Granulomatous pathology in salivary glands: a secondary health care center experience

  • Dr. Pooja Malhotra Specialist Pathology Grade I, Department of Pathology, ESIC Model Hospital, Baddi, Himachal Pradesh, India
  • Dr. Ashish Saraf Specialist Pathology, Department of Pathology, ESIC Model Hospital, Baddi, Himachal Pradesh, India
  • Dr. Naveen Bansal Medical Officer, Department of Pathology, ESIC Model Hospital, Baddi, Himachal Pradesh, India
Keywords: Salivary gland, Tuberculous parotitis, Fine needle aspiration cytology

Abstract

Introduction: The diagnosis of parotid tuberculosis requires a high degree of clinical suspicion, so as to avoid unnecessary surgery, and fine-needle aspiration cytology is an easy and reliable investigation for the same. Salivary glands are suitable for unguided fine needle aspiration cytology (FNAC) because of their superficial location.

Methods: The present study involved a total of 42 cases of salivary gland swellings in which fine needle aspiration cytology was performed in the department of pathology of our hospital from December 2011 to August 2019.

Results: The prevalence of granulomatous inflammation among salivary gland swellings was 38.1 % (n=16). Anti-tubercular treatment was given in 5 patients, all of whom showed improvement after anti-tubercular treatment. Therefore, 5 out of the total of 16 cases were a case of tuberculous parotitis (31.2 %).

Conclusion: Although tuberculous parotitis is a rare entity, it should be always kept in mind as a differential during the evaluation of solitary parotid mass lesion. Fine needle aspiration cytology of all mass lesions of salivary glands must be done before doing excision of salivary gland so as to avoid unnecessary surgery.

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Author Biography

Dr. Ashish Saraf, Specialist Pathology, Department of Pathology, ESIC Model Hospital, Baddi, Himachal Pradesh, India

Laboratory department, ESIC Model Hospital, Katha, Baddi, Himachal Pradesh

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Published
2020-02-26
How to Cite
Malhotra, P., Saraf, A., & Bansal, N. (2020). Granulomatous pathology in salivary glands: a secondary health care center experience. Pathology Update: Tropical Journal of Pathology and Microbiology, 6(2), 118-123. https://doi.org/10.17511/jopm.2020.i02.02
Section
Original Article