Diagnosis, Differential; Humans; Parotid Diseases/pathology; Parotid Diseases/surgery; Parotid Gland/pathology; Parotid Neoplasms/pathology; Parotid Neoplasms/surgery; Predictive Value of Tests; Retrospective Studies; Biopsy, Fine-Needle; Head and neck tumour; Parotid gland; Parotid tumour; Salivary glands; Surgery; Otorhinolaryngology
Abstract :
[en] [en] INTRODUCTION: The role of fine-needle aspiration cytology (FNAC) in the management of parotid tumours is still the subject of controversy. The purpose of this study was to determine the diagnostic value of FNAC in our institution in order to define its place in the diagnostic strategy.
PATIENTS AND METHODS: This retrospective study was based on 249 patients who had undergone preoperative FNAC before being operated in our institution between 2001 and 2008. All examinations were performed and interpreted by the same experienced pathologist.
RESULTS: Among the 249 patients included in this study, 187 (75%) had a benign tumour and 62 (25%) had a malignant tumour. No complications of FNAC were observed. Cytological findings were non-contributory in 47 patients (18%). The sensitivity of FNAC for the diagnosis of malignancy was 80% with a specificity of 89.5%. Among the 11 false-negative results, lymphomas and low-grade mucoepidermoid carcinomas were the most common histological types. Among the 16 false-positive results, Warthin's tumours, pleomorphic adenomas and lymphoepithelial lesions were the most common histological types. Accurate histological classification of the tumour was reported in 79.5% of cases (86% for benign tumours and 44% for malignant tumours).
CONCLUSION: FNAC is a reliable examination providing important information to the surgeon in the preoperative diagnostic assessment.
Disciplines :
Otolaryngology
Author, co-author :
Fakhry, N; Service ORL et chirurgie cervico-faciale, Assistance publique-Hôpitaux de Marseille, centre hospitalier universitaire La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France. nicolas.fakhry@ap-hm.fr
Antonini, F; Service ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Michel, J; Service ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Penicaud, M; Service ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Mancini, J; Service de Santé Publique et d'Information Médicale, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France ; Lertim, EA 3283, Faculté de Médecine de Marseille, 13385 Marseille Cedex 05, France
Lagier, Aude ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'ORL, d'audiophonologie et de chir. cervico-faciale ; Service ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Santini, L; Service ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Turner, F; Service ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Chrestian, M-A; Service d'Anatomopathologie, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Zanaret, M; Service ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Dessi, P; Service ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Giovanni, A; Service ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire la Timone, 13385 Marseille Cedex 05, France
Language :
English
Title :
Fine-needle aspiration cytology in the management of parotid masses: evaluation of 249 patients.
Publication date :
June 2012
Journal title :
European Annals of Otorhinolaryngology, Head and Neck Diseases
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