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Parotid gland report can anyone explain it please

Daisychains
  • 2 replies
  • 36 subscribers
  • 149 views

Following on from my previous post can anyone please decipher this report in a way that I can understand?

Parotid gland lab report

Rt lung (illegible) referred for radiotherapy - PET scan showed Lt parotid nodule (very small) with avid uptake ?

MACROSCOPY:

US guided fine needle aspiration'

Approx Volume: 5ml

Opacity: Clear

Colour: Red

Fragments/Clots: Yes, fragments

MICROSCOPY:

This is a cellular aspirate showing numerous oncocytes with dense cytoplasm and nuclei showing nucleoli. The cells are dyscohesive. There are also sheets in which magenta matrix is seen. There are histocytes present as well.

Calcification is noted. Only a few lymphocytes, if any are seen. The cytological features are suggestive of aspirate from an oncocytic lesion. The differentials include showing oncocytic change, Warthin's tumour and an oncocytoma.

Excision of pleomorphic salivary adenoma is needed to accurately diagnose the lesion.

 

  • Hello Daisychain,

    My name is George, and I'm one of the Cancer Information Nurses here on the Macmillan support line and online community.

    Thank you for getting back in touch with us on the Macmillan online community now that you have your procedure and preliminary lab report results. I can see one of my nursing colleagues kindly explained and gave further information regarding the initial procedure.  I'm sorry to read of all you have had to go through recently to investigate stage 1 lung cancer and other findings on your PET scan and how this must be causing your stress and anguish at this time.

    Unfortunately, we can only provide general support and information at Macmillan on these support platforms. We are, therefore, unable to interpret individual lab reports and results. This is because we do not have access to NHS personal records; we are a support platform operating outside the NHS.

    I urge you to contact your Hospital team to ask these questions and for further advice regarding the report. I know you had the procedure under ENT, but your lung specialist team may also be able to help with your questions if you struggle to contact the ENT team. We recommend contacting your specialist consultant's secretary or your lung specialist nurse to ask these questions if you have already been assigned one.

    The report clearly suggests surgical removal to fully analyse the tissue further and accurately diagnose the lesion. Therefore, these results are not conclusive, and further investigation is needed to determine the true pathology of this area that showed on the PET scan. I'm fully aware I have been unable to answer the question you have posed today, but I hope you understand why I'm unable to interpret health results. I also hope that the information I have provided will direct you to the correct place to find these answers. This platform is moderated, but care must be advised if a non-medical person comments on this post with answers to this question. The wrong or inappropriate advice or information could easily add to stress and misunderstanding regarding test results, and for that reason, it's important to seek these answers from your medical team.

     

    Kind Regards,

     

    George

    Cancer Information Nurse Specialist 

     

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or email us. 

    Ref: GHi/JL

  • Hello Daisychain,

    My name is George, and I'm one of the Cancer Information Nurses here on the Macmillan support line and online community.

    Thank you for getting back in touch with us on the Macmillan online community now that you have your procedure and preliminary lab report results. I can see one of my nursing colleagues kindly explained and gave further information regarding the initial procedure.  I'm sorry to read of all you have had to go through recently to investigate stage 1 lung cancer and other findings on your PET scan and how this must be causing your stress and anguish at this time.

    Unfortunately, we can only provide general support and information at Macmillan on these support platforms. We are, therefore, unable to interpret individual lab reports and results. This is because we do not have access to NHS personal records; we are a support platform operating outside the NHS.

    I urge you to contact your Hospital team to ask these questions and for further advice regarding the report. I know you had the procedure under ENT, but your lung specialist team may also be able to help with your questions if you struggle to contact the ENT team. We recommend contacting your specialist consultant's secretary or your lung specialist nurse to ask these questions if you have already been assigned one.

    The report clearly suggests surgical removal to fully analyse the tissue further and accurately diagnose the lesion. Therefore, these results are not conclusive, and further investigation is needed to determine the true pathology of this area that showed on the PET scan. I'm fully aware I have been unable to answer the question you have posed today, but I hope you understand why I'm unable to interpret health results. I also hope that the information I have provided will direct you to the correct place to find these answers. This platform is moderated, but care must be advised if a non-medical person comments on this post with answers to this question. The wrong or inappropriate advice or information could easily add to stress and misunderstanding regarding test results, and for that reason, it's important to seek these answers from your medical team.

    Kind Regards,

    George

    Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or email us. 

    Ref: GHi/JL

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