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The procedure is most typically performed due to neoplasms [1] (tumors), which are growths of rapidly and abnormally dividing cells. Neoplasms can be benign (non-cancerous) or malignant (cancerous). The majority of parotid gland tumors are benign, however 20% of parotid tumors are found to be malignant. [1]
Acinic cell carcinoma is a malignant epithelial neoplasm that shows differentiation toward serous acinar cells of salivary gland origin. First described by Godwin et al. in 1954, it represents approximately 6-15% of all salivary gland malignancies, making it the third most common after mucoepidermoid carcinoma and adenoid cystic carcinoma.
Relative incidence of parotid tumors, with Warthin's tumor near top right. [4] The gland most likely affected is the parotid gland. In fact, it is the only tumor virtually restricted to the parotid gland. Warthin's tumor is the second most common benign parotid tumor after pleomorphic adenoma, but its prevalence is steadily increasing. [5]
Neoplastic lesions of the parotid salivary gland can either be benign or malignant. Within the parotid gland, nearly 80% of tumours are benign. [17] Benign lesions tend to be painless, asymptomatic and slow-growing. The most common salivary gland neoplasms in children are hemangiomas, lymphatic malformations, and pleomorphic adenomas. [13]
An FNA is the most common type of biopsy used for salivary gland cancer and has been shown to produce accurate results when differentiating between benign and malignant tumours. [ 6 ] Radiographs: An OPG (orthopantomogram) can be taken to rule out mandibular involvement.
The signs and symptoms are similar to other malignant salivary gland tumours; however, it may have been preceded by an appreciable mass that was long-standing and did not appear to be growing. Findings that suggest a malignant salivary gland tumour include rapid growth, facial weakness (due to facial nerve compression), pain , skin ulceration ...
Causes of oral cancer include smoking, excessive alcohol consumption, exposure to sunlight (lip cancer), chewing tobacco, infection with human papillomavirus, and hematopoietic stem cell transplantation. [29] The earlier the oral cancer is diagnosed, the better the chances for full recovery.
Salivary duct carcinoma (SDC) is a rare type of aggressive cancer that arises from the salivary glands. [1] It is predominantly seen in men and, generally, has a poor prognosis. [2] Other high grade carcinomas can mimic SDC. About 40-60% of SDC arise in pleomorphic adenomas. [3] Most, if not all, SDCs express androgen receptor by ...