Fine‐needle aspiration cytology and intraoperative frozen section in parotid gland tumour surgery: A retrospective multicenter analysis of 417 cases

Grasl, Stefan; Kadletz, Lorenz; Janik, Stefan; Riedl, Agnes; Erlacher, Birgit; Formanek, Michael; Grasl, Matthäus Ch.; Erović, Boban M.

doi:10.1111/coa.13314

Cited by 10 publications

(13 citation statements)

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“…In addition, 36% were Warthin tumors, which is significantly more than in other series (8%-15%), 15,17 but reflects figures presented by Perkins et al 18 Most malignant tumors in our study were SDCs (31%), a significantly differing finding from other studies where other tumor types predominate. 13,14,16,19 We encountered no adenoid cystic carcinomas (ACC), but noteworthy, the overall number of malignancies remained low. In our previous study of submandibular gland neoplasms, ACC was the most common type of malignancy.…”

Section: Discussionmentioning

confidence: 98%

“…Malignant parotid gland tumors represented 10% of all neoplasms, which is in line with the study published by Bradley et al in 2013 12 but significantly less than in some other recent studies reporting 14% to 32%. [13][14][15][16][17] Due to the national health care system with centralized treatment we were able to gather a patient series that represents the true distribution of benign and malignant tumors within our geographic area. We report an annual incidence of 0.88/ 100 000 inhabitants for malignant parotid neoplasms, which follows the estimation presented previously from the UK.…”

Section: Discussionmentioning

confidence: 99%

“…Although a repeated FNAC sample was obtained in 15 (8%) patients, the FNAC remained inadequate (class 0) in 5% of the patients, which compares well with other series with figures ranging between 6% and 7%. 13,15,17 The proportion of inconclusive or inadequate cytological samples and lack of accuracy of grading for malignant tumors remains a challenge in management planning.…”

Section: Discussionmentioning

confidence: 99%

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Preoperative evaluation and treatment consideration of parotid gland tumors

Aro

Korpi

Tarkkanen

et al. 2020

Laryngoscope Investig Oto

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Background The nature of parotid tumors often remains unknown preoperatively and final histopathology may reveal unexpected malignancy. Still, the use of fine‐needle aspiration cytology (FNAC) and imaging varies in the management of these tumors. Methods We evaluated the preoperative examinations and management of all 195 parotid gland tumors diagnosed within our catchment area of 1.6 million people during 2015. Results Altogether 171 (88%) tumors were classified as true salivary gland neoplasms. FNAC showed no false malignant findings, but it was false benign in 5 (2.6%) cases. Preoperative MRI was utilized in 48 patients (25%). Twenty (10%) malignancies included 16 salivary gland carcinomas. Pleomorphic adenomas accounted for 52% of all adenomas. For 24 (40%) Warthin tumors, surgery was omitted. Conclusion The proportion of malignancies was lower than generally presented. Our proposed guidelines include ultrasound‐guided FNAC with certain limitations. MRI is warranted in selected cases, but seems unnecessary routinely.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Preoperative evaluation and treatment consideration of parotid gland tumors

Aro

Korpi

Tarkkanen

et al. 2020

Laryngoscope Investig Oto

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“…Her 2 yöntem birlikte uygulandığında tanısal doğruluk ciddi oranda artmaktadır. 12 Her ne kadar kendi frozen bulgularımızla bir sonuca varmamız mümkün olmasa da ilgili literatüre göre, preoperatif dönemde "şüpheli" olarak değerlendirilen durumlarda frozen incelemeden destek alınması klinisyene yardımcı olabilir.…”

Section: Discussionunclassified

Comparison of Fine Needle Aspiration Biopsy and Histopathological Findings in Salivary Gland Masses

Tahir¹,

Kavaz²

2020

KBB ve BBC Dergisi

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İnce iğne aspirasyon biyopsisi (İİAB), tüm baş-boyun kitlelerinde olduğu gibi tükürük bezi kitlelerinin de preoperatif değerlendirilmesinde ve tedavinin planlanmasında sık kullanılan, güvenilir ve ucuz bir yöntemdir. 1 Tükürük bezi kaynaklı kitlelerin tedavisine karar verilirken, lezyonun benign mi yoksa malign mi olduğunun ameliyat öncesi dö-nemde bilinmesi önemlidir. İİAB biyopsisi bu konuda önemli bilgiler vererek seçilecek tedavi yönteminin belirlenmesinde yardımcı olabilmektedir. 2 Pek çok klinisyen tedavi kararı verilmeden İİAB yapılması gerektiğini savunurken, bu tekniğin yeterince doğru sonuç vermediğini savunan klinisyenler de mevcuttur. 3

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“…For rapid diagnostic workup, FNAC is a well-established procedure that can be performed in the outpatient setting with minimal to no risk of complications [7,8]. The predictive value of a positive FNAC is high but there is a certain rate of non-diagnostic results [10]. In this work, various factors were examined which could influence the success of an FNAC.…”

Section: Discussionmentioning

confidence: 99%

A Nomogram to Predict the Outcome of Fine Needle Aspiration Cytology in Head and Neck Masses

Kotowski

Brkic

Koperek

et al. 2019

JCM

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Fine needle aspiration cytology (FNAC) is an important diagnostic tool for tumors of the head and neck. However, non-diagnostic or inconclusive results may occur and lead to delay in treatment. The aim of this study was to evaluate the factors that predict a successful FNAC. A retrospective search was performed to identify all patients who received an FNAC at the Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna. The variables were patients’ age and sex, localization and size of the punctured structure, previous radiotherapy, experience of the head and neck surgeon, experience of the pathologist and the FNAC result. Based on these parameters, a nomogram was subsequently created to predict the probability of accurate diagnosis. After performing 1221 FNACs, the size of the punctured lesion (p = 0.0010), the experience of the surgeon and the pathologist (p = 0.00003) were important factors for a successfully procedure and reliable result. FNACs performed in nodes smaller than 20 mm had a significantly worse diagnostic outcome compared to larger nodes (p = 0.0004). In conclusion, the key factors for a successful FNAC are nodal size and the experience of the head and neck surgeon and the pathologist.

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Fine‐needle aspiration cytology and intraoperative frozen section in parotid gland tumour surgery: A retrospective multicenter analysis of 417 cases

Cited by 10 publications

References 10 publications

Preoperative evaluation and treatment consideration of parotid gland tumors

Preoperative evaluation and treatment consideration of parotid gland tumors

Comparison of Fine Needle Aspiration Biopsy and Histopathological Findings in Salivary Gland Masses

A Nomogram to Predict the Outcome of Fine Needle Aspiration Cytology in Head and Neck Masses

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