Concluded Case

70 yr old female with h/o swelling in right submandibular region for 1 month. Swelling was soft to firm, not associated with pain. On aspiration 3 cc of clear pale straw fluid yielded and the swelling completely subsided. These smears are made from centrifuged material. Please opine

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Concluded answer
Occasional atypical cells, native gland cell clusters along with inflammatory cells & few cells shoeing degenerative changes. Impression : * Chronic Sialadenitis. However in view of the age & atypical cells, advised biopsy to R/O malignancy.
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Acinar cells of salivary gland origin Oncocytic cell Inflammatory cells and rbc Amorphous debris in background Cyst macrophages Focal granulomatous reaction. Dd. Lymphoepithelial SIALADENITIS (LESA)with cystic change. Warthins tumor Salivary gland neoplasm with cystic change. Sug.clinical correlation Imaging Excision biopsy
Thank you doctor
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Occasional atypical cells, native gland cell clusters along with inflammatory cells & few cells shoeing degenerative changes. Impression : * Chronic Sialadenitis. However in view of the age & atypical cells, advised biopsy to R/O malignancy.
Valuable opinion
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Positive for malignancy probably scc.....however do fnac underguidence if any solid component is there for definitive diagnosis
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Sub mendibular sialoadnitis with cystic changes..
Inflammatory lesion? Granulomatous
Chronic sialadenitis
Warthin’s tumor
Thank you for your reply. Warthins may be a fair dd. However the presence of the atypical squamous cells has me inclined towards scc. Also the lymphoid cells you saw, might very well be diluents from blood.
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Sialadenitis.