When Crystalloids Tell the Story: Amylase Crystalloids in Salivary Gland Cytology.
Pallavi Saraf, Vaibhav Saini, Shubham Kabra et al.
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Case in brief
A 59-year-old female presented with a parotid swelling. Ultrasonography identified a cystic lesion, and fine needle aspiration yielded yellowish fluid. Cytology revealed numerous nonbirefringent rectangular to rhomboidal crystalloids consistent with amylase crystalloids, amidst a mixed inflammatory background. The diagnosis was chronic sialadenitis with amylase crystalloids, which resolved after aspiration without recurrence.
Diagnostic / clinical pearl
The presence of amylase crystalloids in salivary gland cytology can indicate benign conditions, aiding in the differentiation of neoplastic from non-neoplastic lesions.