Difference between revisions of "Salivary glands"
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==Salivary gland mucocele== | ==Salivary gland mucocele== | ||
{{Main|Salivary gland mucocele}} | |||
==Pleomorphic adenoma== | ==Pleomorphic adenoma== |
Revision as of 19:15, 23 June 2020
The salivary glands help digest food. ENT surgeons excise them if a malignancy is suspected.
The cytopathology of the salivary glands is covered in the Head and neck cytopathology article.
Normal salivary glands
Types of salivary glands
Types of glands:[1]
- Serrous - eosinophilic cytoplasmic granules, acinar arrangement - vaguely resembles the acinar morphology of the pancreas.
- Mucinous - light eosinophilic staining.
Identifying the glands
The three main glands:
- Parotid:
- Serous glands - lower viscosity, acini (lobules).[2]
- Most tumours in this gland are benign.
- Submandibular:
- Serous and mucinous glands.
- Serous ~90% of gland.
- Mucinous ~10% of gland.
- Serous demilunes = mucinous gland with "cap" consisting of a serous glandular component.
- Demilune = crescent.[3]
- Image: Serous demilunes (duke.edu).[4]
- Serous and mucinous glands.
- Sublingual:
- Mucinous glands.
Other:
- Adipose tissue is found between the glands.
- It increases with age.
Images:
Memory devices:
- The parotid gland vaguely resembles the pancreas.
- Submandibular = glands are mixed.
Overview
Benign tumours
Tabular form - adapted from Thompson[5]
Entity | Architecture | Morphology | Cell borders | Cytoplasm | Nucleus | DDx | Other | Image |
---|---|---|---|---|---|---|---|---|
Pleomorphic adenoma | var. | mixed pop.; must include: (1) myoepithelium, (2) mesenchymal stroma, and (3) epithelium (ductal cells) or chondromyxoid stroma | var. | var. | (1) plasmacytoid | adenoid cystic carcinoma | occ. encapsulated, mixed pop. of glandular, myoepithelial and mesenchymal cells |
|
Warthin tumour | papillary, bilayer |
cuboid (basal), columnar (apical) | clearly seen | eosinophilic, abundant | unremarkable | sebaceous lymphadenoma | AKA papillary cystadenoma lymphomatosum | |
Basal cell adenoma | var., islands surrounded by hyaline bands, lesion encapsulated |
basaloid | subtle | scant, hyperchromatic |
granular | basal cell adenocarcinoma | - | - |
Canalicular adenoma | chains of cells | cuboid or columnar | subtle | scant, hyperchromatic |
granular | basal cell adenoma | exclusively oral cavity, 80% in upper lip; IHC: p63- | |
Sialoblastoma | var., islands surrounded by loose fibrous stroma |
basaloid | subtle | scant, hyperch. | granular | basal cell adenocarcinoma | - | - |
Malignant tumours
Tabular form - adapted from Thompson[6]
Entity | Architecture | Morphology | Cell borders | Cytoplasm | Nucleus | DDx | Other | Image |
---|---|---|---|---|---|---|---|---|
Mucoepidermoid carcinoma | cystic & solid | epithelioid | distinct | fuffy, clear, abundant |
nuclei sm. | SCC (?) | IHC: p63+ | |
Adenoid cystic carcinoma (AdCC) | pseudocysts, cribriform, solid, hyaline stroma |
epithelioid | subtle | scant, hyperchromatic |
small +/-"carrot-shaped" |
pleomorphic adenoma, PLGA | Stains: PAS+ (pseudocyst material), CD117+, cyclin D1+ | |
Acinic cell carcinoma (AcCC) | sheets, acinar (islands) | epithelioid | clear | granular abundant | stippled, +/-occ. nucleoli | adenocarcinoma not otherwise specified, oncocytoma of salivary gland | Stains: PAS +ve, PAS-D +ve; IHC: S-100 -ve, p63 -ve | |
Salivary duct carcinoma | glandular, cribriform | columnar | subtle/clear | hyperchromatic | columnar | metastatic breast carcinoma | similar to ductal breast carcinoma; male>female |
|
Polymorphous low-grade adenocarcinoma | variable, often small nests, may be targetoid |
epithelioid | indistinct | eosinophilic | ovoid & small with small nucleoli |
AdCC | minor salivary gland tumour, often in palate, cytologically monotonous; IHC: S-100+, CK+, vim.+, GFAP+/-, BCL2+/- |
|
Epithelial-myoepithelial carcinoma | nests (myoepithelial) with tubules (epithelial) | epithelioid | not distinct | eosinophilic cytoplasm; epithelial: scant; myoepithelial: moderate | focal clearing | AdCC, pleomorphic adenoma | rare | |
Basal cell adenocarcinoma | var., islands surrounded by hyaline bands, lesion not encapsulated |
basaloid | subtle | scant, hyperchromatic |
granular | basal cell adenoma | rare, usu. parotid gland, may arise from a basal cell adenoma |
DDx
Palate
Benign parotid tumours
Oncocytic tumours
- Benign:
- Oncocytoma.
- Warthin tumour.
- Malignant:
- Mucoepidermoid carcinoma, oncocytic variant.
- Salivary duct carcinoma.
- Carcinoma ex pleomorphic carcinoma with a salivary duct carcinoma component.
- Apocrine carcinoma.
- Oncocytic carcinoma.
- Acinic cell carcinoma, oncocytic variant.
Clear cell tumours
- Mucoepidermoid carcinoma, clear cell variant.
- Acinic cell carcinoma, clear cell variant.
- Hyalinizing clear cell carcinoma.
- Epithelial-myoepithelial carcinoma.
- Metastatic clear cell carcinoma.
- Metastatic clear cell renal cell carcinoma.
Basaloid neoplasms
- Basal cell adenoma.
- Basal cell adenocarcinoma
- Pleomorphic adenoma.[7]
- Adenoid cystic carcinoma.[7]
- Small cell carcinoma.[7]
IHC overview
General:
- Usually has limited value.
Overview:
- Luminal markers: CK7, CK19, CAM5.2 (LMWK).
- Basal markers: p63, HMWK, CK14.
- Myoepithelial markers: calponin, actin.
- Uncommitted: S-100.
Notes:
- p63 and S-100 are sometimes call myoepithelial.
Specifics:
- Calponin, S-100, Ki-67 may be useful as per Nagao et al.[8]
Benign
General DDx:
- Inflammation.
- Neoplasm.
- Ductal obstrution.
Chronic sialadenitis
Main article: Chronic sialadenitis
Salivary gland mucocele
Main article: Salivary gland mucocele
Pleomorphic adenoma
Main article: Pleomorphic adenoma
Myoepithelioma
Main article: Myoepithelioma
Basal cell adenoma
General
- ~2% of salivary gland tumours.
- May be multifocal.
- Usually parotid gland, occasionally submandibular gland.
- Female:male = ~2:1.
- May be seen in association with dermal cylindromas in the context of a genetic mutation.[9]
- Malignant transformation - rarely.
Microscopic
Features:
- Basal component.
- Basophilic cells - key feature.
- Usu. in nests.
- May be bilayered tubules or trabeculae.
- Large basophilic nucleus.
- Minimal-to-moderate eosinophilic cytoplasm.
- Stromal cells.
- Plump spindle cells without significant nuclear atypia - distinguishing feature.
- Stromal cell nuclei width ~= diameter RBC.
- Dense hyaline stroma.
- Plump spindle cells without significant nuclear atypia - distinguishing feature.
- Tubular component.
- Within basal component, may be minimal.
- Lesion is encapsulated - key feature.
Notes:
- No chondromyxoid stroma.
- Chondromyxoid stroma present -> pleomorphic adenoma.
- Neoplastic cells embedded in stroma ("stromal invasion") = basal cell adenocarcinoma.
- Basal cell adenocarcinoma may be cytologically indistinguishable from basal cell adenoma, i.e. "bad" architecture makes it a basal cell adenocarcinoma.
DDx:
- Adenoid cystic carcinoma - not encapsulated.
- Basal cell adenocarcinoma - not encapsulated.
- Canalicular adenoma - different site; canalicular adenoma is the in oral cavity, usually upper lip.
Images:
IHC
- Luminal stains +ve: CK7 +ve, CAM5.2 +ve.
- p63 +ve -- basal component.
- S-100 +ve -- spindle cells in the stroma.
Canalicular adenoma
Main article: Canalicular adenoma
Warthin tumour
Main article: Warthin tumour
Sebaceous adenoma
Main article: Sebaceous adenoma
- Benign counterpart of sebaceous carcinoma.
Sebaceous lymphadenoma
Main article: Sebaceous lymphadenoma
Oncocytoma of the salivary gland
- AKA salivary gland oncocytoma.
Main article: Oncocytoma of the salivary gland
Malignant
One approach:
- Differentiate -- luminal vs. myoepithelial vs. basal (mucoepideroid).
Mucoepidermoid carcinoma
Main article: Mucoepidermoid carcinoma
Acinic cell carcinoma
Main article: Acinic cell carcinoma
Adenoid cystic carcinoma
Main article: Adenoid cystic carcinoma
Note: The breast tumour is dealt with in adenoid cystic carcinoma of the breast.
Salivary duct carcinoma
Main article: Salivary duct carcinoma
Intraductal carcinoma of the salivary gland
Main article: Intraductal carcinoma of the salivary gland
Polymorphous low-grade adenocarcinoma
- Abbreviated PLGA.
Main article: Polymorphous low-grade adenocarcinoma
Carcinoma ex pleomorphic adenoma
- Abbreviated Ca ex PA.
Main article: Carcinoma ex pleomorphic adenoma
Epithelial-myoepithelial carcinoma
Main article: Epithelial-myoepithelial carcinoma
Basal cell adenocarcinoma
Main article: Basal cell adenocarcinoma
Sebaceous carcinoma
Main article: Sebaceous carcinoma
It is similar to the tumour found in the skin.
Hyalinizing clear cell carcinoma
Main article: Hyalinizing clear cell carcinoma
See also
References
- ↑ http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Oral/oral.htm#LABSALIVA
- ↑ http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Epithelia/Epithel.htm
- ↑ URL: http://dictionary.reference.com/browse/demilune. Accessed on: 19 August 2011.
- ↑ URL: http://pathology.mc.duke.edu/research/pth225.html. Accessed on: 19 August 2011.
- ↑ Thompson, Lester D. R. (2006). Head and Neck Pathology: A Volume in Foundations in Diagnostic Pathology Series (1st ed.). Churchill Livingstone. pp. 295-319. ISBN 978-0443069604.
- ↑ Thompson, Lester D. R. (2006). Head and Neck Pathology: A Volume in Foundations in Diagnostic Pathology Series (1st ed.). Churchill Livingstone. pp. 325-357. ISBN 978-0443069604.
- ↑ 7.0 7.1 7.2 Chhieng, DC.; Paulino, AF. (Dec 2002). "Basaloid tumors of the salivary glands.". Ann Diagn Pathol 6 (6): 364-72. doi:10.1053/adpa.2002.37013. PMID 12478487.
- ↑ Nagao, T.; Sato, E.; Inoue, R.; Oshiro, H.; H Takahashi, R.; Nagai, T.; Yoshida, M.; Suzuki, F. et al. (Oct 2012). "Immunohistochemical analysis of salivary gland tumors: application for surgical pathology practice.". Acta Histochem Cytochem 45 (5): 269-82. doi:10.1267/ahc.12019. PMID 23209336.
- ↑ Choi, HR.; Batsakis, JG.; Callender, DL.; Prieto, VG.; Luna, MA.; El-Naggar, AK. (Jun 2002). "Molecular analysis of chromosome 16q regions in dermal analogue tumors of salivary glands: a genetic link to dermal cylindroma?". Am J Surg Pathol 26 (6): 778-83. PMID 12023583.
- ↑ URL: http://moon.ouhsc.edu/kfung/jty1/Com/Com304-3-Diss.htm. Accessed on: 25 October 2011.