Oncocytoma of the Deep Lobe of the Parotid Gland

Vladimir Popovski; Alberto Benedetti; Danica Popovik Monevska; Aleksandar Grcev; Predrag Serafimovski; Ruse Pecanovski; Aleksandar Stamatoski

doi:10.3889/oamjms.2016.048

Authors

Vladimir Popovski University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje
Alberto Benedetti University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje
Danica Popovik Monevska University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje
Aleksandar Grcev University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje
Predrag Serafimovski University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje
Ruse Pecanovski University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje
Aleksandar Stamatoski Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje

DOI:

https://doi.org/10.3889/oamjms.2016.048

Keywords:

Salivary gland tumors, Parotid gland neoplasm, Oncocytoma, MRI, Parotidectomy

Abstract

BACKGROUND: Oncocytoma or oxyphilic adenoma is uncommon salivary gland tumour, occurs predominantly in the in patients older than 60 years of age. Clinically oncocytoma resemble other salivary tumours while histology is typically consisting of oncocytes with many hyperplastic mitochondria. It usually occurs in the parotid gland. Because the features of oncocytoma are similar to those of other benign and low-grade malignant salivary tumours, clinical diagnosis is often challenging.

CASE PRESENTATION: This report presents the pathologic and imaging findings of an oncocytoma arising in the deep lobe of the right parotid gland in a 74-year-old male. Oncocytoma was diagnosed on the basis of histological, magnetic resonance imaging (MRI), scintigraphic findings and fine needle aspiration cytology (FNAC).

CONCLUSION: This case was unique because in the literature there are few articles about the rare presentation and deep lobe location of this type of parotid oncocytoma.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Stomeo F, Meloni F, Bozzo C, et al. Bilateral oncocytoma of the parotid gland. Acta Otolaryngol. 2006;126(3):324-6.

http://dx.doi.org/10.1080/00016480500388927

PMid:16618664

Chakrabarti I, Basu A, Ghosh N. Oncocytic lesion of parotid gland: A dilemma for cytopathologists. J Cytol. 2012;29(1):80-2.

http://dx.doi.org/10.4103/0970-9371.93236

PMid:22438628 PMCid:PMC3307464

Sakthikumar KR, Mohanty S, Dineshkumar K. Solitary oncocytoma of the submandibular salivary gland in an adolescent female: A case report. Indian J Otolaryngol Head Neck Surg. 2007;59(2):171-3.

http://dx.doi.org/10.1007/s12070-007-0051-0

PMid:23120423 PMCid:PMC3451789

Palmer TJ, Gleeson MJ, Eveson JW et al. Oncocytic adenomas and oncocytic hyperplasia of salivary glands: a clinicopathological study of 26 cases. Histopathology. 1990; 16(5): 487-93.

http://dx.doi.org/10.1111/j.1365-2559.1990.tb01549.x

PMid:2361662

Capone RB, Ha PK, Westra WH, et al. Oncocytic neoplasms of the parotid gland: a 16-year institutional review. Otolaryngol Head Neck Surg. 2002;126(6):657-62.

http://dx.doi.org/10.1067/mhn.2002.124437

PMid:12087334

Seifert G, Sobin, LH. The world health organization's histological classification of salivary gland tumors. A commentary on the second edition. Cancer. 1992; 70: 379â€“385.

http://dx.doi.org/10.1002/1097-0142(19920715)70:2<379::AID-CNCR2820700202>3.0.CO;2-C

Patel ND, van Zante A, Eisele DW et al. Oncocytoma: the vanishing parotid mass. AJNR Am J Neuroradiol. 2011;32(9):1703-6.

http://dx.doi.org/10.3174/ajnr.A2569

PMid:21757520

Tan TJ, Tan TY. CT features of parotid gland oncocytomas: a study of 10 cases and literature review. AJNR Am J Neuroradiol. 2010;31(8):1413-7.

http://dx.doi.org/10.3174/ajnr.A2090

PMid:20395389

SepÃºlveda I, PlatÃn E, Spencer ML, Mucientes P, Frelinghuysen M, Ortega P, Ulloa D. Oncocytoma of the parotid gland: a case report and review of the literature. Case Rep Oncol. 2014;7(1):109-16.

PMid:24707257 PMCid:PMC3975758

Ã–zcan C, Talas D, GÃ¶rÃ¼r K, et al. Incidental deep lobe parotid gland oncocytic neoplasms in an operated larynx cancer patient. Oral Oncology. 2006; 42(6):235â€“240.

http://dx.doi.org/10.1016/j.ooe.2006.01.003

San Pedro EC, Lorberboym M, Machac J, et al. Imaging of multiple bilateral parotid gland oncocytomas. Clin Nucl Med. 1995;20(6):515-8.

http://dx.doi.org/10.1097/00003072-199506000-00010

PMid:7648735

Kasai T, Motoori K, Hanazawa T, et al. MR imaging of multinodular bilateral oncocytoma of the parotid gland. European Journal of Radiology. 2007; 63(3): 97â€“100.

http://dx.doi.org/10.1016/j.ejrex.2007.05.011

Thawley SE, Panje WR, Batsakis JG, Lindberg RD. Comprehensive Management of Head and Neck tumors, 2nd ed. WB Sounders Co., Philadelphia, 1999:1111-1119.