1/6. Fine needle aspiration biopsy cytology as an adjunct in the diagnosis of childhood sarcoidosis.Fine needle aspiration biopsy cytology performed in three children with sarcoidosis expedited clinical investigation and diagnosis of their disease. Each patient had a different clinical presentation; in two of them lymphoma was part of the initial differential diagnosis. Aspiration cytology in all cases revealed collections of epithelioid histiocytes, and multinucleate foreign body-type giant cells, without accompanying necrosis or acute inflammation. A diagnosis of non-caseating granulomas consistent with sarcoidosis was made in all aspirates. Special stains for identification of organisms performed on the smears of one case, and culture of aspirate material from one case were negative. Subsequent serum angiotensin converting enzyme levels in all patients were elevated. Chest x-ray films in all patients showed mediastinal and hilar lymphadenopathy. One patient had an interstitial pulmonary infiltrate. All patients responded to steroid therapy. Fine needle aspiration biopsy can be a useful diagnostic tool in the evaluation of children with suspected sarcoidosis.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/6. Giant submandibular calculus. A case report.A case of giant mandibular calculus, 6.5 X 5.5 cm, is presented. The management of this condition is reviewed and an explanation offered for the occurrence of these calculi.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
3/6. A giant submandibular sialolith: management and complications.A case of a 55-year-old man with an unusually large asymptomatic stone (3.5 x 2.0 x 2.0 cm) lying in the Wharton's duct is presented.- - - - - - - - - - ranking = 4keywords = giant (Clic here for more details about this article) |
4/6. sarcoidosis diagnosed on fine-needle aspiration cytology of salivary glands: a report of three cases.Three female patients, two presenting with bilateral parotid gland enlargement and one with bilateral submandibular gland enlargement, were subjected to fine-needle aspiration cytology (FNAC). Smears showed noncaseating epithelioid cell granulomas with or without giant cells and salivary gland acini with varying degrees of degenerative changes. After excluding other granulomatous lesions, sarcoidosis was suggested and was subsequently proved in all three cases. FNAC, therefore, may be considered a useful diagnostic modality in cases of sarcoidosis presenting primarily with head and neck involvement.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/6. Large calculi of the submandibular salivary glands.salivary calculi occur in the submandibular and parotid glands, and their ducts, and occasionally reach a large size. However, little information is available on the composition of these giant stones. 2 cases are reported of unusually large calculi of the submandibular salivary glands. The glands were excised, and the results of chemical and infrared analysis of the calculi are presented.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
6/6. Giant sialolithiasis appearing as odontogenic infection.The dentist frequently is called on to diagnose pathoses of the head and neck region. Two reports of giant submandibular sialoliths that were originally diagnosed as submandibular space odontogenic infections are presented. Careful history, and physical and radiographic examinations are necessary to assure proper diagnosis and treatment of this condition.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |