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Isolation of Salivary Epithelial Cells from Human Salivary Glands for In Vitro Growth as Salispheres or Monolayers
Published on: July 15, 2019
Epithelial salivary gland tumors in pediatric patients: An international collaborative study
Gabriella Alves Quixabeira Oliveira1, Maria Eduarda Pérez-DE-Oliveira1, Liam Robinson2
1Oral Diagnosis Department, Piracicaba Dental School, State University of Campinas (UNICAMP), São Paulo, Brazil.
Insights
Pediatric salivary gland tumors (SGT) are rare, with pleomorphic adenoma and mucoepidermoid carcinoma being most common. Most SGT in children are benign, often presenting as painless nodules.
Area of Science:
- Pediatric Oncology
- Head and Neck Surgery
- Pathology
Background:
- Salivary gland tumors (SGT) are uncommon neoplasms, particularly in pediatric populations.
- Characterizing SGT in children is crucial due to their rarity and diverse clinical presentations.
Purpose of the Study:
- To define the clinicopathological profile of pediatric SGT using a large international case series.
- To analyze the clinical characteristics and diagnostic associations of SGT in patients aged 0-19 years.
Main Methods:
- Retrospective analysis of 203 pediatric SGT cases diagnosed between 2000-2021.
- Data collected from academic centers in Brazil, South Africa, and the United Kingdom.
- Quantitative and descriptive statistical analysis of clinicopathological data.
Main Results:
- The palate (43.5%) and parotid gland (29%) were the most frequent tumor sites.
- Pleomorphic adenoma (58.6%) was the most common SGT, followed by mucoepidermoid carcinoma (26.6%).
- Most SGT presented as flesh-colored, smooth, painless nodules, with surgery being the primary treatment (90.8%).
Conclusions:
- Pediatric salivary gland tumors are predominantly benign.
- Pleomorphic adenoma and mucoepidermoid carcinoma are key considerations for nodular lesions of salivary gland origin in children.
Objective:
Salivary gland tumors (SGT) are a diverse group of uncommon neoplasms that are rare in pediatric patients. This study aimed to characterize the clinicopathological profile of pediatric patients affected by SGT from a large case series derived from an international group of academic centers.
Study Design:
A retrospective analysis of pediatric patients with SGT (0-19 years old) diagnosed between 2000 and 2021 from Brazil, South Africa, and the United Kingdom was performed. SPSS Statistics for Windows was used for a quantitative analysis of the data, with a descriptive analysis of the clinicopathological characteristics and the association between clinical variables and diagnoses.
Results:
A total of 203 cases of epithelial SGT were included. Females were slightly more commonly (56.5%), with a mean age of 14.1 years. The palate was the most common site (43.5%), followed by the parotid gland (29%), lip (10%), and submandibular gland (7.5%). The predominant clinical presentation was a flesh-colored, smooth, and painless nodule. Pleomorphic adenoma (PA) was the most frequently diagnosed SGT (58.6%), followed by mucoepidermoid carcinoma (MEC) (26.6%). Surgery (90.8%) was the favored treatment option.
Conclusions:
Benign SGT in pediatric patients are more commonly benign than malignant tumors. Clinicians should keep PA and MEC in mind when assessing nodular lesions of possible salivary gland origin in pediatric patients.
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