Aro , K , Korpi , J , Tarkkanen , J , Mäkitie , A & Atula , T 2020 , ' Preoperative evaluation and treatment consideration of parotid gland tumors ' , Laryngoscope Investigative Otolaryngology , vol. 5 , no. 4 , pp. 694-702 . https://doi.org/10.1002/lio2.433
Title: | Preoperative evaluation and treatment consideration of parotid gland tumors |
Author: | Aro, Katri; Korpi, Jarkko; Tarkkanen, Jussi; Mäkitie, Antti; Atula, Timo |
Contributor organization: | HUS Head and Neck Center Korva-, nenä- ja kurkkutautien klinikka University of Helsinki Helsinki University Hospital Area Department of Pathology Department of Ophthalmology and Otorhinolaryngology Research Program in Systems Oncology Research Programs Unit Faculty of Medicine HUSLAB |
Date: | 2020-08 |
Language: | eng |
Number of pages: | 9 |
Belongs to series: | Laryngoscope Investigative Otolaryngology |
ISSN: | 2378-8038 |
DOI: | https://doi.org/10.1002/lio2.433 |
URI: | http://hdl.handle.net/10138/319029 |
Abstract: | 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. |
Subject: |
cytology
diagnosis fine-needle aspiration salivary gland surgery FINE-NEEDLE-ASPIRATION DIAGNOSTIC-ACCURACY CYTOLOGY BENIGN NEOPLASMS CANCER HEAD METAANALYSIS DISSECTION EMPHASIS 3125 Otorhinolaryngology, ophthalmology |
Peer reviewed: | Yes |
Rights: | cc_by_nc_nd |
Usage restriction: | openAccess |
Self-archived version: | publishedVersion |
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