Ultrasound-guided core needle biopsy of parotid gland swellings

Pratap, Rohit; Qayyum, Asad; Ahmed, Najeeb; Jani, Piyush; Berman, Laurence

doi:10.1017/s0022215108003563

Cited by 37 publications

(59 citation statements)

References 13 publications

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“…Even though, rare complications like small haematomas infection, facial nerve damage, implantation of tumor cells, or other complications have been reported, there were no complications in the series. Other studies are also in agreement with this 32,33 .…”

Section: Discussionsupporting

confidence: 89%

Fine Needle Aspiration Cytology in Salivary Gland Swellings- A Cross Sectional Study in a Tertiary Care Centre

.M¹

2017

jmscr

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Section: Discussionsupporting

confidence: 89%

Fine Needle Aspiration Cytology in Salivary Gland Swellings- A Cross Sectional Study in a Tertiary Care Centre

.M¹

2017

jmscr

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“…The surgical procedure is not planned according to the FNAB results by the majority of the otorhinolaryngologists. 15,16 Some authors recommended that FNAB is an obligatory procedure of the management of parotid tumours, in contrast to others consider that this procedure is not necessary accurate. [17][18][19] The most important aim of FNAB is to allocate a malignant tumours from a benign one.…”

Section: Discussionmentioning

confidence: 99%

“… Very rigid lesions with low cellularity,  Taking specimen from small nodules. [12][13][14][15][16][17] The potential reasons that caused to misdiagnosis results are follow as:…”

Section: Discussionmentioning

confidence: 99%

“… Diagnosing lymphoma is very difficult , among pathologist experiences. [13][14][15][16][17][18][19][20][21] Good collaboration between the otorhinolaryngologist and the pathologist provides the best results. However, in the context of a non-diagnostic FNAB, high suspicion for parotid malignancy may be warranted for otorhinolaryngologist.…”

Section: Discussionmentioning

confidence: 99%

“…Bajaj et al and Pratap et al reported that the sensitivity of FNAB was increased by 20% from to 65% to 85%, respectively, with using ultrasound guidance. 14,15 Our clinical praxis has been modified since this study, and now in our clinic, all FNAB were performed by using ultrasound guidance by an expert radiologist.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic value of fine needle aspiration biopsy in parotid gland neoplasm

Yeğin

Çelik

Olgun

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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Background: The value of fine needle aspiration biopsy (FNAB) in the diagnosis of parotid masses remains unclear, considering current literature. The surgical procedure is not planned according to the FNAB results by the majority of the otorhinolaryngologists. Objectives of the study was to compare the results of FNAB and histopathological results in diagnosing malignancy and benign lesions of parotid gland and to determine the sensitivity, specificity and accuracy of FNAB.Methods: It is a retrospective clinical chart review study. In total, 61 patients (28 females and 33 males; average age, 46.31±15.79 years; age range: 12-82 years) with parotid gland masses who underwent preoperative FNAB were included in this study. All patients underwent FNAB under ultrasound guidance following clinical examination. Histopathological results of the surgical specimens and preoperative results of FNAB were compared and, the sensitivity, specify, positive predictive value (PPV), negative predictive value (NPV), the diagnostic accuracy of FNAB was calculated. A P-value <0.05 was considered to reflect statistical significance. Results: The specificity of FNAB was 100% and its sensitivity was 57.2%. Accuracy for benign lesion was 91.4%, accuracy for a malignancy was 42.8% and overall diagnostic accuracy was 92.0%, respectively. PPV for benign lesion was 91.4% and the NPV was 100%, respectively. PPV for malignancy was 100% and the NPV was 91.4%, respectively.Conclusions: We suggest that FNAB is a valid, safe, easy-to-use method for identifying of parotid gland neoplasms. We recommend FNAB for all potential surgical patients. In our opinion, good collaboration between the Otorhinolaryngologist and the pathologist provides the best results.

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Comparison of ultrasound-guided core biopsy versus fine-needle aspiration biopsy in the evaluation of salivary gland lesions

Douville

Bradford

2012

Head Neck

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Ultrasound-guided core biopsy provides many benefits compared with fine-needle aspiration cytology and has begun to emerge as part of the diagnostic work-up for a salivary gland lesion. Although the increased potential for tumor-seeding and capsule rupture has been extensively discussed, the safety of this procedure is widely accepted based on infrequent reports of tumor-seeding. In fact, a review of the literature shows only 2 cases of salivary tumor seeding following biopsy with larger-gauge needle characteristics, with 2 reported cases of salivary tumor seeding following fine-needle aspiration cytology. However, the follow-up interval of such studies (<7 years) is substantially less than the 20-year follow-up typically necessary to detect remote recurrence. Studies on tumor recurrence of pleomorphic adenoma, the most common salivary gland lesion, suggest that as many as 16% of tumor recurrences occur at least 10 years following initial surgery, with average time to recurrence ranging anywhere from 6.1 to 11.8 years postoperatively. Despite the benefits of ultrasound-guided core biopsy over fine-needle aspiration biopsy, which include both improved consistency and diagnostic accuracy, current studies lack adequate patient numbers and follow-up duration to confirm comparable safety profile to currently accepted fine-needle aspiration cytology. In this report we: (1) compare the relative benefits of each procedure, (2) review evidence regarding tumor seeding in each procedure, (3) discuss time course and patient numbers necessary to detect tumor recurrence, and (4) describe how these uncertainties should be factored into clinical considerations.

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Ultrasound-guided core needle biopsy of parotid gland swellings

Abstract: We propose ultrasound-guided core needle biopsy as a very safe and effective tool in cases of parotid swelling in which fine needle aspiration cytology has failed to give a definitive diagnosis.

Cited by 37 publications

References 13 publications

Fine Needle Aspiration Cytology in Salivary Gland Swellings- A Cross Sectional Study in a Tertiary Care Centre

Fine Needle Aspiration Cytology in Salivary Gland Swellings- A Cross Sectional Study in a Tertiary Care Centre

Diagnostic value of fine needle aspiration biopsy in parotid gland neoplasm

Comparison of ultrasound-guided core biopsy versus fine-needle aspiration biopsy in the evaluation of salivary gland lesions

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