Re: Re: regarding oral salivary gland patholgy

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I think radiography only to exclude calculus or if pleomorphic is in one of minor salivary glands in palate ,so FNA is the most optimum choice ....As a general rule, incisional biopsy risks spreading salivary neoplasms into the tissues. Pleomorphic adenomas, the commonest benign neoplasms, are often mucinous in texture and can spread into the fascial planes of the neck and up to the skull base or down to the mediastinum when incised for biopsy. However, this is only a problem in submandibular or parotid glands. In these sites incisional biopsy should not be performed unless the lesion is thought to be malignant. Only then will the diagnosis influence treatment.Best regardsMiralSent from my iPadOn 7 Jun 2012, at 18:29, "sandeepan" <bsandeepan@...> wrote:

firstly we will go for an opg and determine the type of radiolucency, that is unilocular radiolucency is seen .Then we cxan go for FNAC and determine if it shows charecterstic features of pleomorphic adenoma . but then again the answer depends on the options

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> which diagnostic test will we do for pleomorphic adenoma

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