Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on Clinicopathology

Background. Submandibular oncocytomas are rare benign salivary gland neoplasms. They are typically found in Caucasian patients aged 50–70 years with no gender preference. Due to the overlapping histological and clinical features of head and neck tumors, they are often misdiagnosed. Methods. We repor...

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Main Authors: Betty Chen, Joshua I. Hentzelman, Ronald J. Walker, Jin-Ping Lai
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2016/8719030
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author Betty Chen
Joshua I. Hentzelman
Ronald J. Walker
Jin-Ping Lai
author_facet Betty Chen
Joshua I. Hentzelman
Ronald J. Walker
Jin-Ping Lai
author_sort Betty Chen
collection DOAJ
description Background. Submandibular oncocytomas are rare benign salivary gland neoplasms. They are typically found in Caucasian patients aged 50–70 years with no gender preference. Due to the overlapping histological and clinical features of head and neck tumors, they are often misdiagnosed. Methods. We report a case of unilateral submandibular gland oncocytoma in a 63-year-old Caucasian man. Results. The patient underwent unilateral submandibular gland resection and histopathologic analysis of the tumor specimen. On follow-up at 2 weeks and 1 year, no recurrence was identified. Conclusion. Submandibular oncocytomas are best diagnosed with preoperative FNA and CT imaging and have distinctive findings on cytology and histology. CT followed by fine-needle aspiration cytology would be the preferred diagnostic modalities. Due to its low rate of malignant transformation and recurrence, the best treatment is local resection with follow-up as necessary.
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spelling doaj-art-f97be55f3a8e40f39682a251f5d7e41b2025-02-03T05:59:13ZengWileyCase Reports in Otolaryngology2090-67652090-67732016-01-01201610.1155/2016/87190308719030Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on ClinicopathologyBetty Chen0Joshua I. Hentzelman1Ronald J. Walker2Jin-Ping Lai3Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, MO 63104, USADepartment of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, MO 63104, USADepartment of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, MO 63104, USADepartment of Pathology, Saint Louis University School of Medicine, St. Louis, MO 63104, USABackground. Submandibular oncocytomas are rare benign salivary gland neoplasms. They are typically found in Caucasian patients aged 50–70 years with no gender preference. Due to the overlapping histological and clinical features of head and neck tumors, they are often misdiagnosed. Methods. We report a case of unilateral submandibular gland oncocytoma in a 63-year-old Caucasian man. Results. The patient underwent unilateral submandibular gland resection and histopathologic analysis of the tumor specimen. On follow-up at 2 weeks and 1 year, no recurrence was identified. Conclusion. Submandibular oncocytomas are best diagnosed with preoperative FNA and CT imaging and have distinctive findings on cytology and histology. CT followed by fine-needle aspiration cytology would be the preferred diagnostic modalities. Due to its low rate of malignant transformation and recurrence, the best treatment is local resection with follow-up as necessary.http://dx.doi.org/10.1155/2016/8719030
spellingShingle Betty Chen
Joshua I. Hentzelman
Ronald J. Walker
Jin-Ping Lai
Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on Clinicopathology
Case Reports in Otolaryngology
title Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on Clinicopathology
title_full Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on Clinicopathology
title_fullStr Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on Clinicopathology
title_full_unstemmed Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on Clinicopathology
title_short Oncocytoma of the Submandibular Gland: Diagnosis and Treatment Based on Clinicopathology
title_sort oncocytoma of the submandibular gland diagnosis and treatment based on clinicopathology
url http://dx.doi.org/10.1155/2016/8719030
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AT joshuaihentzelman oncocytomaofthesubmandibularglanddiagnosisandtreatmentbasedonclinicopathology
AT ronaldjwalker oncocytomaofthesubmandibularglanddiagnosisandtreatmentbasedonclinicopathology
AT jinpinglai oncocytomaofthesubmandibularglanddiagnosisandtreatmentbasedonclinicopathology