November 2004
·
10 Reads
LEARNING OBJECTIVES We illustrate the range of benign and malignant tumours affecting the major and minor salivary glands. The characteristic radiological features, which aid in the discrimination of the various pathologies, are demonstrated. The complimentary role of USS, fine needle aspiration for cytological diagnosis, and MRI are discussed and illustrated. ABSTRACT Salivary gland neoplasias represent less than 3% of all tumours. The majority of parotid tumours are benign, whereas up to half of submandibular and minor salivary gland tumours are malignant. The natural history and prognosis of the various malignant pathologies differs greatly. Thus the recognition of their specific radiological features is essential. A variety of pathologies, including pleomorphic adenoma, Warthin�s tumour, mucoepidermoid, adenoid cystic and acinic cell carcinomas. mixed malignant tumours, lymphomas and metastases will be illustrated. Methods of exact localization of tumours, in particular within the parotid gland, which is integral to appropriate surgical planning, and tumour staging are explained. The pattern of local and distant spread of each type of tumour is highlighted. The relative merits of ultrasound, CT and MRI and the role of fine needle aspiration cytology are discussed.