Primary osteoclast-like giant cell tumor of parotid gland: Α diagnostic challenge
Dimitrios DELIGIANNIDIS, Dimitrios TATSIS, Vaia-Aikaterini ALEXOUDI, Ioannis-Sofianos ASTREIDIS, Maria KILMPASANI, Konstantinos VAHTSEVANOS
Department of Oral and Maxillofacial Surgery, School of Dentistry, Aristotle University of Thessaloniki, “G. Papanikolaou” General Hospital of Thessaloniki, Greece (Head: Professor K. Antoniades)
Hellenic Archives of Oral & Maxillofacial Surgery (2020) 2, 67-75
SUMMARY: Giant cell tumors are considered tumors of mesenchymal origin, usually showing border-line or un- certain biological behavior, rarely located in the parotid gland. Three separate entities are distinguished –with the differential diagnosis between them being a real challenge
giant cell tumors of soft tissues, tenosynovial giant cell tumors and giant cell tumors of the bones. Giant cell tumor of the parotid gland presents relatively more ag- gressive biological behavior, while there have been re- ports in the literature mentioning associated carcinoma- tous component. This report presents the treatment of a patient with giant cell tumor of the parotid region, the diagnostic dilemma and a brief review of the literature.
KEY WORDS: Giant cell tumor, parotid gland, temporo- mandibular joint
REFERENCES
Balogh K, Wolbarsht RL, Federman M, O'Hara CJ: Carcinoma of the parotid gland with osteoclastlike giant cells. Immunohistochemical and ultrastructural observations. Arch Pathol Lab Med.109:756– 61, 1985
Batsakis JG, Ordonez NG, Sevidal PA, Jr, Baker JR: Osteoclast-type giant cell neoplasms of the parotid gland. J Laryngol Otol. 102:901–4, 1988
Cibull ML, Gray GF: Ultrastructure of osteoclastoma-like giant cell tumor of thyroid. Am J Surg Pathol. 2:401–5, 1978
De Benedittis M, Turco M, Petruzzi M, Cortelazzi R: Extra-articular dif- fuse-type giant cell tumour of the temporomandibular joint. Int J Oral Maxillofac Surg. 42:380–385, 2013
Doğusoy G, Ozbay G, Girişken G, Dervişoğlu S: Giant cell tumor of major salivary glands in association with pleomorphic adenoma. Arch Hell Med. 16:380–2, 1999
Donath K, Seifert G, Röser K: The spectrum of giant cells in tumours of the salivary glands: An analysis of 11 cases. J Oral Pathol Med. 26:431–6, 1997
El-Naggar AK, Chan JKC, Grandis JR, TakataT, Slootweg PJ: WHO Classification of Head and Neck Tumours, 4th edition. Chapter 7. 159–202 edn. IARC, Lyon, 2017
Ellis GL, Auclair PL, Gnepp DR: Surgical Pathology of the Salivary Glands. Vol. 25. Philadelphia: WB, Saunders; pp. 490–509, 1991 Eusebi V, Martin SA, Govoni E, Rosai J: Giant cell tumor of major sali- vary glands: Report of three cases, one occurring in association with a malignant mixed tumor. Am J Clin Pathol. 81:666–75, 1984 Fang X, Hicks DG, Hicks W, Jr, Zhang S: Osteoclast like giant cell tumor
of the salivary gland. Ann Diagn Pathol. 13:114–8, 2009
Grenko RT, Tytor M, Boeryd B: Giant-cell tumour of the salivary gland with associated carcinosarcoma. Histopathology. 23:594–5, 1993
Itoh Y, Taniguti Y, Arai K: A case of giant cell tumor of the parotid gland. Ann Plast Surg. 28:183–6, 1992
Jeffrey I, Crow J, Ellis BW: Osteoclast-type giant cell tumour of the pancreas. J Clin Pathol. 36:1165–70, 1983
Kadivar M, Nilipour Y, Sadeghipour A: Osteoclast-like giant-cell tumor of the parotid with salivary duct carcinoma: Case report and cy- tologic, histologic, and immunohistochemical findings. Ear Nose Throat J. 86:628–30, 2007
Mendenhall WM, Zlotecki RA, Scarborough MT, Gibbs CP, Mendenhall NP: Giant cell tumour of bone. Am J Clin Oncol 29: 96e99, 2006
Nishimura K, Satoh T, Maesawa C, et al.: Giant cell tumor of the larynx: a case report and review of the literature. Am J Otolaryngol. 28:436–440, 2007
Park CS, Kim JE, Chang MS: Fine needle aspiration cytology of osteo- clast-like giant cell tumor of the liver: A case report. Korean J Cy- topathol. 10:79–84, 1999
Pasricha S, Gandhi JS, Mehta A, Gupta G, Pradhan T: Low to interme- diate grade salivary duct carcinoma associated with osteoclast like- giant cell tumor of parotid gland: A rare case with distinct patho- logical features. J Cancer Res Ther. 9:314–6, 2013
Rammeh S, Hergli I, M'farrej MK, Znaidi N, Nechi S, Zermani R: Os- teoclast-type giant cell tumor of the parotid gland. Rev Stomatol Chir Maxillofac Chir Orale. 115:185–7, 2014
Ren R, Mueller S, Kraft AO, Powers CN: Giant cell tumor of temporo- mandibular joint presenting as a parotid tumor: Challenges in the accurate subclassification of giant cell tumors in an unusual loca- tion. Diagnostic Cytopathology, 46(4): 340–344, 2017
Schmidt RL, Hall BJ, & Layfield LJ: A Systematic Review and Meta-analy- sis of the Diagnostic Accuracy of Ultrasound-Guided Core Nee- dle Biopsy for Salivary Gland Lesions. American Journal of Clinical Pathology, 136(4): 516–526, 2011
Singh R, Zaheer S, Mandal AK: Primary osteoclast-like giant cell tumor of parotid gland: A rare extraskeletal presentation with diagnostic challenges. J Oral Maxillofac Pathol. 20:331, 2016
Torabinezad S, Kumar PV, Hashemi SB, Rahimi A: Osteoclastoma-like giant cell tumor of the parotid gland: Report of a case with fine needle aspiration diagnosis. Acta Cytol. 50:80–3, 2006
Tse LL, Finkelstein SD, Siegler RW, Barnes L: Osteoclast-type giant cell neoplasm of salivary gland. A microdissection-based comparative genotyping assay and literature review: Extraskeletal giant cell tumor of bone or osteoclast-type giant cell carcinoma? Am J Surg Pathol. 28:953–61, 2004
Wu CJ, Wu PH, Chu ST, Yu WW, Chen PC: Features of a giant cell tumour of the parotid gland: A case report. Oncol Lett. 6:829– 832, 2013
Wu PJ, Su CK, Li JR, Yang CR, Chen CL: Osteoclast-like giant cell carcinoma of the urinary bladder. J Chin Med Assoc. 72:495–7, 2009
Yang JW, Kim HC, Lee JH, Lee JS, Kim DC, Song DH, et al.: Os- teoclast-like giant cell tumor of parotid gland with a carcino- matous component: A case report. Korean J Pathol. 46:297– 301, 2012
Department of Oral and Maxillofacial Surgery, School of Dentistry, Aristotle University of Thessaloniki, “G. Papanikolaou” General Hospital of Thessaloniki, Greece (Head: Professor K. Antoniades)
Hellenic Archives of Oral & Maxillofacial Surgery (2020) 2, 67-75
SUMMARY: Giant cell tumors are considered tumors of mesenchymal origin, usually showing border-line or un- certain biological behavior, rarely located in the parotid gland. Three separate entities are distinguished –with the differential diagnosis between them being a real challenge
giant cell tumors of soft tissues, tenosynovial giant cell tumors and giant cell tumors of the bones. Giant cell tumor of the parotid gland presents relatively more ag- gressive biological behavior, while there have been re- ports in the literature mentioning associated carcinoma- tous component. This report presents the treatment of a patient with giant cell tumor of the parotid region, the diagnostic dilemma and a brief review of the literature.
KEY WORDS: Giant cell tumor, parotid gland, temporo- mandibular joint
REFERENCES
Balogh K, Wolbarsht RL, Federman M, O'Hara CJ: Carcinoma of the parotid gland with osteoclastlike giant cells. Immunohistochemical and ultrastructural observations. Arch Pathol Lab Med.109:756– 61, 1985
Batsakis JG, Ordonez NG, Sevidal PA, Jr, Baker JR: Osteoclast-type giant cell neoplasms of the parotid gland. J Laryngol Otol. 102:901–4, 1988
Cibull ML, Gray GF: Ultrastructure of osteoclastoma-like giant cell tumor of thyroid. Am J Surg Pathol. 2:401–5, 1978
De Benedittis M, Turco M, Petruzzi M, Cortelazzi R: Extra-articular dif- fuse-type giant cell tumour of the temporomandibular joint. Int J Oral Maxillofac Surg. 42:380–385, 2013
Doğusoy G, Ozbay G, Girişken G, Dervişoğlu S: Giant cell tumor of major salivary glands in association with pleomorphic adenoma. Arch Hell Med. 16:380–2, 1999
Donath K, Seifert G, Röser K: The spectrum of giant cells in tumours of the salivary glands: An analysis of 11 cases. J Oral Pathol Med. 26:431–6, 1997
El-Naggar AK, Chan JKC, Grandis JR, TakataT, Slootweg PJ: WHO Classification of Head and Neck Tumours, 4th edition. Chapter 7. 159–202 edn. IARC, Lyon, 2017
Ellis GL, Auclair PL, Gnepp DR: Surgical Pathology of the Salivary Glands. Vol. 25. Philadelphia: WB, Saunders; pp. 490–509, 1991 Eusebi V, Martin SA, Govoni E, Rosai J: Giant cell tumor of major sali- vary glands: Report of three cases, one occurring in association with a malignant mixed tumor. Am J Clin Pathol. 81:666–75, 1984 Fang X, Hicks DG, Hicks W, Jr, Zhang S: Osteoclast like giant cell tumor
of the salivary gland. Ann Diagn Pathol. 13:114–8, 2009
Grenko RT, Tytor M, Boeryd B: Giant-cell tumour of the salivary gland with associated carcinosarcoma. Histopathology. 23:594–5, 1993
Itoh Y, Taniguti Y, Arai K: A case of giant cell tumor of the parotid gland. Ann Plast Surg. 28:183–6, 1992
Jeffrey I, Crow J, Ellis BW: Osteoclast-type giant cell tumour of the pancreas. J Clin Pathol. 36:1165–70, 1983
Kadivar M, Nilipour Y, Sadeghipour A: Osteoclast-like giant-cell tumor of the parotid with salivary duct carcinoma: Case report and cy- tologic, histologic, and immunohistochemical findings. Ear Nose Throat J. 86:628–30, 2007
Mendenhall WM, Zlotecki RA, Scarborough MT, Gibbs CP, Mendenhall NP: Giant cell tumour of bone. Am J Clin Oncol 29: 96e99, 2006
Nishimura K, Satoh T, Maesawa C, et al.: Giant cell tumor of the larynx: a case report and review of the literature. Am J Otolaryngol. 28:436–440, 2007
Park CS, Kim JE, Chang MS: Fine needle aspiration cytology of osteo- clast-like giant cell tumor of the liver: A case report. Korean J Cy- topathol. 10:79–84, 1999
Pasricha S, Gandhi JS, Mehta A, Gupta G, Pradhan T: Low to interme- diate grade salivary duct carcinoma associated with osteoclast like- giant cell tumor of parotid gland: A rare case with distinct patho- logical features. J Cancer Res Ther. 9:314–6, 2013
Rammeh S, Hergli I, M'farrej MK, Znaidi N, Nechi S, Zermani R: Os- teoclast-type giant cell tumor of the parotid gland. Rev Stomatol Chir Maxillofac Chir Orale. 115:185–7, 2014
Ren R, Mueller S, Kraft AO, Powers CN: Giant cell tumor of temporo- mandibular joint presenting as a parotid tumor: Challenges in the accurate subclassification of giant cell tumors in an unusual loca- tion. Diagnostic Cytopathology, 46(4): 340–344, 2017
Schmidt RL, Hall BJ, & Layfield LJ: A Systematic Review and Meta-analy- sis of the Diagnostic Accuracy of Ultrasound-Guided Core Nee- dle Biopsy for Salivary Gland Lesions. American Journal of Clinical Pathology, 136(4): 516–526, 2011
Singh R, Zaheer S, Mandal AK: Primary osteoclast-like giant cell tumor of parotid gland: A rare extraskeletal presentation with diagnostic challenges. J Oral Maxillofac Pathol. 20:331, 2016
Torabinezad S, Kumar PV, Hashemi SB, Rahimi A: Osteoclastoma-like giant cell tumor of the parotid gland: Report of a case with fine needle aspiration diagnosis. Acta Cytol. 50:80–3, 2006
Tse LL, Finkelstein SD, Siegler RW, Barnes L: Osteoclast-type giant cell neoplasm of salivary gland. A microdissection-based comparative genotyping assay and literature review: Extraskeletal giant cell tumor of bone or osteoclast-type giant cell carcinoma? Am J Surg Pathol. 28:953–61, 2004
Wu CJ, Wu PH, Chu ST, Yu WW, Chen PC: Features of a giant cell tumour of the parotid gland: A case report. Oncol Lett. 6:829– 832, 2013
Wu PJ, Su CK, Li JR, Yang CR, Chen CL: Osteoclast-like giant cell carcinoma of the urinary bladder. J Chin Med Assoc. 72:495–7, 2009
Yang JW, Kim HC, Lee JH, Lee JS, Kim DC, Song DH, et al.: Os- teoclast-like giant cell tumor of parotid gland with a carcino- matous component: A case report. Korean J Pathol. 46:297– 301, 2012
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