Hostname: page-component-77c89778f8-cnmwb Total loading time: 0 Render date: 2024-07-18T16:02:58.298Z Has data issue: false hasContentIssue false
  • English
  • Français

Parotid lymphoma in west Scotland: two-year ‘snapshot’ of diagnosis, management and core issues

Published online by Cambridge University Press:  07 July 2009

D P Crampsey ,
S A Savage ,
P McKay  and
K MacKenzie
D P Crampsey*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary, Glasgow, Scotland, UK
S A Savage
Affiliation:
West of Scotland Managed Clinical Networks, Glasgow Royal Infirmary, Glasgow, Scotland, UK
P McKay
Affiliation:
Department of Haematology, Gartnavel General Hospital, Glasgow, Scotland, UK
K MacKenzie
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary, Glasgow, Scotland, UK
*
Address for correspondence: Mr David P Crampsey, Specialist Registrar, Department of Otolaryngology, Royal Alexandra Hospital, Corsebar Road, Paisley PA2 9PN, Scotland, UK. E-mail: david.crampsey@btinternet.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

To establish whether there is a requirement for a network policy on management of suspected intraparotid lymphoma, and to answer the question, ‘Can lymphoma of the parotid region be adequately diagnosed, typed and treated on the basis of a core biopsy, within the West of Scotland?’

Method:

We identified 22 patients from the West of Scotland Managed Clinical Network database who had been diagnosed between 2003 and 2005 with lymphoma of the parotid region (nodal or extranodal). These 22 cases were reviewed, assessing specifically their investigation and diagnosis (compared with the World Health Organization classification of parotid lymphoma).

Results:

Three of the 22 patients underwent core biopsy to diagnose and type their lymphoma. All these procedures were performed within a single centre.

Conclusion:

It is possible to successfully perform core biopsy of parotid lymphoma lesions (generally under ultrasonic guidance). This may obviate the need for open procedures. Close collaboration with haematology, pathology, radiology, and head and neck colleagues is required.

Keywords

Parotid NeoplasmsBiopsyLymphoma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 11 , November 2009 , pp. 1237 - 1241
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Scottish Otolaryngological Society Summer Meeting, May 2008, Pitlochry, Scotland, UK.

References

1Batsakis, JG. Tumors of the Head and Neck: Clinical and Pathological Considerations, 2nd edn.Baltimore: Williams and Wilkins, 1979;2–75Google Scholar
2Sarris, AH, Papadimitrakopoulou, V, Dimopoulos, MA, Smith, T, Pugh, W, Ha, CS et al. Primary parotid lymphoma: the effect of International Prognostic Index on outcome. Leuk Lymphoma 1997;26:49–56CrossRefGoogle ScholarPubMed
3Nagata, M, Kumazawa, H, Iwai, H, Momotani, A, Shiraishi, S, Yamashita, T. Study of malignant lymphoma in the parotid gland region [in Japanese]. Nippon Jibiinkoka Gakkai Kaiho 1996;99:918–25CrossRefGoogle ScholarPubMed
4Hew, WS, Carey, FA, Kernohan, NM, Heppleston, AD, Jackson, R, Jarrett, RF. Primary T cell lymphoma of salivary gland: a report of a case and review of the literature. J Clin Pathol 2002;55:61–3CrossRefGoogle ScholarPubMed
5Barnes, L, Myers, EN, Prokopakis, EP. Primary malignant lymphoma of the parotid gland. Arch Otolaryngol Head Neck Surg 1998;124:573–7CrossRefGoogle ScholarPubMed
6Watkin, GT, MacLennan, KA, Hobsley, M. Lymphomas presenting as lumps in the parotid region. Br J Surg 1984;71:701–2CrossRefGoogle ScholarPubMed
7Tiplady, CW, Taylor, PR, White, J, Arullendran, P, Proctor, SJ. Lymphoma presenting as a parotid tumour: a population-based study of diagnosis, treatment and outcome on behalf of the Scotland and Newcastle Lymphoma Group. Clin Oncol (R Coll Radiol) 2004;16:414–19CrossRefGoogle Scholar
8Gleeson, M, Herbert, A, Richards, A. Management of lateral neck masses in adults. BMJ 2000;320:1521–4CrossRefGoogle ScholarPubMed
9Lefebvre, JL, Coche-Dequeant, B, Van, JT, Buisset, E, Adenis, A. Cervical lymph nodes from an unknown primary tumor in 190 patients. Am J Surg 1990;160:443–6CrossRefGoogle ScholarPubMed
10Samson, MJ, Metson, R, Wang, CC, Montgomery, WW. Preservation of the facial nerve in the management of recurrent pleomorphic adenoma. Laryngoscope 1991;101:1060–2CrossRefGoogle ScholarPubMed
11 Best practice in lymphoma diagnosis and reporting. In: http://www.bcshguidelines.com/pdf/best_practice_lymphoma_diagnosis.pdf [3 April 2008]Google Scholar
12Howlett, DC, Menezes, LJ, Lewis, K, Moody, AB, Violaris, N, Williams, MD. Sonographically guided core biopsy of a parotid mass. AJR Am J Roentgenol 2007;188:223–7CrossRefGoogle ScholarPubMed
13Loggins, JP, Urquhart, A. Preoperative distinction of parotid lymphomas. J Am Coll Surg 2004;199:58–61CrossRefGoogle ScholarPubMed
14Savage, SA, Wotherspoon, HA, Fitzsimons, EJ, MacKenzie, K. Cervical lymphadenopathy resulting in a diagnosis of lymphoma. Scott Med J 2008;53:13–16CrossRefGoogle Scholar