Salivary glands
Cytopathology competency / milestone assessment
5. Salivary gland neoplasms

Authors: Michelle R. Pramick, M.D., Zubair W. Baloch, M.D., Ph.D. (see Authors page)

Revised: 12 March 2018, last major update December 2013

Copyright: (c) 2002-2018,, Inc.

PubMed Search: Salivary gland neoplasms[TI] cytopathology

Cite this page: Pramick, M.R., Baloch, Z.W. Cytopathology competency - 5. salivary gland neoplasms. website. Accessed December 17th, 2018.
Medical knowledge
  1. Understand that most salivary gland neoplasms are benign
  2. Know the clinical features of a benign salivary gland neoplasm
  3. Understand that each segment on the tubuloacinar unit is associated with a specific neoplasm:
    • Acinus: acinic cell carcinoma
    • Intercalated duct: pleomorphic and monomorphic adenoma and adenoid cystic carcinoma
    • Striated duct: Warthin tumor and oncocytoma
    • Excretory duct: mucoepidermoid carcinoma, squamous cell carcinoma and adenocarcinoma
  4. Understand that there is a relationship between the length of the intercalated duct and incidence of neoplasms in the major salivary glands
  5. Recognize that there is an inverse relationship between the size of the gland and relative incidence of malignancy
  6. Understand that minor salivary gland neoplasms are more likely to be malignant than major salivary gland neoplasms
  7. Know that pleomorphic adenoma is the most common neoplasm
Practice based learning
  1. Know that any salivary gland lesion that causes a facial nerve deficit is considered malignant until proven otherwise