Fine‐needle aspiration cytology for parotid lesions, can we avoid surgery?

Shkedy, Yotam; Alkan, Uri; Mizrachi, Aviram; Shochat, Tzippy; Dimitstein, O.; Morgenstern, Sara; Shpitzer, Thomas; Bachar, Gideon

doi:10.1111/coa.13038

Cited by 25 publications

(25 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, many studies debate its accuracy, which is explained by the variety and the scarcity of salivary tumors. 25,26 In our series the salivary gland group had the highest FN rate (2.8%) which explains its lowest sensitivity (66.7%). The same results were reported by several studies.…”

Section: Discussionmentioning

confidence: 50%

See 1 more Smart Citation

Accuracy of fine‐needle aspiration cytology of head and neck masses

Rammeh

Romdhane

Sassi

et al. 2018

Diagnostic Cytopathology

View full text Add to dashboard Cite

Background Head and neck masses are a common presentation in daily practice and can be challenging to both clinicians and cytopathologists. Fine needle aspiration cytology (FNAC) is a widely used method for the diagnosis of head and neck masses. The aim of the study was to assess our institutional experience of the accuracy of FNAC in the diagnosis of head and neck masses. Methods A total of 1262 FNACs were conducted from January 2013 to December 2016 and subdivided into benign and malignant categories. The thyroid and salivary glands FNACs were classified according to the Bethesda System for Reporting Thyroid cytopathology and to the Milan System for Reporting Salivary Gland Cytopathology respectively. The measures of diagnostic accuracy of FNAC were determined taking histology as a gold standard. Results A total of 7 false negative (FN) and 6 false positive (FP) FNACs were identified. Overall sensitivity and specificity of FNAC for a malignant diagnosis were 92% and 94.4%, respectively. Accuracy of FNACs of head and neck masses was 93.5% for all sites. The salivary gland group had the highest rate of FN (2.8%). All FP were reported in the thyroid group. These cases were cytologically classified suspicious for malignancy (n = 3) and papillary carcinoma (n = 3) and proved to be lymphocytic thyroiditis on final histology. Among the most common locations, cytology of lymph nodes provided the best sensitivity (98.2%). Salivary glands as well as lymph nodes had the best specificity (100%). Conclusion FNAC of head and neck masses has a high accuracy allowing a correct therapeutic management. However, this accuracy depends on the anatomic location of the mass.

show abstract

Section: Discussionmentioning

confidence: 50%

“…Fine‐needle aspiration cytology is commonly indicated for preoperative assessment of salivary glands. However, many studies debate its accuracy, which is explained by the variety and the scarcity of salivary tumors . In our series the salivary gland group had the highest FN rate (2.8%) which explains its lowest sensitivity (66.7%).…”

Section: Discussionmentioning

confidence: 50%

Accuracy of fine‐needle aspiration cytology of head and neck masses

Rammeh

Romdhane

Sassi

et al. 2018

Diagnostic Cytopathology

View full text Add to dashboard Cite

show abstract

“…In cases of Warthin's tumor, PPV varied over a wider range (77%–100%) based on population characteristics such as age, duration of lesion, and smoking status. The authors argue that although the PPV is fairly high in benign disease, it is not sufficiently high to preclude surgical management due to concern of false negative rates as high as 20% in their study . Importantly, the authors note the dependence of disease prevalence on positive and negative predictive value.…”

Section: Literature Reviewmentioning

confidence: 84%

What Is the Utility of Fine‐Needle Aspiration in Parotid Gland Neoplasms?

Stanek

Khariwala

2018

The Laryngoscope

View full text Add to dashboard Cite

“…In practice, patients are well counseled to acknowledge the risks related to parotid gland surgery, 31 and when all cytological criteria for Warthin tumor are fulfilled, the diagnosis is nearly 100%. 14,32,33 We had 15 patients with a final histopathology showing a cyst.…”

Section: Discussionmentioning

confidence: 99%

“…This raises a question of appropriate indications to choose follow‐up only. In practice, patients are well counseled to acknowledge the risks related to parotid gland surgery, 31 and when all cytological criteria for Warthin tumor are fulfilled, the diagnosis is nearly 100% 14,32,33 …”

Section: Discussionmentioning

confidence: 99%

Preoperative evaluation and treatment consideration of parotid gland tumors

Aro

Korpi

Tarkkanen

et al. 2020

Laryngoscope Investig Oto

View full text Add to dashboard Cite

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.

show abstract

Fine‐needle aspiration cytology for parotid lesions, can we avoid surgery?

Abstract: Fine-needle aspiration cytology has limited utility in confirming a benign diagnosis of a parotid mass for most patients, although for some subpopulations, the PPV may be high enough to defer surgery.

Cited by 25 publications

References 16 publications

Accuracy of fine‐needle aspiration cytology of head and neck masses

Accuracy of fine‐needle aspiration cytology of head and neck masses

What Is the Utility of Fine‐Needle Aspiration in Parotid Gland Neoplasms?

Preoperative evaluation and treatment consideration of parotid gland tumors

Contact Info

Product

Resources

About