Menu Expand
Head and Neck Pathology E-Book

Head and Neck Pathology E-Book

Lester D. R. Thompson | Justin A. Bishop

(2017)

Additional Information

Book Details

Abstract

An essential foundation text for residents and pathologists, the third edition of Head and Neck Pathology, a volume in the Foundations in Diagnostic Pathology series, has been fully revised to include recent advances in the field. Featuring a highly templated, easy-to-use format and new information throughout, this practical, affordable resource by Drs. Lester D. R. Thompson and Justin A. Bishop is ideal for study and review as well as everyday clinical practice.

  • Inclusion of a wide range of diagnoses in both head and neck and endocrine organ pathology.
  • A focus on the specific features of selected non-neoplastic and neoplastic entities, including broad and in-depth differential diagnoses.
  • Clinical and Pathologic Features summarized in quick-reference boxes for fast access to information.
  • A highly templated format that includes pertinent clinical, imaging, and management/prognostic features; pathologic features; ancillary studies; differential diagnosis; and meaningfully chosen bibliography.
  • Over a thousand full-color photographs illustrate important pathologic features, enabling you to form a differential diagnosis and compare your findings with actual cases.
  • Contributions from internationally recognized expert pathologists, keeping you up to date with the latest information in the field.
  • New criteria as established by the 2017 World Health Organization Classification of Head and Neck Tumours and the 2017 World Health Organization Classification of Endocrine Organ Tumours.
  • A new oropharynx section, separated from the oral cavity.
  • Inclusion of unique newly identified molecular information in many tumor entities.
  • Coverage of NUT carcinoma, HPV-associated adenoid cystic-like carcinoma, sinonasal renal cell-like adenocarcinoma, SMARCB1 (INI-1) deficient sinonasal carcinoma, biphenotypic sinonasal sarcoma, neuroendocrine carcinomas, oropharyngeal carcinoma, polycystic disease and sclerosing polycystic adenosis, secretory carcinoma, cribriform adenocarcinoma of the minor salivary glands, variants of myoepithelioma, clear cell carcinoma, and changes in gnathic cysts classification.

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Half title page i
Other books in this series ii
Head and Neck Pathology iii
Copyright Page iv
■ Contributors v
■ Foreword vii
■ Preface ix
■ Acknowledgments xi
Table Of Contents xiii
Second Half title page xv
1 Non-Neoplastic Lesions of the Nasal Cavity, Paranasal Sinuses, and Nasopharynx 1
■ Rhinosinusitis 1
Clinical Features 1
Pathologic Features 1
Gross Findings 1
Microscopic Findings 2
Differential Diagnosis 2
Prognosis and Therapy 2
■ Sinonasal Inflammatory Polyps 2
Clinical Features 2
Pathologic Features 3
Gross Findings 3
Microscopic Findings 4
Differential Diagnosis 5
Prognosis and Therapy 6
■ Paranasal Sinus Mucocele 6
Clinical Features 6
Pathologic Features 7
Gross Findings 7
Microscopic Findings 7
Differential Diagnosis 7
Prognosis and Therapy 7
■ Allergic Fungal Sinusitis 8
Clinical Features 8
Pathologic Features 8
Gross Findings 8
Microscopic Findings 8
Ancillary Studies 9
Differential Diagnosis 9
Prognosis and Therapy 10
■ Nasal Glial Heterotopia 10
Clinical Features 10
Pathologic Features 10
Gross Findings 10
Microscopic Findings 11
Ancillary Studies 11
Differential Diagnosis 12
Prognosis and Therapy 12
■ Rhinoscleroma 12
Clinical Features 12
Pathologic Features 12
Gross Findings 12
Microscopic Findings 13
Ancillary Studies 13
Differential Diagnosis 13
Prognosis and Therapy 14
■ Rhinosporidiosis 15
Clinical Features 15
Pathologic Features 15
Gross Findings 15
Microscopic Findings 15
2 Benign Neoplasms of the Nasal Cavity, Paranasal Sinuses, and Nasopharynx 22
■ Sinonasal Papillomas 22
Clinical Features 22
Radiographic Features 22
Pathologic Features 22
Gross Findings 22
Microscopic Findings 23
Exophytic Papilloma 23
Inverted Papilloma 23
Oncocytic Cell Papilloma 26
Ancillary Studies 28
Immunohistochemical Findings 28
Molecular Findings 28
Differential Diagnosis 29
Prognosis and Therapy 29
■ Lobular Capillary Hemangioma 29
Clinical Features 29
Pathologic Features 30
Gross Findings 30
Microscopic Findings 30
Ancillary Studies 33
Differential Diagnosis 33
Prognosis and Therapy 33
■ Meningioma 33
Clinical Features 33
Radiographic Features 33
Pathologic Features 34
Gross Findings 34
Microscopic Findings 34
Ancillary Studies 35
Immunohistochemical Findings 35
Differential Diagnosis 35
Prognosis and Therapy 35
■ Glomangiopericytoma (Sinonasal- Type Hemangiopericytoma) 35
Clinical Features 36
Radiographic Features 36
Pathologic Features 36
Gross Findings 36
Microscopic Findings 36
Ancillary Studies 38
Immunohistochemical Findings 38
Genetic Findings 38
Differential Diagnosis 38
Prognosis and Therapy 40
■ Nasopharyngeal Angiofibroma 40
Clinical Features 40
Radiographic Features 42
Pathologic Features 42
Gross Findings 42
Microscopic Findings 43
Ancillary Studies 45
Immunohistochemical Findings 45
Differential Diagnosis 45
Prognosis and Therapy 45
■ Ectopic Pituitary Adenoma 46
Clinical Features 46
Radiographic Features 46
Pathologic Features 47
Microscopic Findings 47
Ancillary Studies 47
Ultrastructural Findings 47
Immunohistochemical Findings 47
Differential Diagnosis 50
Prognosis and Therapy 50
Suggested Readings 50
Suggested Readings 50.e1
Sinonasal Papillomas 50.e1
Lobular Capillary Hemangioma (Pyogenic Granuloma) 50.e1
Meningioma 50.e1
Glomangiopericytoma (Hemangiopericytoma) 50.e1
Nasopharyngeal Angiofibroma 50.e2
Pituitary Adenoma 50.e2
3 Malignant Neoplasms of the Nasal Cavity, Paranasal Sinuses, and Nasopharynx 51
■ Squamous Cell Carcinoma 51
Clinical Features 51
Radiographic Features 52
Pathologic Features 52
Gross Findings 52
Microscopic Findings 53
Ancillary Studies 54
Differential Diagnosis 55
Prognosis and Therapy 56
■ Sinonasal Adenocarcinoma 57
Clinical Features 57
Salivary Gland–Type Adenocarcinoma 57
Non–Salivary Gland–Type Adenocarcinoma 57
Pathologic Features 58
Gross Findings 58
Microscopic Findings 58
Salivary Gland–Type Adenocarcinoma 58
Non–Salivary Gland–Type Adenocarcinoma 58
Intestinal-Type Adenocarcinoma. 58
Nonintestinal-Type Adenocarcinoma. 58
Ancillary Studies 60
Differential Diagnosis 60
Prognosis and Therapy 60
■ Sinonasal Undifferentiated Carcinoma (SNUC) 61
Clinical Features 61
Pathologic Features 63
Gross Findings 63
Microscopic Findings 63
Ancillary Studies 63
Differential Diagnosis 63
Prognosis and Therapy 63
■ Nut Carcinoma 66
Clinical Features 66
Pathologic Features 67
Gross Findings 67
Microscopic Findings 67
Ancillary Studies 68
Differential Diagnosis 68
Prognosis and Therapy 68
■ Nasopharyngeal Carcinoma 69
Clinical Features 69
Radiographic Features 69
Laboratory Studies 69
Pathologic Features 70
Gross Findings 70
Microscopic Findings 70
Nonkeratinizing Squamous Cell Carcinoma 70
Keratinizing Squamous Cell Carcinoma 71
Basaloid Squamous Cell Carcinoma 71
Ancillary Studies 71
Differential Diagnosis 71
Prognosis and Therapy 72
■ Mucosal Melanoma 72
Clinical Features 72
Pathologic Features 73
Gross Findings 73
Microscopic Findings 74
Ancillary Studies 74
Ultrastructural Findings 74
Immunohistochemical Findings 74
Differential Diagnosis 74
Prognosis and Therapy 77
■ Olfactory Neuroblastoma 77
Clinical Features 77
Radiographic Features 77
Pathologic Features 78
Gross Findings 78
Microscopic Findings 78
Ancillary Studies 80
Ultrastructural Findings 80
Histochemistry Findings 80
Immunohistochemical Findings 81
Differential Diagnosis 81
Prognosis and Therapy 81
■ Extranodal NK/T-Cell Lymphoma, Nasal Type 82
Clinical Features 82
Pathologic Features 83
Gross Findings 83
Microscopic Findings 84
Ancillary Studies 85
Histochemical Studies 85
Immunohistochemical Findings 85
Molecular Genetics 85
Differential Diagnosis 85
Prognosis and Therapy 85
■ Mesenchymal Malignancies 86
Rhabdomyosarcoma 86
Fibrosarcoma 91
Biphenotypic Sinonasal Sarcoma 92
Leiomyosarcoma 92
Angiosarcoma 94
■ Ewing Sarcoma 95
Clinical Features 95
Pathologic Features 96
Gross Findings 96
Microscopic Findings 96
Ancillary Studies 96
Histochemical Studies 96
Immunohistochemical Findings 96
Molecular Genetics 96
Differential Diagnosis 96
Prognosis and Therapy 97
■ Teratocarcinosarcoma 97
Clinical Features 98
Pathologic Features 98
Gross Findings 98
Microscopic Findings 98
Ancillary Studies 99
Differential Diagnosis 100
Prognosis and Therapy 100
Suggested Readings 100
Suggested Readings 100.e1
Squamous Cell Carcinoma 100.e1
Sinonasal Adenocarcinoma 100.e1
Sinonasal Undifferentiated Carcinoma 100.e2
NUT Carcinoma 100.e3
Nasopharyngeal Carcinoma 100.e3
Malignant Mucosal Melanoma 100.e4
Olfactory Neuroblastoma 100.e4
Extranodal NK/T-Cell Lymphoma, Nasal Type 100.e5
Rhabdomyosarcoma 100.e5
Biphenotypic Sinonasal Sarcoma 100.e5
Fibrosarcoma 100.e6
Leiomyosarcoma 100.e6
Angiosarcoma 100.e6
Ewing Sarcoma 100.e6
Teratocarcinosarcoma 100.e6
4 Non-Neoplastic Lesions of the Larynx, Hypopharynx, and Trachea 101
■ Vocal Cord Polyps and Nodules 101
Clinical Features 101
Pathologic Features 101
Gross Findings 101
Microscopic Findings 101
Differential Diagnosis 102
Prognosis and Therapy 102
■ Contact Ulcer 104
Clinical Features 104
Pathologic Features 104
Gross Findings 104
Microscopic Findings 105
Differential Diagnosis 105
Prognosis and Therapy 106
■ Amyloidosis 107
Clinical Features 107
Pathologic Features 107
Gross Findings 107
Microscopic Findings 107
Ancillary Studies 109
Special Stains 109
Immunohistochemical Findings 109
Differential Diagnosis 109
Prognosis and Therapy 110
■ Cysts of the Larynx (Including Laryngocele) 110
Clinical Features 110
Pathologic Features 111
Gross Findings 111
Microscopic Findings 111
Differential Diagnosis 114
Prognosis and Therapy 114
■ Reactive Epithelial Changes 114
Clinical Features 114
Pathologic Features 115
Gross Findings 115
Microscopic Findings 115
Ancillary Studies 120
Differential Diagnosis 121
Prognosis and Therapy 121
Suggested Reading 121
Suggested Reading 121.e1
Vocal Cord Polyps and Nodules 121.e1
Contact Ulcer 121.e1
Amyloidosis 121.e1
Cysts of the Larynx (Including Laryngocele) 121.e1
Reactive Epithelial Changes 121.e1
5 Benign Neoplasms of the Larynx, Hypopharynx, and Trachea 122
■ Squamous Papillomas 122
Clinical Features 122
Pathologic Features 123
Gross Findings 123
Microscopic Findings 123
Ancillary Studies 123
Differential Diagnosis 123
Prognosis and Therapy 124
■ Granular Cell Tumor 125
Clinical Features 126
Pathologic Features 126
Gross Findings 126
Microscopic Findings 126
Ancillary Studies 127
Differential Diagnosis 127
Prognosis and Therapy 129
■ Adult Rhabdomyoma 129
Clinical Features 129
Pathologic Features 129
Gross Findings 129
Microscopic Findings 129
Ancillary Studies 130
Differential Diagnosis 131
Prognosis and Therapy 131
■ Chondroma 131
Clinical Features 131
Pathologic Features 131
Gross Findings 131
Microscopic Findings 131
Ancillary Studies 132
Differential Diagnosis 132
Prognosis and Therapy 133
■ Inflammatory Myofibroblastic Tumor 134
Clinical Features 134
Pathologic Features 134
Gross Findings 134
Microscopic Findings 134
Ancillary Studies 134
Differential Diagnosis 135
Prognosis and Therapy 137
Suggested Readings 137
Suggested Readings 137.e1
Squamous Papilloma/Papillomatosis 137.e1
Granular Cell Tumor 137.e1
Adult Rhabdomyoma 137.e1
Chondroma 137.e1
Inflammatory Myofibroblastic Tumor 137.e1
6 Malignant Neoplasms of the Larynx, Hypopharynx, and Trachea 138
■ Precursor Squamous Lesions 138
Clinical Features 138
Pathologic Features 139
Gross Findings 139
Microscopic Findings 139
Differential Diagnosis 142
Prognosis and Therapy 143
■ Squamous Cell Carcinoma 143
Clinical Features 143
Pathologic Features 143
Gross Findings 143
Microscopic Findings 144
Differential Diagnosis 147
Prognosis and Therapy 148
Variants of Squamous Cell Carcinoma 148
Verrucous Squamous Cell Carcinoma 148
Exophytic and Papillary Squamous Cell Carcinoma 150
Spindle Cell Squamous Cell Carcinoma 153
Basaloid Squamous Cell Carcinoma 160
Adenosquamous Carcinoma 163
■ Neuroendocrine Carcinoma 164
Clinical Features 164
Pathologic Features 164
Gross Findings 164
Microscopic Findings 164
Ancillary Studies 167
Ultrastructural Findings 167
Immunohistochemical Findings 167
Differential Diagnosis 167
Prognosis and Therapy 168
■ Chondrosarcoma 168
Clinical Features 169
Radiographic Features 169
Pathologic Features 170
Gross Findings 170
Microscopic Findings 170
Differential Diagnosis 170
Prognosis and Therapy 173
■ Metastatic/Secondary Tumors 173
Clinical Features 173
Pathologic Features 173
Microscopic Findings 173
Differential Diagnosis 173
Prognosis and Treatment 174
Suggested Readings 174
Suggested Readings 174.e1
Precursor Lesions 174.e1
Squamous Cell Carcinoma and Variants 174.e1
Neuroendocrine Carcinoma 174.e2
Chondrosarcoma 174.e3
Metastatic – Secondary Tumors 174.e3
7 Non-Neoplastic Lesions of the Oral Cavity 175
■ Fordyce Granules 175
Clinical Features 175
Pathologic Features 175
Differential Diagnosis 176
Prognosis and Therapy 176
■ Amalgam Tattoo 176
Clinical Features 176
Radiographic Features 176
Pathologic Features 177
Differential Diagnosis 177
Prognosis and Therapy 177
■ Ectopic Thyroid 178
Clinical Features 178
Radiographic Features 178
Pathologic Features 178
Fine Needle Aspiration 178
Differential Diagnosis 179
Prognosis and Therapy 179
■ Oral Hairy Leukoplakia 179
Clinical Features 179
Pathologic Features 179
Histochemical Studies 179
Immunohistochemical Findings 180
Molecular Studies 180
Differential Diagnosis 181
Prognosis and Therapy 181
■ Infections 181
Clinical Features 181
Pathologic Features 183
Candida (Including Median Rhomboid Glossitis) 183
Herpes Simplex Virus 1 183
Actinomycosis 183
Differential Diagnosis 184
Prognosis and Therapy 185
■ Oral Lichen Planus 186
Clinical Features 186
Pathologic Features 186
Ancillary Studies 186
Differential Diagnosis 188
Prognosis and Therapy 188
■ Mucous Membrane Pemphigoid 188
Clinical Features 188
Pathologic Features 188
Ancillary Studies 189
Differential Diagnosis 190
Prognosis and Therapy 190
■ Pemphigus Vulgaris 190
Clinical Features 190
Pathologic Features 191
Ancillary Studies 191
Differential Diagnosis 192
Prognosis and Therapy 192
■ Recurrent Aphthous Stomatitis 192
Clinical Features 192
Pathologic Features 193
Differential Diagnosis 193
Prognosis and Therapy 194
■ Traumatic Ulcerative Granuloma 194
Clinical Features 194
Pathologic Features 194
Differential Diagnosis 195
Prognosis and Therapy 196
Suggested Readings 196
Suggested Readings 196.e1
Fordyce Granules 196.e1
Amalgam Tattoo 196.e1
Ectopic Thyroid 196.e1
Oral Hairy Leukoplakia 196.e1
Infections 196.e1
Oral Lichen Planus 196.e1
Mucous Membrane Pemphigoid 196.e1
Pemphigus Vulgaris 196.e1
Recurrent Aphthous Stomatitis 196.e2
Traumatic Ulcerative Granuloma 196.e2
8 Benign Neoplasms of the Oral Cavity 197
■ Fibroma 197
Clinical Features 197
Pathologic Features 197
Gross Findings 197
Microscopic Findings 197
Differential Diagnosis 198
Prognosis and Therapy 198
■ Squamous Papilloma (Including Verruca and Condyloma) 200
Clinical Features 200
Pathologic Features 200
Gross Findings 200
Microscopic Findings 200
Ancillary Studies 201
Differential Diagnosis 201
Prognosis and Therapy 203
■ Multifocal Epithelial Hyperplasia 203
Clinical Features 203
Pathologic Features 203
Gross Findings 203
Microscopic Findings 204
Ancillary Studies 205
Differential Diagnosis 205
Prognosis and Therapy 205
■ Lobular Capillary Hemangioma 205
Clinical Features 205
Pathologic Features 206
Gross Findings 206
Microscopic Findings 206
Ancillary Studies 207
Differential Diagnosis 207
Prognosis and Therapy 207
■ Peripheral Ossifying Fibroma 207
Clinical Features 208
Pathologic Features 208
Gross Findings 208
Microscopic Findings 208
Differential Diagnosis 208
Prognosis and Therapy 210
■ Peripheral Giant Cell Granuloma 210
Clinical Features 210
Radiographic Features 210
Pathologic FFeatures 210
Gross Findings 210
Microscopic Findings 210
Differential Diagnosis 212
Prognosis and Therapy 212
■ Granular Cell Tumor 212
Clinical FFeatures 212
Pathologic FFeatures 212
Gross Findings 212
Microscopic Findings 212
Ancillary Studies 213
Differential Diagnosis 213
Prognosis and Therapy 214
■ Congenital Granular Cell Epulis 214
Clinical Features 215
Pathologic FFeatures 215
Gross Findings 215
Microscopic Findings 215
Ancillary Studies 216
Differential Diagnosis 216
Prognosis and Therapy 217
■ Ectomesenchymal Chondromyxoid Tumor 217
Clinical FFeatures 217
Pathologic Features 217
Gross Findings 217
Microscopic Findings 217
Ancillary Studies 218
Differential Diagnosis 218
Prognosis and Therapy 218
Suggested Readings 218
Suggested Readings 218.e1
Fibroma 218.e1
Squamous Papilloma (Including Verruca and Condyloma) 218.e1
Multifocal Epithelial Hyperplasia 218.e1
Lobular Capillary Hemangioma 218.e1
Peripheral Ossifying Fibroma 218.e1
Peripheral Giant Cell Granuloma 218.e1
Granular Cell Tumor 218.e1
Congenital Epulis 218.e1
Ectomesenchymal Chondromyxoid Tumor 218.e2
9 Malignant Neoplasms of the Oral Cavity 219
■ Squamous Cell Carcinoma 219
Clinical Features 219
Radiographic Features 220
Pathologic Features 220
Microscopic Findings 220
Ancillary Studies 222
Fine Needle Aspiration 222
Immunohistochemical Findings 222
Differential Diagnosis 222
Prognosis and Therapy 224
■ Kaposi Sarcoma 224
Clinical Features 225
Pathologic Features 225
Gross Findings 225
Microscopic Findings 225
Ancillary Studies 226
Differential Diagnosis 226
Prognosis and Therapy 227
■ Oral Mucosal Melanoma 227
Clinical Features 227
Pathologic Features 228
Gross Findings 228
Microscopic Findings 228
Ancillary Studies 228
Differential Diagnosis 229
Prognosis and Therapy 229
Suggested Readings 229
Suggested Readings 229.e1
Squamous Cell Carcinoma 229.e1
Kaposi’s Sarcoma 229.e1
Oral Mucosal Melanoma 229.e1
10 Malignant Neoplasms of the Oropharynx 230
■ Squamous Cell Carcinoma 230
Clinical Features 230
Radiographic Features 231
Pathologic Features 231
Gross Findings 231
Microscopic Findings 231
Ancillary Studies 236
Fine Needle Aspiration 236
Immunohistochemical Findings 236
Differential Diagnosis 236
Prognosis and Therapy 237
■ Small Cell Carcinoma 237
Clinical Features 237
Pathologic Features 237
Gross Findings 237
Microscopic Findings 239
Ancillary Studies 240
Differential Diagnosis 240
Prognosis and Therapy 240
Suggested Readings 240
Suggested Readings 240.e1
Squamous Cell Carcinoma 240.e1
Small Cell Carcinoma 240.e1
11 Non-Neoplastic Lesions of the Salivary Glands 241
■ Developmental Lesions, Including Heterotopia and Oncocytosis 241
Clinical Features 241
Pathologic Features 242
Gross Findings 242
Microscopic Findings 242
Ancillary Studies 243
Ultrastructural Findings 243
Histochemical Findings 243
Fine Needle Aspiration 244
Differential Diagnosis 244
Prognosis and Therapy 244
■ Mucus Retention Cyst, Mucocele, and Sialolithiasis 244
Clinical Features 244
Radiographic Features 247
Pathologic Features 247
Differential Diagnosis 248
Prognosis and Therapy 248
■ Necrotizing Sialometaplasia 248
Clinical Features 248
Pathologic Features 249
Gross Findings 249
Microscopic Findings 249
Differential Diagnosis 250
Prognosis and Therapy 251
■ Lymphoepithelial Sialadenitis 251
Clinical Features 251
Pathologic Features 252
Gross Findings 252
Microscopic Findings 252
Ancillary Studies 252
Differential Diagnosis 252
Prognosis and Therapy 254
■ Lymphoepithelial Cyst 254
Clinical Features 254
Pathologic Features 254
Gross Findings 254
Microscopic Findings 254
Ancillary Studies 255
Differential Diagnosis 255
Prognosis and Therapy 255
■ Sclerosing Polycystic Adenosis 257
Clinical Features 257
Pathologic Features 257
Gross Findings 257
Microscopic Findings 257
Ancillary Studies 257
Differential Diagnosis 257
Prognosis and Therapy 258
■ Intercalated Duct Hyperplasia 258
Clinical Features 259
Pathologic Features 259
Gross Findings 259
Microscopic Findings 259
Ancillary Studies 260
Differential Diagnosis 260
Prognosis and Therapy 260
Suggested Readings 260
Suggested Readings 260.e1
Developmental Lesions, Including Heterotopia and Oncocytosis 260.e1
Mucus Retention Cyst, Mucocele, and Sialolithiasis 260.e1
Necrotizing Sialometaplasia 260.e1
Lymphoepithelial Sialadenitis 260.e1
Lymphoepithelial Cyst 260.e1
Sclerosing Polycystic Adenosis 260.e1
Intercalated Duct Hyperplasia 260.e2
12 Benign Neoplasms of the Salivary Glands 261
■ Pleomorphic Adenoma 261
Clinical Features 261
Pathologic Features 261
Gross Findings 261
Microscopic Findings 261
Ancillary Studies 264
Immunohistochemical Findings 264
Fine Needle Aspiration 264
Differential Diagnosis 264
Prognosis and Therapy 264
■ Basal Cell Adenoma 266
Clinical Features 266
Pathologic Features 266
Gross Findings 266
Microscopic Findings 267
Ancillary Studies 267
Immunohistochemical Findings 267
Fine Needle Aspiration 269
Differential Diagnosis 269
Prognosis and Therapy 269
■ Canalicular Adenoma 269
Clinical Features 269
Pathologic Features 270
Gross Findings 270
Microscopic Findings 270
Ancillary Studies 272
Differential Diagnosis 272
Prognosis and Therapy 272
■ Oncocytoma 272
Clinical Features 272
Pathologic Features 272
Gross Findings 272
Microscopic Findings 272
Ancillary Studies 274
Histochemical Findings 274
Ultrastructural Findings 274
Fine Needle Aspiration 274
Differential Diagnosis 274
Prognosis and Therapy 275
■ Warthin Tumor 275
Clinical Features 276
Pathologic Features 276
Gross Findings 276
Microscopic Findings 276
Ancillary Studies 277
Immunohistochemical Findings 277
Fine Needle Aspiration 277
Differential Diagnosis 277
Prognosis and Therapy 277
■ Sebaceous Adenoma/Lymphadenoma 279
Clinical Features 279
Pathologic Features 279
Gross Findings 279
Microscopic Findings 279
Ancillary Studies 280
Immunohistochemical Findings 280
Fine Needle Aspiration 281
Differential Diagnosis 281
Prognosis and Therapy 281
■ Hemangioma 281
Clinical Features 281
Pathologic Features 282
Gross Findings 282
Microscopic Findings 282
Ancillary Studies 282
Immunohistochemical Findings 282
Fine Needle Aspiration 282
Differential Diagnosis 282
Prognosis and Therapy 283
Suggested Readings 283
Suggested Readings 283.e1
Pleomorphic Adenoma 283.e1
Basal Cell Adenoma 283.e1
Canalicular Adenoma 283.e1
Oncocytoma 283.e1
Warthin Tumor 283.e2
Sebaceous Adenoma/Lymphadenoma 283.e2
Hemangioma 283.e2
13 Malignant Neoplasms of the Salivary Glands 284
■ Mucoepidermoid Carcinoma 284
Clinical Features 284
Pathologic Features 284
Gross Findings 284
Microscopic Findings 284
Tumor Grading 287
Ancillary Studies 290
Immunohistochemical Findings 290
Molecular Findings 290
Fine Needle Aspiration 290
Differential Diagnosis 291
Prognosis and Therapy 293
■ Acinic Cell Carcinoma 293
Clinical Features 293
Pathologic Features 294
Gross Findings 294
Microscopic Findings 294
Ancillary Studies 297
Ultrastructural Findings 297
Immunohistochemical Findings 297
Fine Needle Aspiration 297
Differential Diagnosis 297
Prognosis and Therapy 300
■ Adenoid Cystic Carcinoma 300
Clinical Features 300
Pathologic Features 301
Gross Findings 301
Microscopic Findings 301
Ancillary Studies 305
Histochemical and Immunohistochemical Findings 305
Molecular Findings 305
Fine Needle Aspiration 305
Differential Diagnosis 308
Prognosis and Therapy 309
■ Polymorphous Adenocarcinoma 309
Clinical Features 309
Pathologic Features 310
Gross Findings 310
Microscopic Findings 310
Ancillary Studies 314
Differential Diagnosis 314
Prognosis and Therapy 317
■ Epithelial-Myoepithelial Carcinoma 317
Clinical Features 317
Pathologic Features 317
Gross Findings 317
Microscopic Findings 317
Ancillary Studies 319
Differential Diagnosis 322
Prognosis and Therapy 322
■ Secretory Carcinoma (Mammary Analogue Secretory Carcinoma) 322
Clinical Features 322
Pathologic Features 322
Gross Findings 322
Microscopic Findings 323
Tumor Grading 323
Ancillary Studies 326
Immunohistochemical Findings 326
Molecular Findings 326
Fine Needle Aspiration 326
Differential Diagnosis 326
Prognosis and Therapy 326
■ Salivary Duct Carcinoma 328
Clinical Features 328
Pathologic Features 328
Gross Findings 328
Microscopic Findings 328
Ancillary Studies 333
Immunohistochemical Findings 333
Fine Needle Aspiration 333
Differential Diagnosis 333
Prognosis and Therapy 333
■ Carcinoma Ex Pleomorphic Adenoma 335
Clinical Features 335
Pathologic Features 335
Gross Findings 335
Microscopic Findings 336
Differential Diagnosis 340
Prognosis and Therapy 340
■ Extranodal Marginal Zone B-Cell Lymphoma of Salivary Glands 340
Clinical Features 340
Pathologic Features 341
Gross Findings 341
Microscopic Findings 341
Ancillary Studies 343
Differential Diagnosis 343
Prognosis and Therapy 343
■ Sialoblastoma 344
Clinical Features 344
Pathologic Features 344
Gross Findings 344
Microscopic Findings 344
Ancillary Studies 346
Differential Diagnosis 346
Prognosis and Therapy 346
■ Uncommon Carcinomas 346
Basal Cell Adenocarcinoma 346
Clear Cell Carcinoma 348
Sebaceous Adenocarcinoma 351
Oncocytic Carcinoma 354
■ Undifferentiated Carcinomas 354
Small Cell Carcinoma 354
Large Cell Carcinoma 356
Lymphoepithelial Carcinoma 358
■ Adenocarcinoma, Not Otherwise Specified 360
Clinical Features 360
Pathologic Features 360
Gross Findings 360
Microscopic Findings 360
Ancillary Studies 362
Immunohistochemical Findings 362
Fine Needle Aspiration 362
Differential Diagnosis 362
Prognosis and Therapy 362
Suggested Readings 362
Suggested Readings 362.e1
Mucoepidermoid Carcinoma 362.e1
Acinic Cell Carcinoma 362.e1
Adenoid Cystic Carcinoma 362.e1
Polymorphous Adenocarcinoma 362.e1
Epithelial-Myoepithelial Carcinoma 362.e2
Secretory Carcinoma 362.e2
Salivary Duct Carcinoma 362.e2
Carcinoma ex Pleomorphic Adenoma 362.e3
Extranodal Marginal Zone B-Cell Lymphoma of Salivary Glands 362.e3
Sialoblastoma 362.e3
Uncommon Carcinomas 362.e4
Undifferentiated Carcinomas 362.e4
Adenocarcinoma Not Otherwise Specified 362.e5
14 Non-Neoplastic Lesions of the Gnathic Bones 363
■ Osteomyelitis 363
Clinical Features 363
Radiographic Features 364
Pathologic Features 364
Gross Findings 364
Microscopic Findings 364
Differential Diagnosis 364
Prognosis and Therapy 364
■ Dentigerous Cyst 366
Clinical Features 366
Radiographic Features 366
Pathologic Features 366
Gross Findings 366
Microscopic Findings 366
Differential Diagnosis 368
Prognosis and Therapy 368
■ Periapical Cyst/Granuloma 368
Clinical Features 368
Radiographic Features 368
Pathologic Features 368
Gross Findings 368
Microscopic Findings 368
Differential Diagnosis 370
Prognosis and Therapy 370
■ Fibrous Dysplasia 370
Clinical Features 370
Radiographic Features 370
Pathologic Features 370
Gross Findings 370
Microscopic Findings 370
Differential Diagnosis 371
Prognosis and Therapy 373
■ Osteonecrosis 373
Clinical Features 373
Radiographic Features 373
Pathologic Features 373
Gross Findings 373
Microscopic Findings 373
Differential Diagnosis 374
Prognosis and Therapy 375
■ Simple (Solitary) Bone Cyst 375
Clinical Features 375
Radiographic Features 375
Pathologic Features 375
Gross Findings 375
Microscopic Findings 376
Differential Diagnosis 376
Prognosis and Therapy 376
■ Nasopalatine Duct Cyst 376
Clinical Features 376
Radiographic Features 376
Pathologic Features 377
Differential Diagnosis 377
Prognosis and Therapy 377
■ Tori 377
Clinical Features 377
Radiographic Features 378
Pathologic Features 378
Gross Findings 378
Microscopic Findings 378
Differential Diagnosis 378
Prognosis and Therapy 378
■ Cherubism 379
Clinical Features 379
Radiographic Features 379
Pathologic Features 379
Gross Findings 379
Microscopic Findings 380
Differential Diagnosis 380
Prognosis and Therapy 380
■ Cemento-Osseous Dysplasia 381
Clinical Features 381
Radiograhic Features 381
Pathologic Features 381
Gross Findings 381
Microscopic Findings 381
Differential Diagnosis 381
Prognosis and Therapy 382
Suggested Readings 382
Suggested Readings 382.e1
Osteomyelitis 382.e1
Dentigerous Cyst 382.e1
Periapical Cyst/Granuloma 382.e1
Fibrous Dysplasia 382.e1
Osteonecrosis 382.e2
Nasopalatine Duct Cyst 382.e2
Simple Bone Cyst 382.e2
Tori 382.e2
Cherubism 382.e2
Osseous Dysplasia 382.e3
15 Benign Neoplasms of the Gnathic Bones 383
■ Ossifying Fibroma 383
Clinical Features 383
Radiographic Features 383
Pathologic Features 384
Gross Findings 384
Microscopic Findings 384
Differential Diagnosis 384
Prognosis and Therapy 385
■ Juvenile Ossifying Fibroma 385
Clinical Features 386
Radiographic Features 386
Pathologic Features 386
Gross Findings 386
Microscopic Findings 386
Differential Diagnosis 387
Prognosis and Therapy 388
■ Central Odontogenic Fibroma 388
Clinical Features 388
Radiographic Features 388
Pathologic Features 388
Gross Findings 388
Microscopic Findings 388
Differential Diagnosis 390
Prognosis and Therapy 390
■ Osteoblastoma 390
Clinical Features 390
Radiographic Features 390
Pathologic Features 391
Gross Findings 391
Microscopic Findings 391
Differential Diagnosis 391
Prognosis and Therapy 392
■ Osteoid Osteoma 392
Clinical Features 392
Radiographic Features 392
Pathologic Features 392
Gross Findings 392
16 Malignant Neoplasms of the Gnathic Bones 417
■ Osteosarcoma 417
Clinical Features 417
Radiographic Features 417
Pathologic Features 417
Gross Findings 417
Microscopic Findings 418
Differential Diagnosis 419
Prognosis and Therapy 419
■ Chondrosarcoma 419
Clinical Features 419
Radiographic Features 420
Pathologic Features 420
Gross Findings 420
Microscopic Findings 420
Ancillary Studies 420
Differential Diagnosis 420
Prognosis and Therapy 421
■ Mesenchymal Chondrosarcoma 421
Clinical Features 422
Radiographic Features 422
Pathologic Features 422
Gross Findings 422
Microscopic Findings 422
Ancillary Studies 422
Differential Diagnosis 423
Prognosis and Therapy 423
■ Ameloblastic Carcinoma 423
Clinical Features 423
Radiographic Features 423
Pathologic Features 423
Gross Findings 423
Microscopic Findings 423
Ancillary Studies 425
Differential Diagnosis 425
Prognosis and Therapy 425
■ Primary Intraosseous Carcinoma 425
Clinical Features 425
Radiographic Features 425
Pathologic Features 425
Gross Findings 425
Microscopic Findings 426
Differential Diagnosis 426
Prognosis and Therapy 426
■ Sclerosing Odontogenic Carcinoma 426
Clinical Features 426
Radiographic Features 426
Pathologic Features 426
Gross Findings 426
Microscopic Findings 427
Ancillary Studies 427
Differential Diagnosis 427
Prognosis and Therapy 428
■ Clear Cell Odontogenic Carcinoma 428
Clinical Features 428
Radiographic Features 428
Pathologic Features 428
Gross Findings 428
Microscopic Findings 429
Ancillary Studies 429
Differential Diagnosis 429
Prognosis and Therapy 429
■ Ghost Cell Odontogenic Carcinoma 429
Clinical Features 430
Radiographic Features 430
Pathologic Features 430
Gross Findings 430
Microscopic Findings 430
Differential Diagnosis 430
Prognosis and Therapy 430
■ Odontogenic Sarcoma 431
Clinical Features 431
Radiographic Features 431
Pathologic Features 432
Gross Findings 432
Microscopic Findings 432
Differential Diagnosis 432
Prognosis and Therapy 432
Suggested Readings 432
Suggested Readings 432.e1
Osteosarcoma 432.e1
Chondrosarcoma 432.e1
Mesenchymal Chondrosarcoma 432.e1
Ameloblastic Carcinoma 432.e1
Primary Intraosseous Carcinoma 432.e1
Sclerosing Odontogenic Carcinoma 432.e2
Clear Cell Odontogenic Carcinoma 432.e2
Ghost Cell Odontogenic Carcinoma 432.e2
Odontogenic Carcinosarcoma 432.e2
17 Non-Neoplastic Lesions of the Ear and Temporal Bone 433
■ First Branchial Cleft Anomalies 433
Clinical Features 433
Pathologic Features 434
Gross Findings 434
Microscopic Findings 434
Differential Diagnosis 435
Prognosis and Therapy 436
■ Cystic Chondromalacia 436
Clinical Features 436
Pathologic Features 437
Gross Findings 437
Microscopic Findings 437
Differential Diagnosis 437
Prognosis and Therapy 438
■ Chondrodermatitis Nodular Helicis 439
Clinical Features 439
Pathologic Features 439
Gross Findings 439
Microscopic Findings 439
Differential Diagnosis 441
Prognosis and Therapy 441
■ Angiolymphoid Hyperplasia With Eosinophilia 441
Clinical Features 441
Pathologic Features 442
Gross Findings 442
Microscopic Findings 442
Differential Diagnosis 442
Prognosis and Therapy 444
■ Relapsing Polychondritis 444
Clinical Features 444
Pathologic Features 445
Gross Findings 445
Microscopic Findings 445
Differential Diagnosis 445
Prognosis and Therapy 446
■ Cholesteatoma 446
Clinical Features 446
Radiographic Features 447
Pathologic Features 447
Gross Findings 447
Microscopic Findings 447
Ancillary Studies 450
Differential Diagnosis 450
Prognosis and Therapy 450
■ Cholesterol Granuloma 450
Clinical Features 450
Radiographic Features 450
Pathologic Features 451
Gross Findings 451
Microscopic Findings 451
Differential Diagnosis 451
Prognosis and Therapy 452
Suggested Readings 452
Suggested Readings 452.e1
First Branchial Cleft Anomalies 452.e1
Cystic Chondromalacia 452.e1
Chondrodermatitis Nodular Helicis 452.e1
Angiolymphoid Hyperplasia With Eosinophilia 452.e1
Relapsing Polychondritis 452.e1
Cholesteatoma 452.e1
Cholesterol Granuloma 452.e2
18 Benign Neoplasms of the Ear and Temporal Bone 453
■ Ceruminous Adenoma 453
Clinical Features 453
Pathologic Features 453
Gross Findings 453
Microscopic Findings 453
Ancillary Studies 454
Differential Diagnosis 454
Prognosis and Therapy 457
■ Langerhans Cell Histiocytosis 457
Clinical Features 457
Radiographic Features 457
Pathologic Features 457
Gross Findings 457
Microscopic Findings 457
Ancillary Studies 458
Ultrastructural Findings 458
Immunohistochemistry 458
Molecular Findings 460
Differential Diagnosis 460
Prognosis and Therapy 460
■ Peripheral Nerve Sheath Tumor (Schwannoma) 460
Clinical Features 461
Radiographic Features 461
Pathologic Features 461
Gross Findings 461
Microscopic Findings 461
Ancillary Studies 462
Immunohistochemical Findings 462
Genetic Studies 462
Differential Diagnosis 462
Prognosis and Therapy 463
■ Paraganglioma 463
Clinical Features 463
Radiographic Features 464
Pathologic Features 464
Gross Findings 464
Microscopic Findings 464
Ancillary Studies 466
Immunohistochemical Findings 466
Genetic Studies 466
Differential Diagnosis 466
Prognosis and Therapy 467
■ Meningioma 467
Clinical Features 467
Radiographic Features 468
Pathologic Features 468
Gross Findings 468
Microscopic Findings 468
Ancillary Studies 468
Differential Diagnosis 469
Prognosis and Therapy 470
■ Middle Ear Adenoma (Neuroendocrine Adenoma of the Middle Ear) 470
Clinical Features 470
Pathologic Features 471
Gross Findings 471
Microscopic Findings 472
Ancillary Studies 472
Ultrastructural Findings 472
Histochemical Findings 474
Immunohistochemical Findings 474
Differential Diagnosis 474
Prognosis and Therapy 474
■ Endolymphatic Sac Tumor 475
Clinical Features 475
Radiographic Features 475
Pathologic Features 475
Gross Findings 475
Microscopic Findings 476
Ancillary Studies 476
Immunohistochemical Findings 476
Genetic Studies 477
Differential Diagnosis 477
Prognosis and Therapy 477
Suggested Readings 477
Suggested Readings 477.e1
Ceruminous Adenoma 477.e1
Langerhans Cell Histiocytosis 477.e1
Peripheral Nerve Sheath Tumor (Schwannoma) 477.e1
Paraganglioma 477.e1
Meningioma 477.e2
Middle Ear Adenoma 477.e2
Endolymphatic Sac Tumor 477.e2
19 Malignant Neoplasms of the Ear and Temporal Bone 478
■ Squamous Cell Carcinoma (External Auditory Canal and Middle Ear) 478
Clinical Features 478
Pathologic Features 478
Gross Findings 478
Microscopic Findings 478
Ancillary Studies 480
Differential Diagnosis 481
Prognosis and Therapy 481
■ Ceruminous Adenocarcinoma 481
Clinical Features 481
Radiographic Features 481
Pathologic Features 482
Ancillary Studies 483
Differential Diagnosis 483
Prognosis and Therapy 484
■ Metastatic Neoplasms 484
Clinical Features 484
Pathologic Features 484
Ancillary Studies 487
Differential Diagnosis 487
Prognosis and Therapy 487
Suggested Readings 487
Suggested Readings 487.e1
Squamous Cell Carcinoma (External Auditory Canal and Middle Ear) 487.e1
Ceruminous Adenocarcinoma 487.e1
Metastatic Neoplasms 487.e1
20 Non-Neoplastic Lesions of the Neck (Soft Tissue, Bone, and Lymph Node) 488
■ Branchial Cleft Anomalies 488
Clinical Features 488
Radiographic Features 488
Pathologic Features 488
Gross Findings 488
Microscopic Findings 488
Ancillary Studies 489
Immunohistochemical Findings 489
Fine Needle Aspiration 489
Differential Diagnosis 490
Prognosis and Therapy 492
■ Cat Scratch Disease (Granulomatous Inflammation) 492
Clinical Features 492
Pathologic Features 492
Gross Findings 492
Microscopic Findings 492
Ancillary Studies 493
Histochemical Findings 493
Fine Needle Aspiration 493
Immunohistochemical Findings 493
Additional Studies 494
Differential Diagnosis 494
Prognosis and Therapy 494
■ Bacillary Angiomatosis 494
Clinical Features 494
Pathologic Features 494
Microscopic findings 494
Ancillary Studies 495
Differential Diagnosis 495
Prognosis and Therapy 495
■ Cervicofacial Actinomycosis 496
Clinical Features 496
Radiographic Features 496
21 Benign Neoplasms of the Neck (Soft Tissue, Bone, and Lymph Node) 509
■ Lymphangioma (Cystic Hygroma) 509
Clinical Features 509
Pathologic Features 509
Ancillary Studies 510
Differential Diagnosis 511
Prognosis and Therapy 511
■ Teratoma 512
Clinical Features 512
Pathologic Features 513
Gross Findings 513
Microscopic Findings 513
Ancillary Studies 514
Differential Diagnosis 514
Prognosis and Therapy 515
■ Ectopic Hamartomatous Thymoma 515
Clinical Features 515
Pathological Features 515
Gross Findings 515
Microscopic Findings 516
Ancillary Studies 517
Immunohistochemical Findings 517
Differential Diagnosis 517
Prognosis and Therapy 517
■ Spindle Cell Lipoma/ Pleomorphic Lipoma 517
Clinical Features 518
Pathologic Features 518
Gross Findings 518
Microscopic Findings 518
Ancillary Studies 520
Ultrastructural Findings 520
Immunohistochemical Findings 520
Fine Needle Aspiration 520
Molecular Studies 520
Differential Diagnosis 520
Prognosis and Therapy 520
Suggested Readings 520
Suggested Readings 520.e1
Lymphangioma (Cystic Hygroma) 520.e1
Teratoma 520.e1
Ectopic Hamartomatous Thymoma 520.e1
Spindle Cell Lipoma/Pleomorphic Lipoma 520.e1
22 Malignant Neoplasms of the Neck (Soft Tissue and Lymph Node) 521
■ Metastatic Squamous Cell Carcinoma 521
Clinical Features 521
Radiographic Features 522
Pathologic Features 522
Gross Findings 522
Microscopic Findings 522
Ancillary Studies 524
Immunohistochemical and Molecular Findings 524
Fine Needle Aspiration 527
Differential Diagnosis 527
Prognosis and Therapy 528
■ Metastatic Neoplasm of Unknown Primary 528
Clinical Features 528
Pathologic Features 529
Gross Findings 529
Microscopic Findings 529
Ancillary Studies 529
Histochemical and Immunohistochemical Findings 529
Fine Needle Aspiration 530
Differential Diagnosis 530
Prognosis and Therapy 530
■ Synovial Sarcoma 531
Clinical Features 531
Radiographic Features 531
Pathologic Features 532
Gross Findings 532
Microscopic Findings 532
Ancillary Studies 534
Immunohistochemical Findings 534
Fine Needle Aspiration 534
Molecular Findings 536
Differential Diagnosis 536
Prognosis and Therapy 536
■ Chordoma 537
Clinical Features 537
Radiographic Features 537
Pathologic Features 538
Gross Findings 538
Microscopic Findings 538
Ancillary Studies 538
Immunohistochemical Findings 538
Fine Needle Aspiration 539
Molecular Findings 541
Differential Diagnosis 541
Prognosis and Therapy 541
Suggested Readings 541
Suggested Readings 541.e1
Metastatic Squamous Cell Carcinoma 541.e1
Metastatic Neoplasm of Unknown Primary 541.e1
Synovial Sarcoma 541.e1
Chordoma 541.e1
23 Non-Neoplastic Lesions of the Thyroid Gland 542
■ Thyroglossal Duct Cyst 542
Clinical Features 542
Radiographic Features 542
Pathologic Features 542
Gross Findings 542
Microscopic Findings 543
Ancillary Studies 544
Fine Needle Aspiration 544
Differential Diagnosis 544
Prognosis and Therapy 544
■ Thyroid Ectopia and Lingual Thyroid 546
Clinical Features 546
Radiographic Features 546
Pathologic Features 546
Gross Findings 546
Microscopic Findings 547
Ancillary Studies 547
Fine Needle Aspiration 547
Differential Diagnosis 547
Prognosis and Therapy 548
■ Ultimobranchial Body Remnants (Solid Cell Nests) and Other Intrathyroidal Inclusions 548
Clinical Features 548
Pathologic Features 548
Ancillary Studies 548
Immunohistochemical Findings 548
Differential Diagnosis 549
Prognosis and Therapy 551
■ Acute Thyroiditis 551
Clinical Features 551
Pathologic Features 551
Gross Findings 551
Microscopic Findings 551
Ancillary Studies 551
Fine Needle Aspiration 551
Differential Diagnosis 552
Prognosis and Therapy 552
■ Subacute Granulomatous Thyroiditis (De Quervain Thyroiditis) 552
Clinical Features 553
Radiographic Features 553
Laboratory Studies 553
Pathologic Features 553
Gross Findings 553
Microscopic Findings 553
Ancillary Studies 554
Fine Needle Aspiration 554
Differential Diagnosis 554
Prognosis and Therapy 557
■ Invasive Fibrous Thyroiditis (IgG4-Related Thyroiditis; Riedel Thyroiditis) 557
Clinical Features 558
Radiographic Features 558
Laboratory Studies 558
Pathologic Features 559
Gross Findings 559
Microscopic Findings 559
Ancillary Studies 561
Immunohistochemical Findings 561
Fine Needle Aspiration 561
Differential Diagnosis 561
Prognosis and Therapy 561
■ Chronic Lymphocytic Thyroiditis (Hashimoto Thyroiditis) 562
Clinical Features 562
Radiographic Features 562
Laboratory Studies 563
Pathologic Features 563
Gross Findings 563
Microscopic Findings 563
Ancillary Studies 566
Immunohistochemical Findings 566
Fine Needle Aspiration 566
Differential Diagnosis 566
Prognosis and Therapy 567
■ Diffuse Hyperplasia (Graves DISEASE) 567
Clinical Features 568
Radiographic Features 568
Laboratory Studies 569
Pathologic Features 569
Gross Findings 569
Microscopic Findings 570
Ancillary Studies 571
Fine Needle Aspiration 571
Differential Diagnosis 574
Prognosis and Therapy 574
■ Nodular Hyperplasia (Adenomatoid Nodules, Multinodular Goiter) 575
Clinical Features 575
Radiographic Features 575
Laboratory Studies 576
Pathologic Features 576
Gross Findings 576
Microscopic Findings 577
Ancillary Studies 582
Fine Needle Aspiration 582
Differential Diagnosis 582
Prognosis and Therapy 583
■ Dyshormonogenetic Goiter 583
Clinical Features 584
Laboratory Studies 584
Pathologic Features 584
Gross Findings 584
Microscopic Findings 584
Ancillary Studies 586
Fine Needle Aspiration 586
Differential Diagnosis 586
Prognosis and Therapy 586
■ Amyloid Goiter 586
Clinical Features 587
Pathologic Features 587
Gross Findings 587
Microscopic Findings 587
Ancillary Studies 588
Ultrastructural Findings 588
Histochemical Findings 588
Mass Spectrometry 589
Differential Diagnosis 589
Prognosis and Therapy 589
■ Amiodarone-Induced Thyroid Disease 589
Clinical Features 590
Laboratory Studies 590
Pathologic Features 590
Gross Findings 590
Microscopic Features 590
Differential Diagnosis 591
Prognosis and Therapy 592
Suggested Readings 592
Suggested Readings 592.e1
Thyroglossal Duct Cyst 592.e1
Thyroid Ectopia and Lingual Thyroid 592.e1
Ultimobranchial Body Remnants (Solid Cell Nests) and Other Intrathyroidal Inclusions 592.e1
Acute Thyroiditis 592.e1
Subacute Granulomatous Thyroiditis (de Quervain Thyroiditis) 592.e1
Invasive Fibrous Thyroiditis (IgG4-Related Thyroiditis; Riedel Thyroiditis) 592.e1
Chronic Lymphocytic Thyroiditis (Hashimoto Thyroiditis) 592.e2
Diffuse Hyperplasia (Graves Disease) 592.e2
Adenomatoid Nodules (Multinodular Goiter) 592.e2
Dyshormonogenetic Goiter 592.e2
Amyloid Goiter 592.e2
Amiodarone-Induced Thyroid Disease 592.e2
24 Benign Neoplasms of the Thyroid Gland 593
■ Follicular Adenoma 593
Clinical Features 593
Radiographic Features 593
Pathologic Features 594
Gross Findings 594
Microscopic Findings 594
Ancillary Studies 599
Immunohistochemical Findings 599
Fine Needle Aspiration 602
Intraoperative Frozen Section 602
Genetics 602
Differential Diagnosis 603
Prognosis and Therapy 604
■ Noninvasive Follicular Thyroid Neoplasm With Papillary-Like Nuclear Features 604
Clinical Features 604
Radiographic Features 604
Pathologic Features 605
Gross Findings 605
Microscopic Findings 605
Ancillary Studies 606
Immunohistochemical Findings 606
Fine Needle Aspiration 607
Genetics 607
Differential Diagnosis 607
Prognosis and Therapy 607
■ Hyalinizing Trabecular Tumor 608
Clinical Features 608
Pathologic Features 609
Gross Findings 609
Microscopic Findings 609
Ancillary Studies 611
Immunohistochemical Findings 611
Fine Needle Aspiration 611
Differential Diagnosis 613
Prognosis and Therapy 613
■ Teratoma 613
Clinical Features 613
Radiographic Features 614
Pathologic Features 614
Gross Findings 614
Microscopic Findings 614
Ancillary Studies 615
Immunohistochemical Findings 615
Fine Needle Aspiration 616
Differential Diagnosis 616
Prognosis and Therapy 618
Suggested Readings 618
Suggested Readings 618.e1
Follicular Adenoma 618.e1
Noninvasive Follicular Thyroid Neoplasm With Papillary-Like Nuclear Findings (NIFTP) 618.e1
Hyalinizing Trabecular Tumor 618.e1
Teratoma 618.e2
25 Malignant Neoplasms of the Thyroid Gland 619
■ Papillary THYROID Carcinoma 619
Clinical FEATURES 619
Radiographic Features 620
Pathologic FEATURES 621
Gross Findings 621
Microscopic Findings 621
Ancillary Studies 627
Immunohistochemical Findings 627
Fine Needle Aspiration 628
Molecular Findings 628
Differential Diagnosis 630
Prognosis and Therapy 630
■ Histological Variants of Papillary Carcinoma 632
Encapsulated Variant 633
Follicular Variant 633
Macrofollicular Variant 634
Oncocytic Variant 635
Clear Cell Variant 637
Spindle Cell Variant 638
Diffuse Sclerosing Variant 638
Tall Cell Variant 639
Columnar Cell Variant 640
Solid Variant 640
Cribriform-Morular Variant 640
Hobnail Variant 643
Papillary Carcinoma-Size Variation 643
■ Follicular Carcinoma 643
Clinical Features 645
Pathologic Features 645
Gross Findings 645
Microscopic Findings 646
Ancillary Studies 650
Immunohistochemical Findings 650
Fine Needle Aspiration 650
Frozen Section 651
Molecular Findings 651
Differential Diagnosis 651
Prognosis and Therapy 652
■ Undifferentiated Carcinoma 652
Clinical Features 652
Pathologic Features 654
Gross Findings 654
Microscopic Findings 654
Ancillary Studies 656
Immunohistochemical Findings 656
Fine Needle Aspiration 656
Molecular Findings 656
Differential Diagnosis 656
Prognosis and Therapy 656
■ Medullary THYROID Carcinoma 656
Clinical Features 658
Radiographic Features 659
Pathologic Features 659
Gross Findings 659
Microscopic Findings 659
Ancillary Studies 666
Histochemical and Immunohistochemical Findings 666
Fine Needle Aspiration 667
Molecular Findings 667
Differential Diagnosis 667
Prognosis and Therapy 667
■ Primary Thyroid Gland Lymphoma 667
Clinical Features 668
Pathologic Features 669
Gross Findings 669
Microscopic Findings 669
Ancillary Studies 673
Immunohistochemical Findings 673
Fine Needle Aspiration 675
Differential Diagnosis 675
Prognosis and Therapy 676
■ Uncommon Thyroid Neoplasms 677
Mucoepidermoid Carcinoma 677
Squamous Cell Carcinoma 679
Thymic and Related Branchial Pouch Neoplasms 680
Mesenchymal Tumors 682
■ Metastatic Neoplasms 687
Clinical Features 687
Pathologic Features 688
Gross Findings 688
Microscopic Findings 689
Ancillary Studies 689
Differential Diagnosis 691
Prognosis and Therapy 691
Suggested Readings 691
Suggested Readings 691.e1
Papillary Carcinoma (Including Variants) 691.e1
Follicular Carcinoma 691.e2
Undifferentiated (Anaplastic) Carcinoma 691.e3
Medullary Thyroid Carcinoma 691.e3
Primary Thyroid Lymphoma 691.e4
Mucoepidermoid Carcinoma and Sclerosing Mucoepidermoid Carcinoma With Eosinophilia 691.e4
Squamous Cell Carcinoma 691.e4
Spindle Cell Tumor With Thymus-Like Differentiation 691.e5
Carcinoma Showing Thymus-Like Differentiation 691.e5
Mesenchymal Tumors 691.e5
Metastatic Neoplasms 691.e6
26 Non-Neoplastic Lesions of the Parathyroid Glands 692
■ General Considerations 692
■ Primary Chief Cell Hyperplasia 693
Clinical Features 693
Radiographic Features 693
Pathologic Features 694
Gross Findings 694
Microscopic Findings 694
Primary Chief Cell Hyperplasia 694
Water-Clear Cell Hyperplasia 694
Ancillary Studies 698
Differential Diagnosis 699
Prognosis and Therapy 700
■ Secondary and Tertiary Parathyroid Hyperplasia 700
Clinical Features 700
Pathologic Features 701
Gross Findings 701
Microscopic Findings 701
Differential Diagnosis 701
Prognosis and Therapy 701
Suggested Readings 702
Suggested Readings 702.e1
Primary Chief Cell Hyperplasia 702.e1
Secondary and Tertiary Parathyroid Hyperplasia 702.e1
27 Benign Neoplasms of the Parathyroid Gland 703
■ Parathyroid Adenoma 703
Clinical Features 703
Radiographic Features 704
Pathologic Features 704
Gross Findings 704
Microscopic Findings 704
Ancillary Studies 710
Immunohistochemical Findings 710
Histochemistry 710
Fine Needle Aspiration 710
Molecular Findings 711
Differential Diagnosis 711
Prognosis and Therapy 712
Suggested Readings 712
Suggested Readings 712.e1
Parathyroid Adenoma 712.e1
28 Malignant Neoplasms of the Parathyroid Gland 713
■ Parathyroid Carcinoma 713
Clinical Features 713
Pathologic Features 714
Gross Findings 714
Microscopic Findings 714
Ancillary Studies 722
Immunohistochemical Findings 722
Molecular Findings 722
Differential Diagnosis 722
Prognosis and Therapy 724
■ Metastatic Tumors 725
Clinical Features 726
Pathologic Features 726
Gross Findings 726
Microscopic Findings 726
Prognosis and Therapy 727
Suggested Readings 727
Suggested Readings 727.e1
Parathyroid Carcinoma 727.e1
Metastatic Tumors 727.e1
29 Diseases of the Paraganglia System 728
■ Paraganglioma 728
Clinical Features 728
Radiographic Features 730
Pathologic Features 730
Gross Findings 730
Microscopic Findings 731
Ancillary Studies 733
Ultrastructural Findings 733
Immunohistochemical Findings 735
Fine Needle Aspiration 736
Differential Diagnosis 736
Middle Ear/Jugulotympanic Paraganglioma 736
Vagal and Carotid Body Tumors 737
Laryngeal Paraganglioma 738
Prognosis and Therapy 738
■ Malignant Paraganglioma 739
Clinical Features 739
Radiographic Features 739
Pathologic Features 739
Gross Findings 739
Microscopic Findings 739
Ancillary Studies 740
Differential Diagnosis 740
Prognosis and Therapy 741
Suggested Readings 741
Suggested Readings 741.e1
Paraganglioma 741.e1
Malignant Paraganglioma 741.e1
■ Index 743
A 743
B 744
C 745
D 747
E 747
F 748
G 749
H 750
I 751
J 751
K 751
L 751
M 752
N 754
O 755
P 756
R 758
S 759
T 761
U 763
V 763
W 763
Z 763
Inside Back Cover ibc1