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VOLUME 5 , ISSUE 4 ( Number, 2013 ) > List of Articles

RESEARCH ARTICLE

Ultrasound Characterization of Salivary Lesions

Alpana N Joshi, Rajesh C Kamble, Pravin J Mestry

Citation Information : Joshi AN, Kamble RC, Mestry PJ. Ultrasound Characterization of Salivary Lesions. Int J Otorhinolaryngol Clin 2013; 5 (4):16-29.

DOI: 10.5005/aijoc-5-4-16

License: CC BY-NC 3.0

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Evolution in ultrasound technology leads to birth of high frequency, high resolution linear transducers which in turn revolutionized the imaging of superficial structures. The majority of cases presenting to clinician in day-to-day practice as facial lumps or neck lump could be evaluated using ultrasound and help in imaging of salivary gland lesions. The age of the clinical presentation and morphological characteristics of lesions on ultrasound helped us in making confident diagnosis which was correlated on fine needle aspiration cytology/histopathology studies.


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  1. Imaging of salivary gland pathology. Radiol Clin North Am 2000 Sep;38(5):1047–1057.
  2. Major salivary gland imaging. Radiology 2000 Jul;216(1):19–29.
  3. Salivary glands. Radiol Clin North Am 1998 Sep;36(5):941–966.
  4. Diseases of the submandibular gland as demonstrated using high resolution ultrasound. Br J Radiol 2005 Apr;78(928):362–369.
  5. Gray-scale sonographic evaluation of cervical lymphadenopathy in catscratch disease. J Clin Ultrasound 2001 Mar-Apr;29(3):140–145.
  6. Diagnostic accuracy of sonographic criteria for evaluation of cervical lymphadenopathy. J Ultrasound Med 1998 Jul;17(7):437–445.
  7. Sonography of neck lymph nodes. Part I: normal lymph nodes. Clin Radiol 2003 May;58(5):351–358.
  8. The role of imaging in the evaluation of parotid disease. Clin Radiol 2002 Aug;57(8):692–701.
  9. Sonography of the salivary glands. Eur Radiol 2003 May;13(5):964–975.
  10. Dose-response relationships within the parotid gland after radiotherapy for head and neck cancer. Radiother Oncol 2004 Dec;73(3):297–306.
  11. Scintigraphic assessment of early and late parotid gland function after radiotherapy for head-and-neck cancer: a prospective study of dose-volume response relationships. Int J Radiat Oncol Biol Phys 2004 Apr;58(5):1451–1460.
  12. Ultrasound of the neck. Radiol Clin North Am 2000 Sep;38(5):1029–1045.
  13. Salivary glands. In: Solbiati L, Rizzatto G, editors. Ultrasound of superficial structures. Edinburgh, Scotland: Churchill Livingstone; 1995. p 125–139.
  14. Intraparotid anatomy of the facial nerve and retromandibular vein. Br J Surg 1988 Apr;75(4):310–312.
  15. Highresolution magnetic resonance of the extracranial facial nerve and parotid duct: demonstration of the branches of the intraparotid facial nerve and its relation to parotid tumours by MRI with a surface coil. Clin Radiol 2005 Mar;60(3):349–354.
  16. Use of crosssectional imaging in predicting surgical location of parotid neoplasms. J Comput Assist Tomogr 2005 May-Jun;29(3):315–319.
  17. Tumors of the accessory lobe of the parotid gland: a 10-year experience. Laryngoscope 2004 Sep;114(9):1652–1655.
  18. Mucoepidermoid carcinoma arising in the accessory parotid gland. Int J Pediatr Otorhinolaryngol 1999 Apr;48(1):47–52.
  19. Salivary glands. In: Ahuja AT, Evans RM, editors. Practical head and neck ultrasound. London, England: Greenwich Medical Media; 2000. p 19–33.
  20. Salivary gland tumors. New York, NY: Pergamon Press; 1982;46.
  21. Acute bacterial suppurative parotitis: microbiology and management. J Craniofac Surg 2003 Jan;14(1):37–40.
  22. Sonography of non-neoplastic disorders of the salivary glands. Int J Oral Maxillofac Surg 1992 Dec;21(6):360–363.
  23. Comparison of the sonographic features of acalculous and calculous submandibular sialadenitis. J Clin Ultrasound 2001 Jul-Aug;29(6):332–338.
  24. Ultrasonography in the study of salivary gland lesions in children. Pediatr Radiol 1998 Jun;28(6):418–425.
  25. Sonographic analysis of recurrent parotitis in children: a comparative study with sialographic findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998 Nov;86(5):606–615.
  26. Lymphadenopathy: differentiation of benign from malignant disease—color Doppler US assessment of intranodal angioarchitecture. Radiology 1998 Jul;208(1):117–123.
  27. Parotitis, parotid abscess and facial palsy. J Laryngol Otol 1972 Feb;86(2):161–165.
  28. Ultrasonographic features of recurrent parotitis in childhood. Pediatr Radiol 1994;24(2):98–100.
  29. US-guided percutaneous catheter drainage of parotid abscesses. J Vasc Interv Radiol 2000 Apr;11(4):473–476.
  30. Chronic nonspecific parotid sialadenitis. Br J Plast Surg 1998 Oct;51(7):517–521.
  31. Ultrasonographic features of recurrent parotitis in childhood. Pediatr Radiol 1994;24:98–100.
  32. Parotid gland: US findings in Sjogren's syndrome. Work in progress. Radiology 1988 Dec;169(3):749–751.
  33. Metastatic disease to the major salivary glands. In: Ellis GL, Auclair PL, Gnepp DR, editors. Surgical pathology of the salivary glands. Philadelphia, PA: Saunders; 1991.560 p.
  34. High-resolution ultrasonography of primary peripheral soft tissue lymphoma. J Ultrasound Med 2005 Jan;24(1):77–86.
  35. Benign lymphoepithelial parotid lesions in HIV-positive patients: spectrum of findings at gray-scale and Doppler sonography. AJR Am J Roentgenol 1995 Oct;165(4):975–979.
  36. Kuttner's tumour (chronic sclerosing sialadenitis) of the submandibular gland: sonographic appearances. Ultrasound Med Biol 2003 Jul;29(7):913–919.
  37. US appearance of a Kuttner's tumor resembling a malignant lesion: UShistopathologic correlation. Eur J Ultrasound 2001 Dec;14(2):167–170.
  38. Utility and safety of ultrasound-guided fine needle aspiration of salivary gland masses including a cytologist's review. J Ultrasound Med 2004 Jun;23(6):777–783.
  39. Ultrasonography-guided core-needle biopsy of parotid gland masses. AJNR Am J Neuroradiol 2004 Oct;25(9):1608–1612.
  40. Diagnosis of Heerfordt's syndrome by state-of-theart ultrasound in combination with parotid biopsy: a case report. Eur Radiol 2002;12(1):134–137.
  41. High resolution ultrasound assessment of the parotid gland. Br J Radiol 2003 Apr;76(904):271–277.
  42. Sarcoidosis of the parotid gland. Br J Radiol 1986 Jun;59(702):547–552.
  43. Color Doppler sonography of salivary glands. AJR Am J Roentgenol 1994 Oct;163(4):933–941.
  44. Mycobacterial disease of the parotid gland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000 Sep;90(3):292–298.
  45. Tuberculosis of the parotid gland: sonographic manifestations and sonographically guided aspiration. J Ultrasound Med 2004 Oct;23(10):1275–1281.
  46. Multimodality imaging of cervicofacial actinomycosis. Oral Surg Oral Med Oral Pathol 1993 Dec;76(6):772–782.
  47. Symptomatic sialadenitis and sialolithiasis in the English population: an estimate of the cost of hospital treatment. Br Dent J 1999 May;186(9):463–466.
  48. Sialolithiasis: a survey on 245 patients and a review of the literature. Int J Oral Maxillofac Surg 1990 Jun;19(3):135–138.
  49. Specificity of parotid sialendoscopy. Laryngoscope 2001 Feb;111(2):264–271.
  50. Submandibular diagnostic and interventional sialendoscopy: new procedure for ductal disorders. Ann Otol Rhinol Laryngol 2002 Jan;111(1):27–35.
  51. Sonographic evaluation of sialolithiasis. J Oral Maxillofac Surg 1989;47:907–912.
  52. Disease of the salivary glands. In: Gorlin RJ, Goldmann HM, editors. Thomas’ oral pathology. St Louis, Mo: Mosby; 1970. p 997–1003.
  53. CT of submandibular gland sialolithiasis. Neuroradiology 1996 Apr;38(3):287–290.
  54. Sialolithiasis: MR sialography of the submandibular duct— an alternative to conventional sialography and US? Radiology 2000 Sep;216(3):665–671.
  55. Sialolithiasis and salivary ductal stenosis: diagnostic accuracy of MR sialography with a three-dimensional extended-phase conjugate-symmetry rapid spinecho sequence. Radiology 2000 Nov;217(2):347–358.
  56. Sonography of the salivary glands. AJR Am J Roentgenol 1989 Jul;53(1):161–166.
  57. Digital subtraction sialography, conventional sialography, high-resolution ultrasonography and computed tomography in the diagnosis of salivary gland diseases. Eur J Radiol 1989 Nov;9(4):224–230.
  58. Extracorporeal shock wave lithotripsy of a salivary stone. Dtsch Med Wochenschr 1990 Jan;115(1):12–14.
  59. Disorders of the immune system. In: Kumar V, editor. Basic pathology. 6th ed. Philadelphia, PA: Saunders; 1997. p 111–112.
  60. The place of magnetic resonance and ultrasonographic examinations of the parotid gland in the diagnosis and follow-up of primary Sjogren's syndrome. Rheumatology (Oxford) 2000 Jan;39(1):97–104.
  61. Ultrasonography of salivary glands in primary Sjogren's syndrome: a comparison with magnetic resonance imaging and magnetic resonance sialography of parotid glands. Rheumatology (Oxford) 2004 Jul;43(7):875–879.
  62. Nodal and extranodal lymphoproliferative disorders in Sjogren's syndrome: a clinical and immunopathologic study. Hum Pathol 1990 May;21(5):482–492.
  63. Clinical and imaging findings of lymphoma in patients with Sjogren's syndrome. J Comput Assist Tomogr 2003 Jul-Aug;27(4):517–524.
  64. Lymphoproliferative disorders in Sjogren's syndrome. Autoimmun Rev 2004 Mar;3(3):175–182.
  65. Sonographic detection of secondary MALT lymphoma of the submandibular gland. J Clin Ultrasound 2001 Oct;29(8):462–465.
  66. Long-term follow-up of over 1000 patients with salivary gland tumours treated in a single centre. Br J Surg 1996 Dec;83(12):1750–1754.
  67. Warthin's tumor: a 40-year experience at the Johns Hopkins Hospital. Laryngoscope 1994 Jul;104(7):799–803.
  68. Surgical pathology of the salivary glands. Philadelphia, PA: Saunders 1991:10–25.7.
  69. Tumors of the parotid gland: MR imaging characteristics of various histologic types. Am J Roentgenol 1994 Aug;163(2):433–438.
  70. Clinically aggressive metastasizing pleomorphic adenoma: report of two cases. Head Neck 1997 Oct;19(7):629–633.
  71. Role of ultrasonography in diagnosis and differentiation of pleomorphic adenomas: work in progress. Arch Otolaryngol Head Neck Surg 2003 Sep;129(9):929–933.
  72. Differentiation of benign and malignant tumors of the parotid gland: value of pulsed Doppler and color Doppler sonography. Eur Radiol 1998;8(8):1462–1467.
  73. Statistical study for sonographic differential diagnosis of tumorous lesions in the parotid gland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999 Aug;88(2):226–233.
  74. Pleomorphic adenoma and adenolymphoma in ultrasonography. Eur J Ultrasound 2000 Sep;12(1):23–29.
  75. Recurrent pleomorphic adenomas of the parotid gland: clinical evaluation and longterm follow-up. Br J Oral Maxillofac Surg 1998 Feb;36(1):48–51.
  76. Ultrasonographic and sonoelastographic features of pleomorphic adenomas of the salivary glands. Med Ultrason 2010 Sep;12(3):175–183.
  77. Pleomorphic adenoma and adenolymphoma in ultrasonography. Eur J Ultrasound 2000 Sep;12(1):23–29.
  78. Multiple primary tumours of the parotid gland. Int J Oral Maxillofac Surg 2004 Sep;33(6):531–534.
  79. Malignancy of a cystadenolymphoma of the parotid gland. Eur Arch Otorhinolaryngol 1992;249(4):233–235.
  80. Characteristic sonographic findings of Warthin's tumor in the parotid gland. J Clin Ultrasound 2004 Feb;32(2):78–81.
  81. Sonography and scintigraphy in the diagnosis of cystadenolymphomas (warthin tumor). Laryngorhinootologie 2002 Nov;81(11):815–819.
  82. Mucoepidermoid carcinoma. In: Ellis GL, Auclair PL, Gnepp DR, editors. Surgical pathology of the salivary glands. Philadelphia, PA: Saunders; 1991. p 269–298.
  83. Mucoepidermoid carcinoma of the parotid gland: a rare presentation in a young child. J Pediatr Surg 1998 Jun;33(6):893–895.
  84. Pleomorphic adenoma of parotid gland with cystic degeneration. J Laryngol Otol 1994 May;108(5):446–448.
  85. Acinic cell carcinoma of the head and neck: radiologicpathologic correlation. J Comput Assist Tomogr 2005 Jan-Feb;29(1):121–126.
  86. Benign pleomorphic adenoma with extensive cystic degeneration: unusual MR findings in two cases. Radiat Med 2004 Sep-Oct;22(5):357–361.
  87. Giant lipoma arising from deep lobe of the parotid gland. World J Surg Oncol 2006 Jun;4:28.
  88. Vascular lesions of parotid gland in adult patients: diagnosis with highresolution ultrasound and MRI. Br J Radiol 2004 Jul;77(919):600–606.
  89. Management of intraparotid facial nerve schwannomas. Aust N Z J Surg 2000 Oct;70(10):732–734.
  90. The changing faces of a parotid mass. J Laryngol Otol 1999 Oct;113(10):938–941.
  91. Schwannoma (neurilemmoma) of the facial nerve presenting as a parotid mass. J Laryngol Otol 2002 Aug;116(8):642–643.
  92. Imaging findings of lipomas in the orofacial region with CT, US and MRI. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997 Jul;84(1):88–95.
  93. Hemangioendothelioma of the parotid gland in infants: sonography and correlative MR imaging. AJNR Am J Neuroradiol 2000 Jan;21(1):219–223.
  94. Comparison of ultrasonographic and histological findings for multinodular lesions of the salivary glands. Eur J Radiol 1985 Nov;5(4):295–296.
  95. The combined use of US and MR imaging for the diagnosis of masses in the parotid region. Acta Radiol 2001 Jan;42(1):88–95.
  96. Metachronous bilateral primary adenocarcinoma of the submandibular glands. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001 Apr;91(4):455–461.
  97. The role of colour flow Doppler in the investigation of the salivary gland tumour. Clin Radiol 2000 Oct;55(10):759–762.
  98. Malignancy of acinic cell carcinoma. Ann Otol Rhinol Laryngol 1966 Sep;75(3):780–792.
  99. Ultrasonography of the salivary glands. Radiol Clin North Am 1985 Mar;23(1):29–37.
  100. Metastatic tumours of the parotid gland. Br J Oral Maxillofac Surg 1998 Jun;36(3):190–195.
  101. Metastases to parotid gland from cancers of the upper airway and digestive tract. Br J Oral Maxillofac Surg 1998 Feb;36(1):54–57.
  102. Aggressive treatment of metastasis to the parotid. Ulster Med J 2004 Nov;73(2):85–88.
  103. Metastatic tumours to the parotid and submandibular glands. Pathol Res Pract 1986 Dec;181(6):684–694.
  104. Solitary metastasis of renal cell carcinoma to the parotid gland 10 years after radical nephrectomy. Int J Urol 2004 Oct;11(10):894–896.
  105. Parotid gland metastasis from renal cell carcinoma. Laryngoscope 2002 Mar;112(3):453–456.
  106. Metastatic renal cell carcinoma presenting as a parotid tumor. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 May;99(5):554–557.
  107. Primary salivary gland lymphoma: a clinicopathologic study of 23 cases in Taiwan. Acta Haematol 2004;112(4):203–208.
  108. Lymphoma presenting as a parotid tumour: a population-based study of diagnosis, treatment and outcome on behalf of the Scotland and Newcastle Lymphoma Group. Clin Oncol (R Coll Radiol) 2004 Sep;16(6):414–419.
  109. Imaging of MALT lymphomas. Eur Radiol 2002 Feb;12(2):348–356.
  110. Malignant non-Hodgkin's lymphoma mimicking a benign parotid tumor: sonographic findings. J Clin Ultrasound 2002 Jan;30(1):42–44.
  111. Sonographic appearances of malignant lymphoma of the salivary glands. J Clin Ultrasound 2001 Nov-Dec;29(9):491–498.
  112. ‘Pseudocystic’ appearance of non-Hodgkin's lymphomatous nodes: an infrequent finding with high-resolution transducers. Clin Radiol 2001 Feb;56(2):111–115.
  113. Color Doppler sonography in the evaluation of superficial lymphomatous lymph nodes. J Ultrasound Med 2002 Apr;21(4):403–408.
  114. Cystic appearance of cervical lymph nodes is characteristic of metastatic papillary thyroid carcinoma. J Clin Ultrasound 2003 Jan;31(1):21–25.
  115. Detailed quality of life assessment in patients treated with primary radiotherapy for squamous cell cancer of the base of the tongue. Head Neck 1997 May;19(3):169–175.
  116. Quality of life after parotid-sparing IMRT for head-and-neck cancer: a prospective longitudinal study. Int J Radiat Oncol Biol Phys 2003 Sep;57(1):61–70.
  117. 11C-methionine PET, a novel method for measuring regional salivary gland function after radiotherapy of head and neck cancer. Radiother Oncol 2004 Dec;73(3):289–296.
  118. Sonographic assessment of the submandibular space. Clin Radiol 2004;59:1070–1078.
  119. MRI appearance of radiation-induced changes of normal cervical tissues. Eur Radiol 2001;11(9):1807–1817.
  120. Diagnosis and therapeutic management of iatrogenic parotid sialocele. Ann Otol Rhinol Laryngol 2004 Jul;113(7):562–564.
  121. Sonography of the salivary glands. AJR Am J Roentgenol 1989;153:161–166.
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