Abstract
A precise cytological classification of salivary gland tumors based on cytomorphology alone is possible for many of the commonly encountered lesions. However, there are challenges for the cytologic diagnosis of some entities. Ancillary tests have become invaluable tools that assist in refining our cytologic diagnoses, and recent advances have improved the diagnostic accuracy of salivary gland fine-needle aspiration (FNA), leading to better patient management. A subset of tumors has been characterized cytogenetically by the presence of specific and recurrent translocations. These translocations and their resulting fusion oncogenes and oncoproteins can be used as diagnostic markers in salivary gland FNA. In this chapter, we describe the ancillary techniques and several currently available ancillary markers for salivary gland FNA.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Andersson MK, Stenman G. The landscape of gene fusions and somatic mutations in salivary gland neoplasms—implications for diagnosis and therapy. Oral Oncol. 2016;57:63–9.
Weinreb I. Translocation-associated salivary gland tumors: a review and update. Adv Anat Pathol. 2013;20(6):367–77.
Pusztaszeri MP, GarcĂa JJ, Faquin WC. Salivary gland FNA: new markers and new opportunities for improved diagnosis. Cancer Cytopathol. 2016;124(5):307–16.
Pusztaszeri MP, Faquin WC. Update in salivary gland cytopathology: recent molecular advances and diagnostic applications. Semin Diagn Pathol. 2015;32(4):264–74.
Griffith CC, Schmitt AC, Little JL, Magliocca KR. New developments in salivary gland pathology: clinically useful ancillary testing and new potentially targetable molecular alterations. Arch Pathol Lab Med. 2017;141(3):381–95.
Griffith CC, Siddiqui MT, Schmitt AC. Ancillary testing strategies in salivary gland aspiration cytology: a practical pattern-based approach. Diagn Cytopathol. 2017;45(9):808–19.
Wang H, Fundakowski C, Khurana JS, Jhala N. Fine-needle aspiration biopsy of salivary gland lesions. Arch Pathol Lab Med. 2015;139(12):1491–7.
Foo WC, Jo VY, Krane JF. Usefulness of translocation-associated immunohistochemical stains in the fine-needle aspiration diagnosis of salivary gland neoplasms. Cancer Cytopathol. 2016;124(6):397–405.
Evrard SM, Meilleroux J, Daniel G, Basset C, Lacoste-Collin L, Vergez S, et al. Use of fluorescent in-situ hybridisation in salivary gland cytology: a powerful diagnostic tool. Cytopathology. 2017;28(4):312–20.
Hudson JB, Collins BT. MYB gene abnormalities t(6;9) in adenoid cystic carcinoma fine-needle aspiration biopsy using fluorescence in situ hybridization. Arch Pathol Lab Med. 2014;138(3):403–9.
Pusztaszeri MP, Sadow PM, Ushiku A, Bordignon P, McKee TA, Faquin WC. MYB immunostaining is a useful ancillary test for distinguishing adenoid cystic carcinoma from pleomorphic adenoma in fine-needle aspiration biopsy specimens. Cancer Cytopathol. 2014;122(4):257–65.
Moon A, Cohen C, Siddiqui MT. MYB expression: potential role in separating adenoid cystic carcinoma (ACC) from pleomorphic adenoma (PA). Diagn Cytopathol. 2016;44(10):799–804.
MacCallum PL, Lampe HB, Cramer H, Matthews TW. Fine-needle aspiration cytology of lymphoid lesions of the salivary gland: a review of 35 cases. J Otolaryngol. 1996;25(5):300–4.
Stacchini A, Aliberti S, Pacchioni D, Demurtas A, Isolato G, Gazzera C, et al. Flow cytometry significantly improves the diagnostic value of fine needle aspiration cytology of lymphoproliferative lesions of salivary glands. Cytopathology. 2014;25(4):231–40.
Jo VY, Sholl LM, Krane JF. Distinctive patterns of CTNNB1 (β-catenin) alterations in salivary gland basal cell adenoma and basal cell adenocarcinoma. Am J Surg Pathol. 2016;40(8):1143–50.
Bilodeau EA, Acquafondata M, Barnes EL, Seethala RR. A comparative analysis of LEF-1 in odontogenic and salivary tumors. Hum Pathol. 2015;46(2):255–9.
Mino M, Pilch BZ, Faquin WC. Expression of KIT (CD117) in neoplasms of the head and neck: an ancillary marker for adenoid cystic carcinoma. Mod Pathol. 2003;16(12):1224–31.
Wilson TC, Ma D, Tilak A, Tesdahl B, Robinson RA. Next-generation sequencing in salivary gland basal cell adenocarcinoma and basal cell adenoma. Head Neck Pathol. 2016;10(4):494–500.
Schmitt AC, McCormick R, Cohen C, Siddiqui MT. DOG1, p63, and S100 protein: a novel immunohistochemical panel in the differential diagnosis of oncocytic salivary gland neoplasms in fine-needle aspiration cell blocks. J Am Soc Cytopathol. 2014;3(6):303–8.
Schmitt AC, Cohen C, Siddiqui MT. Expression of SOX10 in salivary gland oncocytic neoplasms: a review and a comparative analysis with other immunohistochemical markers. Acta Cytol. 2015;59(5):384–90.
Canberk S, Onenerk M, Sayman E, Goret CC, Erkan M, Atasoy T, Kilicoglu GZ. Is DOG1 really useful in the diagnosis of salivary gland acinic cell carcinoma? A DOG1 (clone K9) analysis in fine needle aspiration cell blocks and the review of the literature. Cytojournal. 2015;12:18.
Schwartz LE, Begum S, Westra WH, Bishop JA. GATA3 immunohistochemical expression in salivary gland neoplasms. Head Neck Pathol. 2013;7(4):311–5.
Oza N, Sanghvi K, Shet T, Patil A, Menon S, Ramadwar M, Kane S. Mammary analogue secretory carcinoma of parotid: is preoperative cytological diagnosis possible? Diagn Cytopathol. 2016;44(6):519–25.
Kawahara A, Taira T, Abe H, Takase Y, Kurita T, Sadashima E, et al. Diagnostic utility of phosphorylated signal transducer and activator of transcription 5 immunostaining in the diagnosis of mammary analogue secretory carcinoma of the salivary gland: a comparative study of salivary gland cancers. Cancer Cytopathol. 2015;123(10):603–11.
Milchgrub S, Vuitch F, Saboorian MH, Hameed A, Wu H, Albores-Saavedra J. Hyalinizing clear cell carcinoma of salivary glands in fine needle aspiration. Diagn Cytopathol. 2000;23(5):333–7.
Kawahara A, Harada H, Akiba J, Kage M. Salivary duct carcinoma cytologically diagnosed distinctly from salivary gland carcinomas with squamous differentiation. Diagn Cytopathol. 2008;36(7):485–93.
Rooper L, Sharma R, Bishop JA. Polymorphous low grade adenocarcinoma has a consistent p63+/p40- immunophenotype that helps distinguish it from adenoid cystic carcinoma and cellular pleomorphic adenoma. Head Neck Pathol. 2015;9(1):79–84.
Weinreb I, Piscuoglio S, Martelotto LG, Waggott D, Ng CK, Perez-Ordonez B, et al. Hotspot activating PRKD1 somatic mutations in polymorphous low-grade adenocarcinomas of the salivary glands. Nat Genet. 2014;46(11):1166–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Pusztaszeri, M., Reis-Filho, J.S., de Lander Schmitt, F.C., Edelweiss, M. (2018). Ancillary Studies for Salivary Gland Cytology. In: Faquin, W., et al. The Milan System for Reporting Salivary Gland Cytopathology . Springer, Cham. https://doi.org/10.1007/978-3-319-71285-7_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-71285-7_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-71284-0
Online ISBN: 978-3-319-71285-7
eBook Packages: MedicineMedicine (R0)