[The significance and limits of cytologic diagnosis in myoepithelial sialadenitis].
In case of myoepithelial sialadenitis cytological diagnosis by fine-needle aspiration biopsy is not a reliable measure, because the typical islets of myoepithelial cells can be demonstrated by cytology in only 6% of cases. Since lymphocytic infiltrations dominate the histological aspect a cytological specimen that contains these cell elements, may be taken as an indication for the presence of myoepithelial sialadenitis if a sicca syndrome exists at the same time. If a non-Hodgkin lymphoma has to be suspected after cytology, this must be followed by a histological verification (despite the fact that this suspicion was unfounded in all the cases mentioned here), because it is well known that in myoepithelial sialadenitis there is a danger of transformation into a malignant lymphoma. By detailed anamnestic data, especially by mentioning an existing sicca syndrome, the clinician can help the cytologist in assessing his findings properly.
Brauneis
J
J
Hals-Nasen-Ohren-Klinik der Universität Göttingen.
Schröder
M
M
Laskawi
R
R
Droese
M
M
D000236:Adenoma / Q000473:pathology; D001707:Biopsy, Needle; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008199:Lymphadenitis / Q000473:pathology; D008228:Lymphoma, Non-Hodgkin / Q000473:pathology; D012466:Salivary Gland Diseases / Q000473:pathology*; D012468:Salivary Gland Neoplasms / Q000473:pathology*; D012469:Salivary Glands / Q000473:pathology; D012793:Sialadenitis / Q000473:pathology*; D012859:Sjogren's Syndrome / Q000473:pathology
Bedeutung und Grenzen der zytologischen Diagnostik bei der myoepithelialen Sialadenitis.