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Stomatologija 2015; 17 (2): 67-72 96 KB

Aspiration and Brushing Cytology in tumors and tumor-like conditions of the tongue: A Study of 27 Cases

Tamiolakis Dimitrios, Mygdakos Nikolaos, Tsamis Ioannis, Nikolaidou Sylva, Thomaidis Vasilios, Georghiou Georgios, Costopoulou Akrivi

Summary

Background. Lesions of the tongue have a broad differential diagnosis ranging from benign idiopathic processes to infections, cancers, and infiltrative disorders. An important thing to remember is that most tongue lesions will resolve spontaneously or with simple therapy within a week, if not, they should be biopsied or evaluated further for a definitive diagnosis of a potentially serious disorder. Some tongue lesions may be clues to other underlying illnesses which require further evaluation Tongue lesions are traditionally evaluated by surgical biopsy. Most of them, however, are easily accessible by fine-needle aspiration (FNA) or brushing.

Study design. Fifteen males and twelve females aged from 15 to 72 were examined in our institution over a period of 15 years and 27 lesions, were evaluated by fine-needle aspiration cytology (FNAC) or brushing cytology.

Results. The lesions were located at the mobile aspect of the tongue.10 malignant tumors were diagnosed: 9 cases of squamous cell carcinoma (SCC), and 1 non-Hodgkin lymphoma (NHL). In addition, 13 benign tumors (7 cases of papillomas / fibromas, 3 cases of hemangiomas, 2 cases lymphangiomas, and 1 case of lipoma), and 4 nonneoplastic benign conditions (3 traumatic ulcers and 1 hematoma) were found. There were no false-positive diagnoses. There were no clinical complications resulting from FNA or brushing.

Conclusion. Cytologic examination is rapid, safe, accurate, inexpensive, and patient-friendly for establishing preoperative diagnosis in tumors and tumor-like conditions of the tongue, and we recommend this method as the first diagnostic step in the evaluation of these lesions.

Key words: fine-needle aspiration cytology, brushing cytology, tongue tumors, malignant tumors, benign tumors.

Received: 07 03 2013

Accepted for publishing: 26 06 2015

¹Department of Cytopathology, Regional Hospital of Chania, Crete, Greece

²Department of Oral and Maxillofacial Surgery, University Hospital of Alexandroupolis, Thrace, Greece

³Department of Pathology, Regional Hospital of Chania, Crete, Greece

Tamiolakis Dimitrios¹ – M.D., PhD.

Mygdakos Nikolaos¹ – M.D.

Tsamis Ioannis² – M.D.,PhD

Nikolaidou Sylva¹ – M.D.

Thomaidis Vasilios² – M.D., PhD

Georghiou Georgios³ – M.D.

Costopoulou Akrivi² – M.D.

Address correspondence to Dr. Tamiolakis Demetrios, Department of cytopathology, Regional Hospital of Chania, Crete, Greece.

E-mail address: dtamiolakis@yahoo.com



	Baltic Dental and Maxillofacial Journal

June, 2015, Vol. 17, No. 2 CONTENTS SCIENTIFIC ARTICLES Multifactorial etiology of Torus mandibularis: study of twins Adomas Auškalnis, Vygandas Rutkūnas, Olaf Bernhardt, Mantas Šidlauskas, Loreta Šalomskienė, Nomeda Basevičienė 35-40 The relationship between mandibular rotation and osseous structure of the TMJ in pre-surgery orthognathic patients: A cone beam CT study Zane Krisjane, Ilga Urtane, Katrina Gardovska, Iveta Jankovska, Gaida Krumina 41-47 Oral health related to quality of life in patients with stomatological diseases Carolina Amalia Barcellos Silva, Liliane Janete Grando, Sonia Maria Luckmann Fabro, Ana Lucia Schaefer Ferreira de Mello 48-53 REVIEWS Candida albicans importance to denture wearers. A literature review Alvydas Gleiznys, Eglė Zdanavičienė, Juozas Žilinskas 54-66 CASE REPORTS Aspiration and Brushing Cytology in tumors and tumor-like conditions of the tongue: A Study of 27 Cases Tamiolakis Dimitrios, Mygdakos Nikolaos, Tsamis Ioannis, Nikolaidou Sylva, Thomaidis Vasilios, Georghiou Georgios, Costopoulou Akrivi 67-72 © 2015 Stomatologija		Stomatologija 2015; 17 (2): 67-72 96 KB Aspiration and Brushing Cytology in tumors and tumor-like conditions of the tongue: A Study of 27 Cases Tamiolakis Dimitrios, Mygdakos Nikolaos, Tsamis Ioannis, Nikolaidou Sylva, Thomaidis Vasilios, Georghiou Georgios, Costopoulou Akrivi Summary Background. Lesions of the tongue have a broad differential diagnosis ranging from benign idiopathic processes to infections, cancers, and infiltrative disorders. An important thing to remember is that most tongue lesions will resolve spontaneously or with simple therapy within a week, if not, they should be biopsied or evaluated further for a definitive diagnosis of a potentially serious disorder. Some tongue lesions may be clues to other underlying illnesses which require further evaluation Tongue lesions are traditionally evaluated by surgical biopsy. Most of them, however, are easily accessible by fine-needle aspiration (FNA) or brushing. Study design. Fifteen males and twelve females aged from 15 to 72 were examined in our institution over a period of 15 years and 27 lesions, were evaluated by fine-needle aspiration cytology (FNAC) or brushing cytology. Results. The lesions were located at the mobile aspect of the tongue.10 malignant tumors were diagnosed: 9 cases of squamous cell carcinoma (SCC), and 1 non-Hodgkin lymphoma (NHL). In addition, 13 benign tumors (7 cases of papillomas / fibromas, 3 cases of hemangiomas, 2 cases lymphangiomas, and 1 case of lipoma), and 4 nonneoplastic benign conditions (3 traumatic ulcers and 1 hematoma) were found. There were no false-positive diagnoses. There were no clinical complications resulting from FNA or brushing. Conclusion. Cytologic examination is rapid, safe, accurate, inexpensive, and patient-friendly for establishing preoperative diagnosis in tumors and tumor-like conditions of the tongue, and we recommend this method as the first diagnostic step in the evaluation of these lesions. Key words: fine-needle aspiration cytology, brushing cytology, tongue tumors, malignant tumors, benign tumors. Received: 07 03 2013 Accepted for publishing: 26 06 2015 ¹Department of Cytopathology, Regional Hospital of Chania, Crete, Greece ²Department of Oral and Maxillofacial Surgery, University Hospital of Alexandroupolis, Thrace, Greece ³Department of Pathology, Regional Hospital of Chania, Crete, Greece Tamiolakis Dimitrios¹ – M.D., PhD. Mygdakos Nikolaos¹ – M.D. Tsamis Ioannis² – M.D.,PhD Nikolaidou Sylva¹ – M.D. Thomaidis Vasilios² – M.D., PhD Georghiou Georgios³ – M.D. Costopoulou Akrivi² – M.D. Address correspondence to Dr. Tamiolakis Demetrios, Department of cytopathology, Regional Hospital of Chania, Crete, Greece. E-mail address: dtamiolakis@yahoo.com