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10 - Salivary Glands

Published online by Cambridge University Press:  05 March 2021

By
Pascale Levine  and
Joan Cangiarella
Edited by
Ji-Weon Park ,
Paolo Gattuso ,
Vijaya B. Reddy  and
Shahla Masood
Ji-Weon Park
Affiliation:
Rush University, Chicago
Paolo Gattuso
Affiliation:
Rush University, Chicago
Vijaya B. Reddy
Affiliation:
Rush University, Chicago
Shahla Masood
Affiliation:
University of Florida
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Summary

The majority of salivary gland lesions are benign. However, the lack of uniform reporting among institutions and the morphologic overlap, diversity, and heterogeneity of salivary gland neoplasms (due to cellularity, patterns, subtypes, and metaplastic changes) sometimes result in inconclusive, nonreproducible, descriptive diagnosis, thereby limiting the value of fine needle aspiration biopsy (FNAB). The Milan system for reporting salivary gland cytopathology (MSRSGC), a six-tiered evidence and risk based international consensus diagnostic classification, was first established in Milan, Italy, during the 2015 annual meeting of the European Cytology Congress. It aimed to standardize the nomenclature, to include ancillary techniques, to provide a risk of malignancy (ROM) for each category, and to guide clinical management in correlation with contrast enhanced CT or MRI findings.

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Chapter
Information
Differential Diagnosis in Cytopathology , pp. 304 - 339
Publisher: Cambridge University Press
Print publication year: 2021

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