Value of the cytological diagnosis in the treatment of parotid tumors

Jafari, Alice; Royer, Bénédicte Brounais-Le; Lefèvre, Marine; Corlieu, P; Périé, Sophie; Guily, Jean Lacau St

doi:10.1016/j.otohns.2008.10.032

Cited by 28 publications

(17 citation statements)

References 17 publications

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“…The remaining six lesions (6.2%) were non‐neoplastic. These findings differ from those reported in recent literature, with incidence of benign lesions being 80–85% and 15–20% for malignant . In line with current literature, pleomorphic adenoma was the most common benign tumour identified, comprising 64.2% of benign lesions .…”

Section: Discussioncontrasting

confidence: 81%

Use of fine‐needle aspiration cytology in the diagnosis of parotid neoplasms

Henrys

Grigg

2014

ANZ Journal of Surgery

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Section: Discussioncontrasting

confidence: 81%

Use of fine‐needle aspiration cytology in the diagnosis of parotid neoplasms

Henrys

Grigg

2014

ANZ Journal of Surgery

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“…A review of the literature showed a FNAC sensitivity ranging from 54% to 92% and a specificity of 86‒100% 2 , 4 , 6 , 12 , 17 , 18 , 20 , 22 - 24 , 26 , 30 . These findings are summarized in Table 3.…”

Section: Discussionmentioning

confidence: 89%

“…However, the value of FNAC for the diagnosis of parotid gland masses. has been questioned due to its low sensitivity regarding malignancy, variation in reported results, and the belief that most parotid masses require surgery in any case 17 , 20 . Tumors of the parotid gland can be removed by superficial parotidectomy and total parotidectomy 10 .…”

Section: Introductionmentioning

confidence: 99%

The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients

GUDMUNDSSON¹,

Ajan²,

Abtahi³

2016

J. Appl. Oral Sci.

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Objective Fine-needle aspiration cytology is a valuable method for preoperative assessment of head and neck tumors. However, its accuracy in detection of salivary gland masses is controversial compared with other methods. The aim of this work was to evaluate the effectiveness and accuracy of fine-needle aspiration cytology (FNAC) in the diagnosis of parotid gland masses.Material and Methods Over a 10-year period, 126 parotid gland masses were resected. Retrospective chart reviews of 114 patients were performed. The results of FNAC and final histological diagnosis were compared and the accuracy of FNAC was determined.Results Final histological evaluation revealed 11 malignant tumors and 103 benign lesions. Pleomorphic adenoma was the most common neoplasm (63%), followed by Warthin’s tumor (17.5%). The sensitivity of FNAC in detecting malignant tumors was 73% and the specificity was 97%. Positive predictive value (PPV) was 73% and negative predictive value (NPV) was 97%. The overall accuracy of FNAC in detecting parotid masses was 95%. False-negative diagnosis was found in mucoepidermoid carcinoma, acinic cell carcinoma, and epithelial-myoepithelial carcinoma whereas there was false-positive diagnosis in cases of pleomorphic adenoma and normal parotid gland tissue.Conclusion FNAC is a reliable minimally invasive diagnostic method with a high sensitivity in diagnosis of lesions in parotid glands. The sensitivity of detection of malignant tumors in parotid glands was low due to the biopsy technique used, and depended on tumor location. Postoperative complications decreased after superficial parotidectomy.

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“…However, even if the cytological results are negative, the test does not replace the need for clinical judgment in the management of a suspected salivary gland neoplasm. At present, the majority of otolaryngologists conclude that no single investigative modality is suitable for diagnosis of specific lesions of the salivary gland (25,26). …”

Section: Discussionmentioning

confidence: 99%

Salivary gland tumors: A 20-year review of clinical diagnostic accuracy at a single center

et al. 2013

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Obtaining reliable pre-operative diagnosis is crucial in planning treatment for patients with salivary gland tumors. The purpose of this study was to evaluate the accuracy of pre-operative clinical diagnosis of salivary gland tumors managed at a single tertiary university hospital over a period of 20 years. A retrospective analysis of the period between 1992 and 2011 was carried out to review the cases of patients with salivary gland tumors. A total of 101 patients were enrolled and general data were described. Clinical diagnosis was compared with the final pathological diagnosis to reveal the clinical diagnostic accuracy. Of the parotid and submandibular gland tumors, 86 and 67% were benign, respectively. The clinical diagnostic accuracies for diagnosis of parotid tumors as benign or malignant were 100 and 57%, respectively. The clinical diagnostic accuracies for diagnosis of submandibular tumors as benign or malignant were 67%. Therefore, the overall clinical judgment of benign and malignant tumors in the submandibular gland is unreliable. The accuracy for a parotid tumor to be clinically interpreted as benign was 100%. While it is difficult to draw any conclusion for non-parotid gland tumors, surgical intervention should be recommended in patients with parotid tumors clinically suspected to be malignant, and all submandibular, sublingual and minor salivary gland tumors.

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Value of the cytological diagnosis in the treatment of parotid tumors

Abstract: The cytological diagnosis performed in parotid tumors permits differentiation of a benign from a malignant tumor in the majority of cases; however, it underestimates the diagnosis of malignant tumors.

Cited by 28 publications

References 17 publications

Use of fine‐needle aspiration cytology in the diagnosis of parotid neoplasms

Use of fine‐needle aspiration cytology in the diagnosis of parotid neoplasms

The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients

Salivary gland tumors: A 20-year review of clinical diagnostic accuracy at a single center

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