Indian Journal of Pathology and Oncology


SARCOIDOSIS OF BILATERAL PAROTID GLAND - DIAGNOSED ON FINE NEEDLE ASPIRATION CYTOLOGY


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Author Details: Vartak Shailesh, Anitha Padmanabhan, Ranbir Singh, Urmi Chakravarty Vartak

Volume : 1

Issue : 1

Online ISSN : 2394-6792

Print ISSN : 2394-6784

Article First Page : 41

Article End Page : 43


Abstract

A case of Sarcoidosis, presented initially as bilateral parotid gland enlargement and diagnosed on FNAC is discussed here. Smears showed noncaseating epithelioid cell granulomas and few atrophic salivary gland acini. AFB staining of the aspirate smears were negative and no caseous necrosis was seen. After excluding other granulomatous lesions, a differential diagnosis of Tuberculosis and sarcoidosis was suggested. The Serum ACE levels were elevated and x ray chest showed hilar lymphadenopathy. The patient also had xerostomia and xerophthalmia of right eye. The diagnosis of Sarcoidosis was confirmed based on these findings. FNAC, therefore, may be considered a useful diagnostic modality in cases of sarcoidosis presenting primarily with parotid involvement.

 
Key words: Bilateral parotid gland, FNAC, Sarcoidosis.