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Abstract

Malignant salivary gland tumors include a diverse group of primary neoplasms involving both the major and minor salivary glands. In addition, various secondary neoplasms (e.g., metastatic cutaneous squamous cell carcinoma) can also involve the salivary glands or lymph nodes within or closely associated with salivary glands. A majority of malignant tumors occur in the parotid and submandibular glands and account for most of the salivary gland fine-needle aspirations (FNA). While some low-grade salivary gland cancers overlap cytomorphologically with their benign counterparts, many of the more common primary cancers in well-sampled and prepared FNAs with adequate material for ancillary studies will exhibit features that are sufficiently distinctive to be classified as "Malignant." Once the specimen is deemed malignant, grading should be attempted since that can influence clinical management.

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References

  1. Al-Abbadi MA, editor. Salivary gland cytology: a color atlas. Hoboken, NJ: Wiley-Blackwell; 2011.

    Google Scholar 

  2. Faquin WC, Powers CN. Salivary gland cytopathology. In: Rosenthal DL, editor. Essentials in cytopathology, vol. 5. New York: Springer Science + Business Media; 2008.

    Google Scholar 

  3. Klijanienko J, Vielh P. Salivary gland tumours. In: Monographs in clinical cytology, vol. 15. Basel: Karger; 2000.

    Google Scholar 

  4. Wang H, Fundakowski C, Khurana JS, Jhala N. Fine-needle aspiration biopsy of salivary gland lesions. Arch Pathol Lab Med. 2015;139(12):1491–7.

    Article  PubMed  Google Scholar 

  5. Ellis GL, Auclair PL. Tumors of the salivary glands, AFIP atlas of tumor pathology: series 4. Silver Spring, MD: American Registry of Pathology Press; 2008.

    Google Scholar 

  6. Boerner SL. Patterns and pitfalls in fine needle aspiration of salivary gland. Curr Diagn Pathol. 2003;9(6):339–54. Review

    Article  Google Scholar 

  7. El-Naggar AK, JKC C, Grandis JR, Takata T, Slootweg PJ. WHO classification of head and neck tumours. In: WHO/IARC classification of tumours, vol. 9. 4th ed. Lyon: World Health Organization/International Agency for Research on Cancer; 2017.

    Google Scholar 

  8. Vander Poorten V, Triantafyllou A, Thompson LD, Bishop J, Hauben E, Hunt J, et al. Salivary acinic cell carcinoma: reappraisal and update. Eur Arch Otorhinolaryngol. 2016;273(11):3511–31.

    Article  CAS  PubMed  Google Scholar 

  9. Seethala RR. An update on grading of salivary gland carcinomas. Head Neck Pathol. 2009;3(1):69–77.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bishop JA, Yonescu R, Batista DA, Westra WH, Ali SZ. Cytopathologic features of mammary analogue secretory carcinoma. Cancer Cytopathol. 2013;121(5):228–33.

    Article  CAS  PubMed  Google Scholar 

  11. Skálová A, Michal M, Simpson RH. Newly described salivary gland tumors. Mod Pathol. 2017;30(Suppl 1):S27–43.

    Article  PubMed  Google Scholar 

  12. Bishop JA. Mammary analog secretory carcinoma of salivary glands: review of a new entity with an emphasis on differential diagnosis. Pathol Case Rev. 2015;20(1):7–12.

    Article  Google Scholar 

  13. Petersson F. High-grade transformation (“dedifferentiation”)—malignant progression of salivary gland neoplasms, including carcinoma ex pleomorphic adenoma: a review. Pathol Case Rev. 2015;20(1):27–37.

    Article  Google Scholar 

  14. Nagao T. “Dedifferentiation” and high-grade transformation in salivary gland carcinomas. Head Neck Pathol. 2013;7(Suppl 1):S37–47.

    Article  PubMed  Google Scholar 

  15. Seethala RR, Barnes EL, Hunt JL. Epithelial-myoepithelial carcinoma: a review of the clinicopathologic spectrum and immunophenotypic characteristics in 61 tumors of the salivary glands and upper aerodigestive tract. Am J Surg Pathol. 2007;31(1):44–57.

    Article  PubMed  Google Scholar 

  16. Kleinsasser O, Klein HJ, Hübner G. Salivary duct carcinoma. A group of salivary gland tumors analogous to mammary duct carcinoma. Arch Klin Exp Ohren Nasen Kehlkopfheilkd. 1968;192(1):100–5. [Article in German]

    Article  CAS  PubMed  Google Scholar 

  17. Chiosea SI, Thompson LD, Weinreb I, Bauman JE, Mahaffey AM, Miller C, et al. Subsets of salivary duct carcinoma defined by morphologic evidence of pleomorphic adenoma, PLAG1 or HMGA2 rearrangements, and common genetic alterations. Cancer. 2016;122(20):3136–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Williams L, Thompson LD, Seethala RR, Weinreb I, Assaad AM, Tuluc M, et al. Salivary duct carcinoma: the predominance of apocrine morphology, prevalence of histologic variants, and androgen receptor expression. Am J Surg Pathol. 2015;39(5):705–13.

    Article  PubMed  Google Scholar 

  19. Elsheikh TM. Cytologic diagnosis of salivary duct carcinoma. Pathol Case Rev. 2004;9(6):236–41.

    Article  Google Scholar 

  20. Wang H, Hoda RS, Faquin W, Rossi ED, Hotchandani N, Sun T, et al. FNA biopsy of secondary nonlymphomatous malignancies in salivary glands: a multi-institutional study of 184 cases. Cancer. 2017;125(2):91–103.

    Google Scholar 

  21. Schneider M, Rizzardi C. Lymphoepithelial carcinoma of the parotid glands and its relationship with benign lymphoepithelial lesions. Arch Pathol Lab Med. 2008;132(2):278–82.

    PubMed  Google Scholar 

  22. Hipp JA, Jing X, Zarka MA, Schmitt AC, Siddiqui MT, Wakely P Jr, et al. Cytomorphologic characteristics and differential diagnoses of lymphoepithelial carcinoma of the parotid. J Am Soc Cytopathol. 2016;5(2):93–9.

    Article  Google Scholar 

  23. Gnepp DR, Corio RL, Brannon RB. Small cell carcinoma of the major salivary glands. Cancer. 1986;58: 705–14.

    Google Scholar 

  24. Chan JK, Suster S, Wenig BM, Tsang WY, Chan JB, Lau AL. Cytokeratin 20 immunoreactivity distinguishes Merkel cell (primary cutaneous neuroendocrine) carcinomas and salivary gland small cell carcinomas from small cell carcinomas of various sites. Am J Surg Pathol. 1997;21(2):226–34.

    Article  CAS  PubMed  Google Scholar 

  25. Krane JF, Faquin WC. Salivary gland. In: Cibas ES, Ducatman BS, editors. Cytology: Diagnostic Principles and Clinical Correlates. Fourth ed. Philadelphia: Elsevier Saunders; 2014. p. 299–332.

    Google Scholar 

  26. Coca-Pelaz A, Rodrigo JP, Triantafyllou A, Hunt JL, Rinaldo A, Strojan P, et al. Salivary mucoepidermoid carcinoma revisited. Eur Arch Otorhinolaryngol. 2015;272(4):799–819.

    Article  PubMed  Google Scholar 

  27. Coca-Pelaz A, Rodrigo JP, Bradley PJ, Vander Poorten V, Triantafyllou A, Hunt JL, et al. Adenoid cystic carcinoma of the head and neck—an update. Oral Oncol. 2015;51(7):652–61.

    Article  PubMed  Google Scholar 

  28. Savera AT, Sloman A, Huvos AG, Klimstra DS. Myoepithelial carcinoma of the salivary glands: a clinicopathologic study of 25 patients. Am J Surg Pathol. 2000;24(6):761–74.

    Article  CAS  PubMed  Google Scholar 

  29. Chhieng DC, Cangiarella JF, Cohen JM. Fine-needle aspiration cytology of lymphoproliferative lesions involving the major salivary glands. Am J Clin Pathol. 2000;113(4):563–71.

    Article  CAS  PubMed  Google Scholar 

  30. Chute DJ, Stelow EB. Cytology of head and neck squamous cell carcinoma variants. Diagn Cytopathol. 2010;38(1):65–80.

    PubMed  Google Scholar 

  31. Åkerman M, Domanski HA. The cytology of soft tissue tumours. In: Monographs in clinical cytology, vol. 16. Basel: Karger; 2003.

    Google Scholar 

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Correspondence to Swati Mehrotra .

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Mehrotra, S. et al. (2018). Malignant. In: Faquin, W., et al. The Milan System for Reporting Salivary Gland Cytopathology . Springer, Cham. https://doi.org/10.1007/978-3-319-71285-7_7

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  • DOI: https://doi.org/10.1007/978-3-319-71285-7_7

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