Kimura Masashi, Enomoto Atsushi, Shibata Akio, Nishiwaki Shusuke, Umemura Masahiro
Attending Staff, Department of Oral and Maxillofacial Surgery, Ogaki Municipal Hospital , Ogaki, Gifu, Japan .
Associate Professor, Department of Pathology, Nagoya University Graduate School of Medicine , Showa-ku, Nagoya, Japan .
J Clin Diagn Res. 2016 Nov;10(11):ZD06-ZD07. doi: 10.7860/JCDR/2016/21977.8766. Epub 2016 Nov 1.
Sialolithiasis is a common disease of the major salivary glands. In contrast, Sialolithiasis of Minor Salivary Glands (SMSG) is very rare. Only 2% of all cases of sialolithiasis develop in minor salivary glands and sublingual glands. Furthermore, the clinical and imaging features of SMSG frequently differ from those encountered in major salivary glands thus, hindering proper clinical diagnosis of SMSG. Histologically, SMSG is characterized by ductal ectasia (sometimes with deep cystic dilatation), acinar atrophy and periductal inflammation. Herein, we describe a patient suffering from SMSG in the left buccal region. Based on the clinicopathological findings of this case and a review of the literature, we propose that this entity should be included in the differential diagnosis of intra-mucosal nodules.
涎石病是主要唾液腺的一种常见疾病。相比之下,小唾液腺涎石病(SMSG)非常罕见。在所有涎石病病例中,只有2%发生于小唾液腺和舌下腺。此外,SMSG的临床和影像学特征常常与主要唾液腺的不同,因此妨碍了SMSG的正确临床诊断。组织学上,SMSG的特征为导管扩张(有时伴有深部囊性扩张)、腺泡萎缩和导管周围炎症。在此,我们描述一名左侧颊部患有SMSG的患者。基于该病例的临床病理发现及文献复习,我们建议应将该实体纳入黏膜内结节的鉴别诊断中。