Minor Salivary Gland Biopsy in Evaluation Algorithm of Sjögren’s Syndrome
Authors:
P. Stanko 1; Š. Galbavý 2; D. Macák 2; T. Feltsan 1; R. Blahuta 1
Authors place of work:
Klinika stomatológie a maxilofaciálnej chirurgie LF UK a Onkologického ústavu sv. Alžbety, Bratislava
1; Ústav laboratórnych vyšetrovacích metód LF UK
a Onkologického ústavu sv. Alžbety, Bratislava
2
Published in the journal:
Česká stomatologie / Praktické zubní lékařství, ročník 108, 2008, 2, s. 47-51
Summary
Authors analysed retrospectively a group of 174 patients (33 men, 141 women) evaluated within years 2004-2006 at the Dept. of Stomatology and Maxillofacial Surgery in Bratislava for suspect primary and secondary Sjögren´s syndrom or sicca-like syndrome (patients after treatment of oral cancer were excluded). Biopsies of minor salivary glands from the lower lip were performed in 156 (89.7 %) of cases. By the focus score evaluation finding of two or more focuses on 4 mm² glandular tissue confirmed the diagnosis of the Sjögren’s syndrome only in 27 (17.53 %) of cases, finding of one focus supported the diagnosis in 32 (20.78 %) patients. Fifty four (35.06 %) of the patients had negative findings and in 41 (26.63 %) of the cases there appeared minimal lymphocytic infiltrates by the histopathology. The authors consider the indication of the biopsy before use of other diagnostic tools as incorrect. Site of biopsy intraorally (lip, buccal region) or extraorally (parotid gland) does not influence the result, but more frequent complications should be considered. Biopsy is obligatory by a suspect primary Sjögren´s syndrome.
Key words:
minor salivary gland biopsy – Sjögren’s syndrome – diagnosis
Zdroje
1. Al-Hashimi, I.: The management of Sjögren’s syndrome in dental practice. J. Am. Dent. Assoc., 132, 2001, č. 10, s. 1409-1417.
2. Bergdahl, M., Bergdahl, J.: Low unstimulated salivary flow and subjective oral dryness – association with medication, anxiety, depression, and stress. J. Dent. Res., 79, 2000, s. 1652-1658.
3. Brun, J. G., Madland, T. M., Gjesdal, C. B., Bertelsen, L. T.: Sjögren’s syndrome in an out-patient cliníc:classification of patiens according to the preliminary European criteria and the proposed modified European criteria. Rheumatol., 41, 2002, č. 3, s. 301-304.
4. Buc, M.: Autoimunita a autoimunitné choroby. 1. vyd., Veda, Bratislava 2005, 492 s.
5. Cooper, J. S., Fu, K., Marks, J., Silverman, S.: Late effects of radiation in the head and neck region. Int. J. Radiat. Oncol. Biol. Phys., 31, 1995, s. 1141-1164.
6. Fox, R. I., Stern, M., Michelson, P.: Update in Sjogren’s syndrome. Curr. Opin. Rheumatol., 12, 2000, s. 391-398.
7. Guggenheimer, J., Moore, P. A.: Xerostomia. J. Am. Dent. Assoc., 134, 2003, č. 1, s. 61-69.
8. Chavez, E. M., Tailor, G. W., Borrell, L. N., Ship, J. A.: Salivary function and glycemic kontrol in older persons with diabetes. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 89, 2000, s. 305-311.
9. Kassan, S. S., Moutsopoulos, H. M.: Clinical manifestation and early diagnosis of Sjögren’s syndrome. Arch. Intern. Med., 164, 2004, s. 1275-1284.
10. Kaušitz, J., Altaner, Č., Bolješíková, E., Špánik, S.: Onkológia. 1. vyd., Veda, vydavateľstvo SAV, Bratislava, 2003, 659 s.
11. Masaki, Y., Sugai, S.: Lymhoproliferative disorders in Sjögren´s syndrome. Autoimmunity Reviews, 3, 2004, s. 175-182.
12. Mazánek, J.: Nádory orofaciální oblasti. 1. vyd., Victoria publishing, Praha, 1997, 350 s.
13. Mičeková, D., Rybár, J., Mlynáriková, V.: Sjögrenov syndróm. Interná Med., 6, 2005, č. 9, s. 477-480.
14. Moore, P. A., Guggenheimer, J., Etzel, K. R. et al.: Type 1 diabetes mellitus, xerostomia and salivary flow rates. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 92, 2001, s. 281-291.
15. Myers, E. N., Suen, J. Y., Myers, J. N., Hanna, E. Y. N.: Cancer of the head and neck. 4. vyd., Saunders, Philadelphia, 2003, 850 s.
16. Panchovska, M., Sheitanov, Y., Uzunov, N.: Mortality of Bulgarian patients with primary and secondary Sjögren’s syndrome. Bratisl. Lek. Listy, 105, 2004, č. 12, s. 434-437.
17. Perrot, S., Calvez, V., Escande, J. P. et al.: Prevalences of herpesviruses DNA sequences in salivary gland biopsies from primary and secondary Sjögren’s syndrome usány degenerated consensus PCR primers. J. Clin. Virol., 28, 2003, s. 165-168.
18. Pijpe, J., Kalk, W. W. I., Van der Wal, J. E. et al.: Parotid gland biposy compared with labial biopsy in the diagnosis of patients with primary Sjögren´s syndrome. Rheumatology, 46, 2007, č. 2, s. 335-341.
19. Ramos-Casals, M., Tzioufas, A. G., Font, J.: Primary Sjögren’s syndrome – new clinical and therapeutic concepts. Ann. Rheum. Dis., 64, 2005, s. 347-354.
20. Ramos-Casals, M., Font, J.: Primary Sjögren’s syndrome, current and emergent aetiopathogenic concepts. Rheumatology 44, 2005, č. 11, s. 1354-1367.
21. Reinertsen, J. L., Schaefer, E. J., Brewer, H. B., Moutsopoulos H. M.: Sicca-like syndrome in type v lipoprotemia. Arthritis Rheumatism, 23, 1980, č. 3, s. 114-118.
22. Rovenský, J., Žlnay, D., Mičeková, D. a spol.: Reumatológia v teórii a praxi. 1. vyd., Osveta, Martin 1998, 254 s.
23. Rubin, E., Farber, J. L.: Pathology. 2. vyd., J.B. Lippincot Company, Philadelphia, 1988, 1578 s.
24. Stárek, I., Černý, L., Simpson, R. W. H a spol.: Choroby slinných žláz. 1.vyd., Grada Avicenum, Praha, 2000, 266 s.
25. Stewart, A., Blenkinsopp, P. T., Henry, K.: Bilateral parotid mucosa-associated lymphoid tissue lymphoma and Sjogren’s syndrome. Br. J. Oral Maxillofac. Surg., 32, 1994, s. 318-322.
26. Tonami, H., Matoba, M., Yokota, H.et al.: Mucosa-associated lymphoid tissue lymphoma in Sjögren’s syndrome – initial and follow-up imaging features. Am. J. Roentgen., 179, 2002, s. 485-489.
27. Van Mello, N. M., Pillemer, S. R., Tak, P. P., Sankar, V.: B cell MALT lymphoma diagnosed by labial minor salivary gland biopsy in patients screened for Sjögren´s syndrome. Annals Rheumat diseases, 64, 2005, s. 471-473.
28. Vitali, C., Bombardieri, S., Moutsopoulos, H. M. et al.: Preliminary criteria for the classification of Sjögren’s syndrome – results of a prospective concerted action supported by the European Community. Arthritis Rheum. 36, 1993, s. 340-347.
29. Vitali, C., Bombardieri, S., Jonsson R. et al.: Classification criteria for Sjögren’s syndrome – a revise version of the European criteria proposed by the American-European consensus group. Ann. Rheum. Dis. 61, 2002, s. 554-558.
30. Wise, Ch. M., Agudelo, C. A., Semble, E. L. et al.: Comparison of parotid and minor salivary gland biopsy specimens in the diagnosis of patients with primary Sjögren’s syndrome. Arthritis Rheumatism, 31, 1988, 5, s. 662-666.
Štítky
Maxillofacial surgery Orthodontics Dental medicineČlánok vyšiel v časopise
Czech Dental Journal
2008 Číslo 2
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
- The Importance of Limosilactobacillus reuteri in Administration to Diabetics with Gingivitis
Najčítanejšie v tomto čísle
- Oral Lichen Planus – Present Knowledge
- Dental Metal Alloys Part 1. Classification of Dental Alloys, Physical and Chemical Properties
- Periodontal Diseases in Children and Adolescents
- Minor Salivary Gland Biopsy in Evaluation Algorithm of Sjögren’s Syndrome