Preoperative evaluation and treatment consideration of parotid gland tumors

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http://hdl.handle.net/10138/319029

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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

Titel: Preoperative evaluation and treatment consideration of parotid gland tumors
Författare: Aro, Katri; Korpi, Jarkko; Tarkkanen, Jussi; Mäkitie, Antti; Atula, Timo
Upphovmannens organisation: 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
Datum: 2020-08
Språk: eng
Sidantal: 9
Tillhör serie: Laryngoscope Investigative Otolaryngology
ISSN: 2378-8038
DOI: https://doi.org/10.1002/lio2.433
Permanenta länken (URI): http://hdl.handle.net/10138/319029
Abstrakt: 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
Referentgranskad: Ja
Licens: cc_by_nc_nd
Användningsbegränsning: openAccess
Parallelpublicerad version: publishedVersion


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