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Hammoodi SAR, Aftan KT, Ali MR. Management of Hydatid cysts of parotid glands. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2023; 124:101465. [PMID: 37030440 DOI: 10.1016/j.jormas.2023.101465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 04/03/2023] [Accepted: 04/05/2023] [Indexed: 04/10/2023]
Abstract
Hydatidosis (Echinococcosis) is a disease caused by infestation of hydatid cysts in any organ of body but mainly liver (70% of cases). Hydatidosis of salivary glands is rare and necessitate computerized tomography for diagnosis while fine needle aspiration remains controversial procedure. MATERIALS AND METHODS 6 patients diagnosed with hydatid cysts of parotid glands. These cases were admitted and treated at the maxillofacial surgery Clinic of the "AL-Ramadi" Hospital in Iraq. 5 patients were female and 1 male with age group was between 30 -50 years. The patients complained of painless unilateral swelling in parotid region and who were diagnosed hydatid cysts using CT. All cases were treated by superficial parotidectomy with cystectomy and preservation of facial nerve. RESULTS All hydatid cysts are CE1- type with no recurrences were reported in any of these cases. The postoperative edema was the most common complication. Other complications were not seen. CONCLUSION parotid hydatid cyst should be included in differential diagnosis of persistent parotid swelling especially those with history of hepatic hydatid cysts. Computerized tomography is the gold imaging that aid in diagnosis and classification of hydatid cysts. Most cases are CE1 type and Eosinophilia is a sign of concern in some patients. Surgical treatment remains the "gold standard" in therapy.
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Affiliation(s)
| | - Kamal Turki Aftan
- Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Anbar, Iraq
| | - Mohammed Rhael Ali
- Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Tikrit, Iraq
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Abasi K, Li CX, Pataer P, Gong ZC. Hydatid Cyst of the Oromaxillofacial Region - A Rare Location: A Case Report and Review of the Literature. J Oral Maxillofac Surg 2021; 80:349-362. [PMID: 34634258 DOI: 10.1016/j.joms.2021.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 09/04/2021] [Accepted: 09/06/2021] [Indexed: 11/27/2022]
Abstract
Oromaxillofacial hydatid cysts are rare, even in countries where echinococcosis is endemic. This study aimed to describe an isolated oromaxillofacial hydatid cyst and to discuss the epidemiology, clinical features, and treatment thereof. The authors report the case of a 12 year-old boy who presented with a 2-week history of an enlarging hydatid cyst in the parapharyngeal space extending to the neck, with no pulmonary or hepatic involvement. We present our clinical findings, diagnostic techniques, and treatment and review the relevant literature. Forty-one cases, with a male:female ratio of 1.21:1, have been reported, mostly in patients aged 20 to 40 years (both sexes). Oromaxillofacial hydatid cysts are most commonly located in the parotid gland (19.51%, n = 8), submandibular region including the submandibular gland (17.07%, n = 7), and infratemporal fossa (14.63%, n = 6). Only 2 (4.88%) cases of hydatid cysts in the parapharyngeal space have been reported before. Although isolated parapharyngeal space hydatid cysts are rare, oromaxillofacial surgeons should consider relevant diagnostic and therapeutic procedures to ensure complete resection.
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Affiliation(s)
- Keremu Abasi
- Oncological Department of Oral and Maxillofacial Surgery, Xinjiang Medical University Affiliated First Hospital, Urumqi, China; School of Stomatology, Xinjiang Medical University, Urumqi, China; Stomatological Research Institute of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Chen-Xi Li
- Oncological Department of Oral and Maxillofacial Surgery, Xinjiang Medical University Affiliated First Hospital, Urumqi, China; School of Stomatology, Xinjiang Medical University, Urumqi, China; Stomatological Research Institute of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Parekejiang Pataer
- Oncological Department of Oral and Maxillofacial Surgery, Xinjiang Medical University Affiliated First Hospital, Urumqi, China; School of Stomatology, Xinjiang Medical University, Urumqi, China; Stomatological Research Institute of Xinjiang Uygur Autonomous Region, Urumqi, China
| | - Zhong-Cheng Gong
- Oncological Department of Oral and Maxillofacial Surgery, Xinjiang Medical University Affiliated First Hospital, Urumqi, China; School of Stomatology, Xinjiang Medical University, Urumqi, China; Stomatological Research Institute of Xinjiang Uygur Autonomous Region, Urumqi, China.
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Rasool Hammoodi SA, Aftan KT, Ali MR. Hydatid Cysts of Parotid Glands- Diagnosis, Treatment and Recurrences. Int J Surg Protoc 2021; 25:135-140. [PMID: 34395959 PMCID: PMC8323526 DOI: 10.29337/ijsp.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2021] [Accepted: 07/15/2021] [Indexed: 11/24/2022] Open
Abstract
Hydatidosis (Echinococcosis) is a disease caused by infestation of hydatid cysts in any organ of body but mainly liver (70% of cases). Hydatidosis of salivary glands is rare and necessitate computerized tomography for diagnosis while fine needle aspiration remains controversial procedure.
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Affiliation(s)
| | - Kamal Turki Aftan
- Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Anbar, Anbar, Iraq
| | - Mohammed Rhael Ali
- Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Tikrit, Tikrit, Iraq
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Rani D, Gupta A, Varshney A, Gupta A. Rapid onsite cytologic evaluation and diagnosis of hydatidosis from soft-tissue swelling in neck on unstained wet mount preparation. Cytojournal 2020; 17:27. [PMID: 33408753 PMCID: PMC7771500 DOI: 10.25259/cytojournal_63_2020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 10/20/2020] [Indexed: 11/25/2022] Open
Affiliation(s)
- Deepa Rani
- Department of Pathology, S N Medical College, Agra, Uttar Pradesh, India
| | - Arsh Gupta
- Department of Pathology, Princess Royal University Hospital, Farnborough, London, United Kingdom
| | - Anupam Varshney
- Department of Pathology, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
| | - Atul Gupta
- Department of Pathology, S N Medical College, Agra, Uttar Pradesh, India
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Kapatia G, Tom JP, Rohilla M, Gupta P, Gupta N, Srinivasan R, Rajwanshi A, Dey P. The clinical and cytomorphological spectrum of hydatid disease. Diagn Cytopathol 2020; 48:547-553. [PMID: 32052944 DOI: 10.1002/dc.24391] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 11/19/2019] [Accepted: 01/22/2020] [Indexed: 12/29/2022]
Abstract
INTRODUCTION Hydatid disease (HD) is caused by the tapeworm of the genus Echinococcus. Fine-needle aspiration cytology (FNAC) is an expedient diagnostic technique that may be used for its rapid diagnosis. AIM To study the clinical and cytomorphological spectrum of HD diagnosed by cytology. MATERIAL AND METHODS A total of 24 patients diagnosed with HD on FNAC and fluid were studied over a period of 5.5 years. May Grunwald Giemsa, Periodic acid Schiff, and Haematoxylin and Eosin stained smears were studied and analysed for the cytomorphological spectrum of HD. RESULTS Amongst the 24 patients studied, the mean age was 29.8 years (range 6-64 years). There was equal sex preponderance with 12 males and 12 females. The most common organ involved was lung (54.1% of cases) followed by liver (25% of cases). Presence of laminated membranes (n-20, 83.3%) followed by presence of hooklets (n-13, 54.1%) were the common cytological features. Scolices and protoscolices representing endocyst were seen in 37.5% of cases (n-9). CONCLUSION Clinicians and pathologists should be aware of the clinical and morphological spectrum of HD respectively for immediate diagnosis followed by prompt management.
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Affiliation(s)
- Gargi Kapatia
- Department of Cytology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Jesty P Tom
- Department of Cytology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Manish Rohilla
- Department of Cytology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Parikshaa Gupta
- Department of Cytology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Nalini Gupta
- Department of Cytology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Radhika Srinivasan
- Department of Cytology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Arvind Rajwanshi
- Department of Cytology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Pranab Dey
- Department of Cytology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
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Pantanowitz L, Thompson LDR, Rossi ED. Diagnostic Approach to Fine Needle Aspirations of Cystic Lesions of the Salivary Gland. Head Neck Pathol 2018; 12. [PMID: 29524082 PMCID: PMC6232202 DOI: 10.1007/s12105-018-0904-8] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Fine needle aspiration (FNA) has diagnostic and therapeutic value in the management of salivary gland cysts. Rendering an accurate diagnosis from an aspirated salivary gland cyst is challenging because of the broad differential diagnosis, possibility of sampling error, frequent hypocellularity of specimens, morphologic heterogeneity, and overlapping cytomorphology of many cystic entities. To date, there have been no comprehensive review articles providing a practical diagnostic approach to FNA of cystic lesions of salivary glands. This article reviews the cytopathology of salivary gland cysts employing 2017 World Health Organization terminology, addresses the accuracy of FNA, and presents The Milan System approach for reporting in cystic salivary gland cases. The utility of separating FNA specimens from salivary gland cysts, based upon the presence of mucin and admixed lymphocytes in cyst fluid is demonstrated. A reliable approach to interpreting FNA specimens from patients with cystic salivary gland lesions is essential to accurately determine which of these patients may require subsequent surgery.
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Affiliation(s)
- Liron Pantanowitz
- Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, USA.
- Department of Pathology, UPMC Shadyside UPMC Cancer Pavilion, Suite 20, 5150 Centre Ave, Pittsburgh, PA, 15232, USA.
| | - Lester D R Thompson
- Pathology Department, Woodland Hills Medical Center, Woodland Hills, CA, USA
| | - Esther Diana Rossi
- Division of Anatomic Pathology and Histology, Agostino Gemelli School of Medicine, Catholic University of Sacred Heart, Rome, Italy
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Abstract
Hydatid disease of the parotid gland is a very rare entity and may be easily overlooked in the diagnosis of parotid masses. Although Turkey remains an endemic area for echinococcosis, involvement of the parotid gland is extremely rare. A 26-year-old man presented with primary parotid gland mass without any other organ involvement. During the first surgery, the cyst was perforated accidentally and in a short time recurrence was occurred. Maximum attention was given for the second surgery for total removal without damaging the cyst with medical treatment. The clinicians should take hydatid disease of parotid gland into consideration and great care must be given for not damaging the capsule of the cystic tumors in order to prevent recurrences.
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