The Utility of Fine Needle Aspiration in Parotid Malignancy

Lin, Aaron; Bhattacharyya, Neil

doi:10.1016/j.otohns.2006.12.026

Cited by 51 publications

(44 citation statements)

References 19 publications

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“…For practical purposes, the most important goal of FNAC is to distinguish a benign parotid mass from a malignant one. With this preoperative diagnostic information, the surgeon may consider adjunctive or more extensive surgical strategies for parotidectomy [11]. Accurate tumor typing is less important and may be deferred to the definitive histological examination [2].…”

Section: Discussionmentioning

confidence: 99%

Value of Fine-Needle Aspiration Cytology in the Evaluation of Parotid Tumors

Javadi

Asghari

Hassannia

2011

Indian J Otolaryngol Head Neck Surg

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Fine needle aspiration cytology (FNAC) is commonly used in the study of parotid masses; however controversy exists regarding its diagnostic accuracy. The objective of this study was to evaluate the effectiveness of FNAC as a preoperative diagnostic tool of parotid tumors. Sixty-five patients had satisfactory preoperative FNAC and underwent subsequent surgery to the parotid between March 2002 and July 2009 at our institution. The results of the FNAC were compared to the permanent histopathological diagnosis. The sensitivity, specificity, positive predictive value, negative predictive value, and the overall accuracy of FNAC for parotid masses were 57.9, 97.8, 91.7, 84.9, and 86%, respectively. FNAC is useful in the preoperative assessment of parotid tumors and surgical planning. The non-diagnostic and false-negative results are the limitations of FNAC that should be reduced to improve its usefulness in the evaluation of parotid tumors.

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Section: Discussionmentioning

confidence: 99%

Value of Fine-Needle Aspiration Cytology in the Evaluation of Parotid Tumors

Javadi

Asghari

Hassannia

2011

Indian J Otolaryngol Head Neck Surg

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“…FNAB is a reliable and minimally invasive method and carries a minimum risk of complications (3,6). Differentiation between benign and malignant lesions may be possible with FNAB; this is one of the most important advantages of FNAB (7). Additionally, the degree of differentiation of neoplastic cells can be determined, which may aid in the selection of the type of surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

Role of Fine-Needle Aspiration Biopsy in the Management of Salivary Gland Masses

Edızer¹,

Server²,

Yiğit³

et al. 2016

Turk Arch Otorhinolaryngol

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Objective: Fine-needle aspiration biopsy (FNAB) is widely used in the management of salivary gland masses. Its main advantage is its ability to differentiate benign from malignant disease. In this study, we aimed to evaluate the diagnostic ability of FNAB in salivary gland masses. Methods:The records of patients who had undergone FNAB before parotidectomy or submandibular gland excision between 2005 and 2013 were retrospectively analyzed. FNAB results were classified as negative, positive, suspicious for malignancy, and non-diagnostic. Preoperative FNAB results were compared with definitive histopathological results. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of FNAB results were calculated.Results: A total of 285 patients were enrolled. Among them, 230 (80.7%) had parotid gland and 55 (19.3%) had submandibular gland masses. Following a definitive histopathological examination, the most common benign tumor was pleomorphic adenoma (52.6%), whereas malignant tumors were mucoepidermoid carcinoma (2%) and squamous cell carcinoma (2%). The sensitivity, specificity, PPV, NPV and accuracy of FNAB results were 76.9%, 95.4%, 75%, 95.9%, and 92.6%, respectively. The rate of a suspicious cytology was 5.2% (15 patients) and that of a non-diagnostic cytology was 8.8% (25 patients). Conclusion:FNAB is a safe and simple diagnostic tool for the diagnosis of salivary gland masses and has a relatively high sensitivity and specificity. It may provide valuable information for patient counselling and surgical planning. The major drawbacks include a lower sensitivity than specificity and a relatively high rate of non-diagnostic results.

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“…İİAB tanısal anlamda son yıllarda daha popüler olmuş-tur. Literatüre baktığımızda İİAB'nin duyarlılık ve spesifitesinin yüksek olduğu görülebilmektedir (14,15) . İİAB'nin kitlenin selim-habis ayırımında duyarlılığı %93.3, spesifitesi ise % 98 olarak bildirilmiştir, kesin patolojik tanı koymadaki başarısı ise selim-habis ayırı-mındaki kadar yüksek değildir (16) .…”

Section: Discussionunclassified