Premium
Utility of fine‐needle aspiration in the diagnosis of salivary gland lesions in patients infected with human immunodeficiency virus
Author(s) -
Chhieng David C.,
Argosino Ryan,
McKenna Barbara J.,
Cangiarella Joan F.,
Cohen JeanMarc
Publication year - 1999
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/(sici)1097-0339(199910)21:4<260::aid-dc6>3.0.co;2-k
Subject(s) - medicine , salivary gland , fine needle aspiration , pathology , cytopathology , adenocarcinoma , salivary gland diseases , lymphoma , salivary gland cancer , cytology , biopsy , cancer
Fine‐needle aspiration (FNA) has been increasingly utilized as a diagnostic tool in evaluating salivary gland masses, primarily to differentiate nonneoplastic from neoplastic lesions. Patients infected with human immunodeficiency virus (HIV) frequently present with salivary gland lesions. In this study, we reviewed the cytology of salivary gland lesions in HIV‐infected patients and assessed the value of FNA in the diagnosis of salivary gland lesions in HIV‐infected patients. One hundred and three FNAs of salivary gland lesions from 78 HIV‐infected patients (63 males and 15 females) were included in our study. The patients' ages ranged from 7–65 yr, with a mean age of 40.9 yr. FNAs were classified into three categories: benign lymphoepithelial lesions (BLL) (77 cases or 74.8%), inflammatory processes (14 cases or 13.6%), including 3 reactive lymphoid hyperplasia, and neoplastic lesions (6 cases or 5.8%). The latter included three malignant lymphomas, a multiple myeloma, a metastatic adenocarcinoma from a lung primary, and a direct extension of basal‐cell carcinoma. Six (5.8%) aspirates were nondiagnostic. No false‐positive or false‐negative cases were noted during follow‐up of these patients. In conclusion, FNA is a simple and cost‐effective procedure for the diagnosis of HIV‐related salivary gland lesions. The majority of these lesions are cystic BLL and can be managed conservatively. Malignant lesions are rarely encountered and are readily recognized by FNA. Diagn. Cytopathol. 1999;21:260–264. © 1999 Wiley‐Liss, Inc.