Can CT Scans Detect Salivary Gland Tumors? Your Diagnosis - Otolaryngology

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Can a salivary gland tumor be detected on a CT scan?


Hello Doctor, I recently noticed a lump under my ear and another lump on the right side of my mouth.
I'm not sure if it could be a parotid gland tumor.
Last October, I had a CT scan due to swelling in my neck, and the report stated: "We use a radiopaque marker over supraclavicular lesion.
Equivocal soft tissue thickening just below the marker.
No abnormal enhancement.
No other evident focal mass/nodule seen in this study.
Left external jugular vein noted medial to the marker.
Bilateral submental nodes; no central necrosis." If there is a parotid gland tumor (regardless of size), would it be mentioned in the report? Can an ultrasound detect it? Thank you.

Xiao Wang, 20~29 year old female. Ask Date: 2017/03/27

Dr. Zheng Jueyi reply Otolaryngology


Hello: The report does not mention any part regarding salivary gland tumors.
It is recommended that if you feel any lumps or notice any clinical changes, you should seek medical examination again.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/27

More Info


CT scans can indeed be useful in detecting salivary gland tumors, including those in the parotid gland, submandibular gland, and minor salivary glands. When a patient presents with a palpable mass in the area of the salivary glands, imaging studies such as CT or MRI are often employed to assess the characteristics of the mass, its size, and its relationship to surrounding structures.

In your case, the CT scan report you provided indicates that there was equivocal soft tissue thickening in the supraclavicular region, but it does not mention any specific findings related to the salivary glands. This could suggest that the imaging did not reveal any obvious tumors at that time. However, it is important to note that not all tumors are easily detectable on CT scans, especially if they are small or if they do not have significant contrast enhancement.

Ultrasound is another valuable tool for evaluating salivary gland masses. It is particularly useful because it can provide real-time imaging and can help differentiate between solid and cystic lesions. Ultrasound can also guide fine needle aspiration (FNA) biopsies, which can be crucial for obtaining a definitive diagnosis. In many cases, if a mass is present in the salivary gland, an ultrasound can help visualize it and assess its characteristics, such as whether it is solid or cystic, and whether there are any suspicious features that might suggest malignancy.

If a salivary gland tumor is present, it is likely that the imaging report would mention it, especially if it is of significant size or has concerning features. However, smaller tumors or those that are not easily distinguishable from surrounding tissues may not be reported unless specifically looked for. Therefore, if you have concerns about a potential salivary gland tumor, it is essential to communicate these to your healthcare provider. They may recommend further imaging studies, such as a dedicated ultrasound of the salivary glands or an MRI, which can provide more detailed information.

In summary, while CT scans can detect salivary gland tumors, their sensitivity may vary based on the size and characteristics of the tumor. Ultrasound is also a valuable tool for evaluating these masses and can provide additional information that may not be apparent on a CT scan. If you have palpable masses in the area of your salivary glands, it is advisable to follow up with your healthcare provider for further evaluation and possibly additional imaging studies to ensure an accurate diagnosis.

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