Ultrasound-guided fine-needle aspiration: effective diagnosis of a pleomorphic adenoma in the upper lip

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Surgery Oral Medicine Oral Pathology Oral Radiology Pub Date : 2025-03-14 DOI:10.1016/j.oooo.2025.01.044

Luís Otávio Pereira da Silva, Roberta Rayra Martins Chaves, Maurício Augusto Aquino de Castro, Wagner Henriques de Castro, Ricardo Santiago Gomez, Ricardo Alves Mesquita

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引用次数: 0

Abstract

Fine-needle aspiration (FNA) is a highly accurate and cost-efficient method commonly employed for salivary gland issues, encompassing a spectrum from inflammation to tumors, which may be either neoplastic or not. A 25-year-old female patient presented with a 50-mm nodule, circumscribed, on the upper right lip, rubbery in consistency and smooth surface, with coloration similar to that of the mucosa, evolving over 6 years. Ultrasound-guided FNA was performed and material was assessed for liquid-based cytology (LBC). Examination of the LBC revealed the presence of individual or clustered cells with normochromic nuclei displaced to the periphery and eosinophilic cytoplasm with morphology resembling that of a plasma cell, suggestive of pleomorphic adenoma. An incisional biopsy was performed, and a diagnosis of the pleomorphic adenoma was made. The patient was treated by surgical approach and is without recurrence. The ultrasound-guided FNA is an ancillary tool for diagnosis of salivary gland diseases.

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超声引导下细针抽吸对上唇多形性腺瘤的有效诊断

细针抽吸（FNA）是一种高度准确和经济有效的方法，通常用于治疗唾液腺问题，包括从炎症到肿瘤的范围，可能是肿瘤性的，也可能不是。25岁女性患者，右上唇有一个50mm的结节，有边界，橡胶状，表面光滑，颜色与粘膜相似，6年演变。超声引导下进行FNA，并对材料进行液基细胞学（LBC）评估。LBC检查显示单个或集群细胞，细胞核向外移，细胞质嗜酸性，形态类似浆细胞，提示多形性腺瘤。行切口活检，诊断为多形性腺瘤。经手术治疗，无复发。超声引导下的FNA是涎腺疾病诊断的辅助工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.80

自引率

6.90%

发文量

1217

审稿时长

2-4 weeks

期刊介绍： Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.