, but not as overtly painful as its appearance might suggest.…”

Section: Discussionmentioning

confidence: 99%

Necrotizing sialometaplasia of tongue

Randhawa

Varghese

Shameena

et al. 2009

J Oral Maxillofac Pathol

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Necrotizing sialometaplasia, is a benign inflammatory lesion primarily involving the minor salivary glands of the hard palate. The lesion often presents itself as a deep-seated palatal ulcer with clinical and histological features similar to those of a malignant neoplasm. Here we report a case of necrotizing sialometaplasia in a 40-year-old female, present on the lateral border of the tongue, mimicking squamous cell carcinoma, clinically. A correct diagnosis to avoid mutilant surgical treatments is essential, considering that it is a self-limiting disease.

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Necrotizing sialometaplasia. A condition simulating malignancy

Cited by 13 publications

References 0 publications

Necrotizing sialometaplasia can hide the presence of salivary gland tumors: A case series

Necrotizing sialometaplasia can hide the presence of salivary gland tumors: A case series

La sialométaplasie nécrosante : revue systématique de la littérature

Necrotizing sialometaplasia of tongue

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