Sjögren's disease & overlap diseases

Safety and procedural success of minor salivary gland biopsy in Sjögren's disease: a retrospective analysis of 202 patients

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

MSGB with vertical incision technique has a very low frequency of serious and long-term complications with a success rate of 98%.

Study context

Population
Patients with suspected Sjögren's disease (SjD) who underwent minor salivary gland biopsy (MSGB) at an outpatient clinic, January 2014 to April 2024, with follow-up visitsof 257 undergoing MSGB
Participants
202 patients
Outcome
AEs of MSGB using vertical incision technique
Methodological detailssingle-group, non-surgical setting, All biopsies performed by rheumatologists in a non-surgical setting
  • Single-group
  • Non-surgical setting
  • All biopsies performed by rheumatologists in a non-surgical setting

Main finding

As reported in the abstract

AEs of MSGB
Serious AE (local persistent paraesthesia)
1 (0.5%)
Moderate adverse events (AEs) (one prolonged bleeding, one unclassified)
2 (1.0%)
Mild AEs
18 (8.9%)
Local discomfort after biopsy
32 (15.8%)
AEs subsided during or up to 2 hours after biopsy
14 (6.9%)
AEs subsided within three weeks
38 (18.8%)

Observational data: associations, not effects.

Further findings

Biopsies with insufficient material for histological analysis

Biopsies not yielding sufficient material for histological analysis
4 (2%)

Safety

Serious AEs

Serious AE (local persistent paraesthesia)
1 (0.5%)

Moderate AEs

Moderate AEs (one prolonged bleeding, one unclassified event)
2 (1.0%)

Mild AEs

Patients with mild AEs
18 (8.9%)

Local discomfort after biopsy

Patients with local discomfort after biopsy
32 (15.8%)

Duration of AEs

AEs subsided during or up to 2 hours after biopsy
14 (6.9%)
AEs subsided within three weeks
38 (18.8%)

Original publication

Safety and procedural success of minor salivary gland biopsy in Sjögren's disease: a retrospective analysis of 202 patients. Clin Exp Rheumatol. Published 4 February 2026. doi:10.55563/clinexprheumatol/13prjb

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