Research report

Clinical evaluation of the modified open wound sutureless labial gland biopsy technique for patient with Sjögren syndrome

  • CHEN Yabing ,
  • GAO Jie ,
  • XU Xia ,
  • ZHAO Dongbao
Expand
  • Department of Rheumatology and Immunology, the First Affiliated Hospital of Naval Medical University, Shanghai 200433, China

Received date: 2024-11-14

  Online published: 2025-10-27

Abstract

Objective To explore the clinical value of modified open-wound sutureless labial gland biopsy for patients with Sjögren syndrome. Methods A total of 24 patients who underwent labial gland biopsy in our department from March 2023 to April 2025 were divided into the sutureless labial gland biopsy (SLSGB) group and the traditional labial salivary gland biopsy (TLSGB) group. The numerical rating scale (NRS) 0-10 was used to evaluate the postoperative recovery time and incision pain at 2 h, 1 d, and 7 d after surgery in both groups. Results The postoperative recovery time score was (6.67±0.82) points in the TLSGB group and (2.00±0.00) points in the SLSGB group (P< 0.001). The NRS scores at 2 h, 1 d, and 7 d after surgery were (5.83±0.98), (2.67±0.52), and (2.00±0.63) points in the TLSGB group, and (1.72±0.46), 0, and 0 points in the SLSGB group, respectively. There were significant differences between the two groups at 2 h and 1 d after surgery (both P<0.05), but there was no statistical difference at 7 d after surgery (P>0.05). Conclusions Open incision labial gland biopsy is less invasive, less prone to secondary injury, does not require suture removal, is easy to operate, and rarely causes complications. It can reduce significantly the economic and time costs and it’s more easily accepted by patients.

Cite this article

CHEN Yabing , GAO Jie , XU Xia , ZHAO Dongbao . Clinical evaluation of the modified open wound sutureless labial gland biopsy technique for patient with Sjögren syndrome[J]. Journal of Internal Medicine Concepts & Practice, 2025 , 20(04) : 312 -315 . DOI: 10.16138/j.1673-6087.2025.04.09

References

[1] Qin B, Wang J, Yang Z, et al. Epidemiology of primary Sj?gren’s syndrome: a systematic review and meta-analysis[J]. Ann Rheum Dis, 2015, 74(11):1983-1989.
[2] Shiboski CH, Shiboski SC, Seror R, et al. 2016 American college of rheumatology/European league against rheumatism classification criteria for primary Sj?gren’s syndrome: a consensus and data-driven methodology involving three international patient cohorts[J]. Ann Rheum Dis, 2017, 76(1):9-16.
[3] Shiboski SC, Shiboski CH, Criswell L, et al. American college of rheumatology classification criteria for Sj?gren’s syndrome: a data-driven, expert consensus approach in the Sj?gren’s international collaborative clinical alliance cohort[J]. Arthritis Care Res (Hoboken), 2012, 64(4):475-487.
[4] Vitali C, Bombardieri S, Jonsson R, et al. Classification criteria for Sj?gren’s syndrome: a revised version of the European criteria proposed by the American-European Consensus Group[J]. Ann Rheum Dis, 2002, 61(6):554-558.
[5] Guellec D, Cornec D, Jousse-Joulin S, et al. Diagnostic value of labial minor salivary gland biopsy for Sj?gren’s syndrome: a systematic review[J]. Autoimmun Rev, 2013, 12(3):416-420.
[6] Daniels TE, Cox D, Shiboski CH, et al. Associations between salivary gland histopathologic diagnoses and phenotypic features of Sj?gren’s syndrome among 1,726 registry participants[J]. Arthritis Rheum, 2011, 63(7):2021-2030.
[7] Franceschini F, Cavazzana I, Andreoli L, et al. The 2016 classification criteria for primary Sjogren’s syndrome: what’s new?[J]. BMC Med, 2017, 15(1):69.
[8] Brito-Zerón P, Acar-Denizli N, Ng WF, et al. How immunological profile drives clinical phenotype of primary Sj?gren’s syndrome at diagnosis: analysis of 10,500 patients (Sj?gren Big Data Project)[J]. Clin Exp Rheumatol, 2018, 36 Suppl 112(3):102-112.
[9] Baldini C, Berardicurti O, Giacomelli R, et al. Is minor salivary gland biopsy still mandatory in Sjogren’s syndrome?[J]. Autoimmun Rev, 2024, 23(1):103425.
[10] Caporali R, Bonacci E, Epis O, et al. Safety and usefulness of minor salivary gland biopsy: retrospective analysis of 502 procedures performed at a single center[J]. Arthritis Rheum, 2008, 59(5):714-720.
[11] Quartuccio L, Baldini C, Bartoloni E, et al. Anti-SSA/SSB-negative Sj?gren’s syndrome shows a lower prevalence of lymphoproliferative manifestations, and a lower risk of lymphoma evolution[J]. Autoimmun Rev, 2015, 14(11):1019-1022.
[12] Greenspan JS, Daniels TE, Talal N, et al. The histopathology of Sj?gren’s syndrome in labial salivary gland biopsies[J]. Oral Surg Oral Med Oral Pathol, 1974, 37(2):217-229.
[13] Fisher BA, Jonsson R, Daniels T, et al. Standardisation of labial salivary gland histopathology in clinical trials in primary Sj?gren’s syndrome[J]. Ann Rheum Dis, 2017, 76(7):1161-1168.
[14] Vitali C, Moutsopoulos HM, Bombardieri S. The European Community Study Group on diagnostic criteria for Sj?gren’s syndrome. Sensitivity and specificity of tests for ocular and oral involvement in Sj?gren’s syndrome[J]. Ann Rheum Dis, 1994, 53(10):637-647.
[15] Chen YC, Chen HY, Hsu CH. Recent advances in salivary scintigraphic evaluation of salivary gland function[J]. Diagnostics (Basel), 2021, 11(7):1173.
[16] Farrar JT, Young JP Jr, LaMoreaux L, et al. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale[J]. Pain, 2001, 94(2):149-158.
[17] Adamson TC 3rd, Fox RI, Frisman DM, et al. Immunohistologic analysis of lymphoid infiltrates in primary Sjogren’s syndrome using monoclonal antibodies[J]. J Immunol, 1983, 130(1):203-208.
[18] Christodoulou MI, Kapsogeorgou EK, Moutsopoulos HM. Characteristics of the minor salivary gland infiltrates in Sj?gren’s syndrome[J]. J Autoimmun, 2010, 34(4):400-407.
[19] Jonsson MV, Delaleu N, Brokstad KA, et al. Impaired salivary gland function in NOD mice: association with changes in cytokine profile but not with histopathologic changes in the salivary gland[J]. Arthritis Rheum, 2006, 54(7):2300-2305.
[20] Brito-Zerón P, Retamozo S, Ramos-Casals M. Sj?gren syndrome[J]. Med Clin (Barc), 2023, 160(4):163-171.
[21] Lida Santiago M, Seisdedos MR, García Salinas RN, et al. Frequency of complications and usefulness of the minor salivary gland biopsy[J]. Reumatol Clin, 2012, 8(5):255-258.
[22] Varela Centelles P, Sánchez-Sánchez M, Costa-Bouzas J, et al. Neurological adverse events related to lip biopsy in patients suspicious for Sj?gren’s syndrome: a systematic review and prevalence meta-analysis[J]. Rheumatology (Oxford), 2014, 53(7):1208-1214.
[23] 程昉, 赵福涛, 沈雪敏, 等. 原发性干燥综合征多学科诊疗专家共识(2024版)[J]. 内科理论与实践, 2024, 19(6): 357-362.
  Cheng F, Zhao FT, Shen XM, et al. Expert consensus on multidisciplinary diagnosis and treatment of primary Sj?gren syndrome (2024 ed)[J]. J Intern Med Concepts Pract, 2024, 19(6): 357-362.
[24] Bud M, Jitaru S, Lucaciu O, et al. The advantages of the dental operative microscope in restorative dentistry[J]. Med Pharm Rep, 2021, 94(1):22-27.
[25] Li C, Zheng W, Tian Y, et al. Surgical advantage of modified labial salivary gland biopsy using chalazion forceps: a prospective randomized controlled study[J]. Clin Exp Med, 2024, 24(1):175.
[26] Liao R, Yang HT, Li H, et al. Recent advances of salivary gland biopsy in Sj?gren’s syndrome[J]. Front Med (Lausanne), 2022,8:792593.
[27] Cho A, Lee YR, Jeon YT, et al. Correlations of MR sialographic gradings with the clinical measures of Sj?gren’s syndrome[J]. Laryngoscope, 2023, 133(2):307-316.
[28] Parker M, Zheng Z, Lasarev MR, et al. Novel autoantibodies help diagnose anti-SSA antibody negative Sj?gren disease and predict abnormal labial salivary gland pathology[J]. Ann Rheum Dis, 2024, 83(9):1169-1180.
[29] Park HS, Martínez-Martínez L, Magallares López B, et al. Prognostic significance of lymphocytic foci composition in minor salivary gland biopsies for severe disease flare and severity in Sj?gren’s syndrome: a 3-year follow-up cohort study[J]. Front Immunol, 2024,15:1332924.
[30] Kroese FGM, Haacke EA, Bombardieri M. The role of salivary gland histopathology in primary Sj?gren’s syndrome: promises and pitfalls[J]. Clin Exp Rheumatol, 2018, 36 Suppl 112(3):222-233.
[31] Carubbi F, Alunno A, Cipriani P, et al. A retrospective, multicenter study evaluating the prognostic value of minor salivary gland histology in a large cohort of patients with primary Sj?gren’s syndrome[J]. Lupus, 2015, 24(3):315-320.
[32] Haacke EA, van der Vegt B, Vissink A, et al. Germinal centers in diagnostic biopsies of patients with primary Sj?gren’s syndrome are not a risk factor for non-Hodgkin’s lymphoma but a reflection of high disease activity: comment on the article by Sène et al[J]. Arthritis Rheumatol, 2019, 71(1):170-171.
Outlines

/