Diagnostic value of ultrasound-guided core needle biopsy in patients with salivary gland masses

Pfeiffer, Jens; Ridder, Gerd Jürgen

doi:10.1016/j.ijom.2011.12.005

Cited by 51 publications

(49 citation statements)

References 34 publications

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“…USG is a fast and non-invasive procedure and the imaging modality of choice in salivary gland pathologies. It is conclusive in majority of these lesions because of its multiplanar and real-time scanning and its high resolution, but it is incapable of reliably characterizing large lesions and masses involving the deep lobe of the parotid gland, which is obscured by the mandible [1]. USG in both cases, revealed well-defined, hypoechoic lesions and thus, in correlation with FNAC findings, a provisional diagnosis of pleomorphic adenoma was made.…”

Section: Discussionmentioning

confidence: 96%

“…These tumors generate considerable interest because of their heterogeneous and variable histology, grade of malignancy, and clinical behavior [1].…”

Section: Introductionmentioning

confidence: 99%

“…It is relatively inexpensive, quick to do, well accepted by patients, associated with low morbidity, and has a relatively high diagnostic accuracy [2]. However, its role in the diagnosis of salivary gland neoplasms is controversial due to the histological diversity of salivary gland lesions attributed to the presence of multiple tissues types and growth patterns, overlapping cytological features of malignant and benign tumors, quantitatively limited tissue sample collected and inexperience of cytopathologists in fine needle aspiration cytology (FNAC) reporting [1,3].…”

Section: Introductionmentioning

confidence: 99%

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Salivary Gland Tumors: A Diagnostic Dilemma!

Peravali

Bhat

Upadya

et al. 2014

J. Maxillofac. Oral Surg.

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Salivary gland tumors generate considerable interest because of their heterogeneous and variable histology, grade of malignancy, and clinical behavior. Fine needle aspiration cytology (FNAC) is considered the first diagnostic modality for salivary neoplasms due to its ready availability and ease of performance. However it cannot always be relied upon in isolation, and should be used in conjunction with other investigations like incisional biopsy. We present two cases, which highlight the drawbacks of relying on FNAC alone, which resulted in misdiagnosis of adenoid cystic carcinoma as pleomorphic adenoma.

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Section: Discussionmentioning

confidence: 96%

“…These tumors generate considerable interest because of their heterogeneous and variable histology, grade of malignancy, and clinical behavior [1].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Salivary Gland Tumors: A Diagnostic Dilemma!

Peravali

Bhat

Upadya

et al. 2014

J. Maxillofac. Oral Surg.

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“…Various authors have described imaging methods that can help in making the final diagnosis. A near unanimity of authors consider US the first choice among all available imaging resources in the detection of diseases of the salivary glands [5,7,[20][21][22][23][24][25][26]. However, the majority of the scholars only refer to its indications, advantages and disadvantages in relation to other imaging examinations.…”

Section: Discussionmentioning

confidence: 99%

“…Inflammatory lesions, mucous retention phenomena, and benign and malignant neoplasms are examples of conditions that can develop in this anatomic region, often making a clinical diagnosis difficult [7]. Therefore, the aim of the present study was to evaluate the contribution of US in establishing the diagnosis of nonspecific nodular lesions of the oral and maxillofacial region, as well as making professionals in odontology aware of the indications and reliability of US.…”

Section: Introductionmentioning

confidence: 99%

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Martins

Salum

Cherubini

et al. 2014

J. Maxillofac. Oral Surg.

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Objective The aim of this study was to evaluate the contribution of ultrasonography in the establishment of the diagnosis of nonspecific nodular lesions of the oral soft tissues. We determined the indication of use and reliability of ultrasonography in the field of dentistry, considering whether it was of value in the conclusive diagnosis of these pathologies. Materials and Methods We recruited 65 patients from the Oral Medicine Unit of São Lucas Hospital, who had submucosal and subcutaneous nodules, without established diagnosis. They were subjected to ultrasonography of the lesion, carried out with standardization of the protocol and equipment, utilizing a Doppler system. The ultrasonographic report was prepared by an experienced professional, noting the imaging characteristics as well as the possibility of diagnosis. Two calibrated examiners analyzed the data, comparing the ultrasonographic report with the final diagnosis. Accordingly, we used established scoring, where zero corresponded to no contribution to the final diagnosis, 1 helped in the management of the case, and 2 when imaging determined the diagnosis. Results A zero score was obtained for 12.3 % of the examinations performed, and 1 and 2 accounted for respectively 41.5 and 46.1 %, totaling a contribution of about 88 %. Ultrasonography was of value in the diagnosis of vascular lesions in 93.3 % and of neoplasms in 87.5 %. In the salivary gland diseases, it contributed to the final diagnosis in 75 %. Conclusion The results demonstrated that ultrasonography is an effective tool in the determination of the definitive diagnosis of nonspecific nodular lesions of the soft tissues of the oral and maxillofacial region.

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Salivary gland

2017

Cytopathology of the Head and Neck

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Diagnostic value of ultrasound-guided core needle biopsy in patients with salivary gland masses

Cited by 51 publications

References 34 publications

Salivary Gland Tumors: A Diagnostic Dilemma!

Salivary Gland Tumors: A Diagnostic Dilemma!

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Salivary gland

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