The role of fine-needle aspiration biopsy (FNAB) in Warthin tumour diagnosis and management

Jechova, Alzbeta; Kuchař, Martin; Dostálová, Lucie; Zábrodský, Michal; Plzák, Jan

doi:10.1055/s-0040-1711431

Cited by 4 publications

(4 citation statements)

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“…Likewise, 284 cases (80.7%) had a definitive diagnosis of WT on cytopathology, and 273 of these were diagnosed as WT on surgical resection; this corresponded to a diagnostic accuracy of 96.1% and RON and ROM values of 98.9% (281 of 284) and 1.4% (4 of 284), respectively. Similarly, in a separate series, FNA of the parotid gland showed a diagnostic accuracy of 96.4% for WTs 22 …”

Section: Discussionmentioning

confidence: 72%

Assessing the diagnostic accuracy for pleomorphic adenoma and Warthin tumor by employing the Milan System for Reporting Salivary Gland Cytopathology: An international, multi‐institutional study

Allison

Smith

et al. 2020

Cancer Cytopathology

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Background The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) has established distinct diagnostic categories for reporting cytopathological findings, and each is associated with a defined risk of malignancy (ROM). However, the ROM is applied at the overall category level and is not specific for particular morphological entities within a category. Here, the diagnostic performance of the MSRSGC for pleomorphic adenoma (PA) and Warthin tumor (WT) is reported. Methods The pathology archives of 11 institutions from 4 countries were retrospectively searched to identify all salivary gland fine‐needle aspiration (FNA) biopsies with a differential or definitive diagnosis of PA or WT and all resection specimens with a diagnosis of PA or WT; only paired cases were included. All FNA diagnoses were retrospectively classified according to the MSRSGC. Results A total of 1250 cases met the inclusion criteria, and they included 898 PA cases and 352 WT cases. The ROM in the benign neoplasm category was 3.0% and 1.3% for cases with a differential or definitive diagnosis of PA and WT, respectively. The ROM in the salivary gland neoplasm with uncertain malignant potential (SUMP) category was 2.7% and 18.8% for PA and WT, respectively (P = .0277). The diagnostic accuracy for PA and WT was 95.1% and 96.1%, respectively. Conclusions The diagnostic accuracy for PA and WT on FNA is high. Furthermore, these findings highlight the difference in the ROMs associated with 2 specific differential diagnoses in the SUMP category: basaloid neoplasms and oncocytoid neoplasms.

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Section: Discussionmentioning

confidence: 72%

Assessing the diagnostic accuracy for pleomorphic adenoma and Warthin tumor by employing the Milan System for Reporting Salivary Gland Cytopathology: An international, multi‐institutional study

Allison

Smith

et al. 2020

Cancer Cytopathology

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“…Fine needle aspiration (FNA), core needle biopsy (CNB) and open biopsy are diagnostic procedures that will not be further discussed in this paper. Nevertheless it is generally accepted that although having their indications, they cannot offer 100% diagnostic accuracy [28][29][30][31][32].…”

Section: Surgical Techniques Available and Historical Developmentmentioning

confidence: 99%

Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors

Psychogios

Bohr

Constantinidis

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose Surgical treatment of benign parotid tumors has developed in the direction of less invasive procedures in recent years and has raised great debate about the best surgical approach. Aim of this article is to analyse anatomical and other factors that are important in selection of the appropriate surgical technique in treatment of benign parotid tumors. Furthermore, to discuss the risk of complications and recurrent disease according to selected operation. Finally, to define patient selection criteria to facilitate decision making in parotid surgery and become a guide for younger surgeons. Methods Literature review and authors' personal opinions based on their surgical experience. Results All possible surgical techniques for benign parotid surgery with advantages and disadvantages are being described. An algorithm with anatomical and other criteria influencing decision making in benign parotid surgery is presented. Conclusion Surgeons nowadays have many options to choose from for benign parotid surgery. ECD is one of the many surgical techniques available in parotid surgery and can achieve excellent results with proper training and if used for proper indications. PSP is mainly indicated in large tumors of the caudal part of the PG (ESGS level II). SP represents a universal solution in parotid surgery and should be the first technique young surgeons learn. TP has only few but important indications in benign parotid surgery. Surgeons need to carefully consider the patient and his/her preoperative imaging as well as her or his own special expertise to select the most appropriate surgical technique.

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“…In their series, out of 202 cytological diagnoses, there were 17 misdiagnoses, including 11 (5.4%) malignancies 20 . Another study reported sensitivity and specificity of the US‐guided FNAC for the diagnosis of WT as 96.63% and 96%, respectively 21 . The accuracy of this method was 96.36% (CI: 94.54–97.70%) 3 …”

Section: Discussionmentioning

confidence: 98%

Surgeon‐performed ultrasound with fine‐needle aspiration biopsy for the diagnosis of parotid gland tumors

et al. 2021

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Background Ultrasound (US) with or without fine‐needle aspiration cytology (FNAC) are readily available and can offer in office and rapid diagnosis of parotid lumps. Methods We analyzed 398 of patients who underwent blind FNAC or US with FNAC performed by an operating head and neck surgeon. Specificity, sensitivity, as well as accuracy were calculated for US alone, FNAC alone, and US–FNAC combined. Results Nondiagnostic US‐guided FNAC rate was 3.1% and 7.2% for blind FNAC. With those cases removed, final accuracy for US alone in diagnosis of malignancy, pleomorphic adenoma (PA), and Warthin tumor (WT) were 90.8%, 81%, and 77.4% respectively. For US–FNAC accuracy for malignancy, PA, and WT were 92.1%, 94 0.8%, and 95.4% respectively. Conclusion US with FNAC is cost‐effective and rapid diagnostic tool and may help surgeon to deliver more accurate informed consent to a patient.

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The role of fine-needle aspiration biopsy (FNAB) in Warthin tumour diagnosis and management

Cited by 4 publications

References 0 publications

Assessing the diagnostic accuracy for pleomorphic adenoma and Warthin tumor by employing the Milan System for Reporting Salivary Gland Cytopathology: An international, multi‐institutional study

Assessing the diagnostic accuracy for pleomorphic adenoma and Warthin tumor by employing the Milan System for Reporting Salivary Gland Cytopathology: An international, multi‐institutional study

Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors

Surgeon‐performed ultrasound with fine‐needle aspiration biopsy for the diagnosis of parotid gland tumors

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