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Reviews
‘...This text has surpassed its goals by providing a comprehensive and extensive volume of diagnostic – how-to-tell lesions apart – information together with excellent color photomicrographs. For each entity there are general, histopathology and cytopathology descriptions. Following these descriptions, an invaluable summary of what would favor that particular diagnosis, difficulties you might encounter making that diagnosis, and what would be against that diagnosis is given.
... Written in a straightforward style, this monograph provides the student, as well as anyone experienced in salivary tumour cytology, with an extraordinary reference textbook. By indicating the most common, as well as the least common, tumours encountered and by having the color photomicrographs of excellent quality and differential diagnostic tables, this text would be a valuable addition to a cytopathology library.’
Judith Connor (B.A.; CT (ASCP); Cytotechnology Advisory Committee), ASC Bulletin (American Society of Cytopathology), Vol. 38, No. 6 (August 2001)
‘...All in all, it is a very useful book to have handy.’
Lloyd McGuire, Cytoletter, Dec. 2000
‘Traditionally, diagnostic cytology of salivary glands is considered a difficult subject; and this is regrettable, given the easy access to these tissues. Klijanienko and Vielh set out to minimise these difficulties, armed with experience, reputation, patience, and a valuable collection of well-documented samples, together with a panel of respected collaborators led by the distinguished Professor Batsakis. The files of the Institut Curie, Paris, are the source of their material. ...
There will be few cytology laboratories that do not rely heavily on this monograph.’
R.T. Allison, British Journal of Biomedical Sciences, Vol. 58, No. 2, 2001
‘...Alles in allem findet der Leser ein Buch vor, das durch Vollständigkeit und nicht zuletzt exzellente Abbildungen besticht. Die Rolle der Feinnadelpunktion bei der Diagnose von Erkrankungen der Speicheldrüsen wird spätestens nach der Lektüre dieses Buches ersichtlich.’
Ch. Simon (Tübingen), HNO, Vol. 48, No. 11, November 2000
The entire review by Judith Connor
‘The preface of Salivary Gland Tumours states that "salivary gland tumours constitute a special and difficult area of histopathology" and, "experience in diagnostic cytology of salivary gland tumours is also limited. Although fine-needle aspiration cytology is widely accepted as a tool in the pretreatment diagnostic work-up in several types of cancer, it remains controversial in salivary gland tumours despite numerous reports describing its high level of accuracy and simplicity."
This text has surpassed its goals by providing a comprehensive and extensive volume of diagnostic – how-to-tell lesions apart – information together with excellent color photomicrographs. For each entity there are general, histopathology and cytopathology descriptions. Following these descriptions, an invaluable summary of what would favor that particular diagnosis, difficulties you might encounter making that diagnosis, and what would be against that diagnosis is given.
The first four chapters include an introduction, FNAC procedure and ancillary techniques, imaging, anatomy and tumour histogenesis. It is pointed out in the introduction that "the accuracy of cytology varies according to particular tumour types." "The classification of salivary gland tumours has changed over the last 45 years and several previously benign lesions are now considered to be low-grade malignancies." There are two tables here. One is on the diagnostic accuracy of cytology in nine benign and four benign tumour-like salivary gland lesions. The second displays the diagnostic accuracy of cytology in malignant salivary gland lesions – twenty-one types.
Chapter 5 is "Basic Cytological Components and Diagnostic Approach." Found here are tables summarizing the histological classification of benign salivary gland lesions according to WHO, histological classification of salivary gland malignancies according to prognostic grade, and the main cytological differential diagnoses of salivary gland tumours according to group: myoepithelial-stroma-rich, oncocytic-stroma-rich, basaloid, sebaceous, cystic (clear), cystic (mucoid, necrotic), squamous, acinar, high-grade NOSs, poorly differentiated, and lymphocytic.
Chapter 6 on adenomas includes adenomas with prominent myoepithelial cells (pleomorphic adenoma, myoepithelioma), adenomas with prominent oncocytes (Warthin's tumour, oncocytoma), adenomas with prominent basaloid cells (basal cell, canalicular), adenomas with prominent sebaceous cells (sebaceous adenoma, sebaceous lymphadenoma), and papillary and cystic adenomas (ductal, inverted, and intraductal). Under this section is mentioned sialadenoma papilliferum, which to the author's knowledge, has never been described before in cytology literature.
High- and intermediate-grade carcinomas described in detail in Chapter 7 include carcinomas with squamous cells (high-grade mucoepidermoid carcinomas, primary squamous cell carcinoma), undifferentiated carcinoma (large cell undifferentiated, lymphoepithelial), carcinomas with prominent myoepithelial cells (adenoid cystic carcinoma, clear cell carcinoma, myoepithelioma), and carcinoma with oncocytes, with sebaceous cells, and other carcinomas (salivary duct carcinoma, adenocarcinoma NOS, small cell carcinoma, and mucinous adenocarcinoma). These descriptions also include detailed discussions of differential diagnoses for these entities. Two very uncommon tumours, carcinoma ex pleomorphic adenoma and carcinosarcoma are also reported.
Chapter 8 on low-grade carcinomas explains why these tumours usually have a lower rate of accuracy in cytologic diagnosis. "Low-grade tumours must be differentiated not only from their benign counterparts and similar neoplastic or pseudoneoplastic lesions..., but also from intermediate- and high-grade malignancies...". This chapter gives the pathologist / cytotechnologist the tools to use to help increase diagnostic accuracy. For quick reference, there are the tables for quantitative differential diagnosis of low-grade mucoepidermoid carcinoma, of acinic cell carcinoma, of polymorphous low-grade adenocarcinoma and papillary cystadenocarcinomas, and of basal cell adenocarcinoma.
Chapter 9 discusses benign and malignant mesenchymal tumours, which account for less than 5% of all salivary gland tumours. Miscellaneous lesions that may arise in the parotid areas are also mentioned here.
Lymphomas are described in Chapter 10, secondary tumours in Chapter 11, and tumour-like lesions (sialadenosis, necrotizing sialometaplasia, lymphoepithelial lesions, salivary gland cysts, Kuttner's tumour, reactive processes) with differential diagnostic tables are highlighted in Chapter 12.
Written in a straightforward style, this monograph provides the student, as well as anyone experienced in salivary tumour cytology, with an extraordinary reference textbook. By indicating the most common, as well as the least common, tumours encountered and by having the color photomicrographs of excellent quality and differential diagnostic tables, this text would be a valuable addition to a cytopathology library.’
ASC Bulletin (American Society of Cytopathology), Vol. 38, No. 6 (August 2001)
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This monograph is based on a detailed review of more than 1,600 aspiration cytology biopsies of salivary gland tumors, including even rare entities, which were collected over a period of 45 years at the Institut Curie and correlated with histopathological diagnoses according to the most recent classifications (WHO and AFIP).
Review of such a large series of cases has allowed the authors to specify diagnostic criteria for the great variety of tumor and tumor-like entities occurring at this site, including the rare ones.
In order to facilitate cytological diagnosis, lesions are divided into adenomas, low-grade and high-grade malignancies, other tumors and tumor-like lesions, and further subclassified according to the dominant cell types. Both typical and unusual features are described, illustrated, and summarized in tables and key points for differential diagnosis.
Guidelines for the practical clinical application of aspiration cytology related to salivary gland tumors as well as the accuracy of cytological diagnosis and a complete bibliography are presented. Preoperative cytological diagnosis may reduce the number of unnecessary surgical removals and avoid frozen sections which are notoriously difficult.
Illustrated with numerous color photographs and representing the most up-to-date text of its kind, this handbook is a valuable resource primarily for surgical pathologists in the ENT field, but will also be of interest to surgeons, particularly those involved in head and neck pathology, and medical oncologists.
