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
Al-Abbadi MA, editor. Salivary gland cytology: a color atlas. Hoboken, NJ: Wiley-Blackwell; 2011.
Faquin WC, Powers CN. Salivary gland cytopathology. In: Rosenthal DL, editor. Essentials in cytopathology, vol. 5. New York: Springer Science + Business Media; 2008.
Klijanienko J, Vielh P. Salivary gland tumours. In: Monographs in clinical cytology, vol. 15. Basel: Karger; 2000.
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.
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.
Boerner SL. Patterns and pitfalls in fine needle aspiration of salivary gland. Curr Diagn Pathol. 2003;9(6):339–54. Review
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.
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.
Seethala RR. An update on grading of salivary gland carcinomas. Head Neck Pathol. 2009;3(1):69–77.
Bishop JA, Yonescu R, Batista DA, Westra WH, Ali SZ. Cytopathologic features of mammary analogue secretory carcinoma. Cancer Cytopathol. 2013;121(5):228–33.
Skálová A, Michal M, Simpson RH. Newly described salivary gland tumors. Mod Pathol. 2017;30(Suppl 1):S27–43.
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.
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.
Nagao T. “Dedifferentiation” and high-grade transformation in salivary gland carcinomas. Head Neck Pathol. 2013;7(Suppl 1):S37–47.
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.
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]
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.
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.
Elsheikh TM. Cytologic diagnosis of salivary duct carcinoma. Pathol Case Rev. 2004;9(6):236–41.
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.
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.
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.
Gnepp DR, Corio RL, Brannon RB. Small cell carcinoma of the major salivary glands. Cancer. 1986;58: 705–14.
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.
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.
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.
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.
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.
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.
Chute DJ, Stelow EB. Cytology of head and neck squamous cell carcinoma variants. Diagn Cytopathol. 2010;38(1):65–80.
Åkerman M, Domanski HA. The cytology of soft tissue tumours. In: Monographs in clinical cytology, vol. 16. Basel: Karger; 2003.
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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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