Frequency of error in the diagnosis of neoplasms of the salivary glands at the pre-hospital stage

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BACKGROUND: In connection with the growth of oncological pathology in the oral cavity, especially salivary gland neoplasms in the Kirov region, the diagnostics of this pathology was analyzed. Salivary gland neoplasms are more common in women (65.6% of cases). This morbidity peaks in middle and old age. Puncture biopsy is more frequently used for pathology diagnostics at the pre-hospital stage.

AIM: To examine the error rate in the diagnostics of salivary gland tumors at the pre-hospital stage.

MATERIAL AND METHODS: This study retrospectively analyzed case histories and results of pathohistological examination of biopsy materials in 160 patients with salivary gland neoplasms. Data were statistically analyzed using Microsoft Office 2007 by methods of descriptive statistics.

RESULTS: Medical history data and results of pathohistological examination of biopsy specimens indicate the frequency of errors in the diagnostics of salivary gland neoplasms and difficulties arising when preparing and performing surgery in patients with salivary gland neoplasms.

CONCLUSIONS: The study revealed the necessity of conducting a complex examination of patients by all available instruments, such as ultrasonography, computed tomography, magnetic resonance imaging, and sialography, without morphological verification.

作者简介

Svetlana Gromova

Kirov State Medical University

编辑信件的主要联系方式.
Email: gromovasn@yandex.ru
ORCID iD: 0000-0001-8709-131X

MD, Cand. Sci. (Med.), Associate Professor

俄罗斯联邦, Kirov

Dmitry Milchakov

Kirov State Medical University

Email: docdm58@mail.ru
ORCID iD: 0000-0002-0244-9974

MD, Cand. Sci. (Med.), Associate Professor

俄罗斯联邦, Kirov

Tamara Drokina

Kirov State Medical University

Email: 05625@mail.ru
ORCID iD: 0000-0003-3200-3110

MD, Cand. Sci. (Med.)

俄罗斯联邦, Kirov

Artem Tarasov

Kirov State Medical University

Email: flushtom@yandex.ru
ORCID iD: 0000-0002-2976-0594
俄罗斯联邦, Kirov

Maria Abrosimova

Kirov State Medical University

Email: mariaabrosimova17@yandex.ru
ORCID iD: 0000-0001-7698-864X
俄罗斯联邦, Kirov

Rigina Bessolitsyna

Kirov State Medical University

Email: rega_29@mail.ru
ORCID iD: 0000-0003-1966-0757
俄罗斯联邦, Kirov

Alexey Mamaev

Kirov State Medical University

Email: mamaev2442@mail.ru
ORCID iD: 0000-0002-1978-7558
俄罗斯联邦, Kirov

参考

  1. Lobeiko VV, Iordanishvili AK, Batmanov MI, Morozov MA. Tumors of the salivary glands in adults of different age groups. Institut Stomatologii. 2014;(1):81–83. (In Russ).
  2. Varshavsky AI. Monomorphic adenomas of the parotid salivary gland. In: Materialy II mezhdunarodnoy konferentsii chelyustno-litsevykh khirurgov i stomatologov. Saint Petersburg; 2006. P:29. (In Russ).
  3. Pinelis IS, Lavrenova VV, Pinelis YuI. The frequency of errors in the diagnosis of tumors of the salivary glands. In: Zabolevaniya i povrezhdeniya slyunnykh zhelez: materialy yubileynoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiyem, posvyashchennyy 60-letiyu doktora meditsinskikh nauk, professora V.V. Afanas’yeva. Moscow; 2006. P:61. (In Russ).
  4. Fedyaev IM, Bairikov IM, Belova LP, Shuvalova TV. Malignant tumors of the maxillofacial region. Moscow: Meditsinskaya kniga; Nizhny Novgorod: NGMA; 2000. 160 p. (In Russ).
  5. Ryzhkova TA, Busovikova SE. The frequency of errors in the diagnosis of tumors of the salivary glands. Coincidence of clinical and histological diagnoses in tumors of the salivary glands. In: Stomatologiya Bol’shogo Urala. Noveyshiye tekhnologii v stomatologii: materialy VI vserossiyskogo kongressa. Perm; 2007. P:126–129. (In Russ).
  6. Afanasiev VV, Khubutiya BN, Shchipsky AV, Khripunkov VA. Experience of the Center for Diseases of the Salivary Glands. In: Zabolevaniya i povrezhdeniya slyunnykh zhelez: materialy yubileynoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiyem, posvyashchennyy 60-letiyu doktora meditsinskikh nauk, professora V.V. Afanas’yeva. Moscow; 2006. P:9. (In Russ).
  7. Paches AI, Tabolinskaya TD. Tumors of the salivary glands. Moscow: Prakticheskaya meditsina; 2009. 470 p. (In Russ).
  8. Manosalva R, Panwar A. The diagnostic challenge of salivary gland malignancies. Expert Rev Anticancer Ther. 2016;16(10):1001–1002. doi: 10.1080/14737140.2016.1224182
  9. Dadamov AA, Azimov MI, Akbarov UU, Dazhamov A.D. Clinical and morphological diagnosis of tumors of the salivary glands. In: Zabolevaniya i povrezhdeniya slyunnykh zhelez: materialy yubileynoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiyem, posvyashchennyy 60-letiyu doktora meditsinskikh nauk, professora V.V. Afanas’yeva. Moscow; 2006. P:38. (In Russ).
  10. Bykova AA, Drobyshev AYu, Shipkova TP. Modern methods of diagnosing neoplasms of the major salivary glands. Cathedra — Kafedra. Dental education. 2016;(56):44–48. (In Russ).

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2. Fig. 1. Pleomorphic adenoma: tubular and glandular structures of the tumor tissue, represented by epithelial cells (1); strands of myoepithelial cells of the tumor tissue (2); small cysts with proteinaceous masses (3).

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3. Fig. 2. Adenolymphoma: prismatic epithelium with sharply eosinophilic cytoplasm is located in two rows, forms papillary outgrowths; the stroma is infiltrated with lymphocytes.

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4. Fig. 3. Cavernous hemangioma: the tumor consists of thin-walled sinusoid-type vascular cavities of various shapes and sizes (signs of tissue atypism), filled with erythrocytes and thrombotic masses.

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5. Fig. 4. Age structure of tumor pathology of the salivary glands.

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6. Fig. 5. The frequency of localization of tumors of the salivary glands.

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7. Fig. 6. Tumor of the parotid salivary gland.

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8. Fig. 7. Tumor of the submandibular salivary gland.

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9. Fig. 8. Tumor of minor salivary glands.

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