Preoperative evaluation and treatment consideration of parotid gland tumors

Show simple item record Aro, Katri Korpi, Jarkko Tarkkanen, Jussi Mäkitie, Antti Atula, Timo 2020-09-03T09:33:01Z 2020-09-03T09:33:01Z 2020-08
dc.identifier.citation 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 .
dc.identifier.other PURE: 143469201
dc.identifier.other PURE UUID: 9ab7e2e4-31ef-40e0-ade2-2519374ee42a
dc.identifier.other WOS: 000550386800001
dc.identifier.other ORCID: /0000-0002-6560-1128/work/79877833
dc.description.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. en
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof Laryngoscope Investigative Otolaryngology
dc.rights cc_by_nc_nd
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject cytology
dc.subject diagnosis
dc.subject fine-needle aspiration
dc.subject salivary gland
dc.subject surgery
dc.subject CYTOLOGY
dc.subject BENIGN
dc.subject NEOPLASMS
dc.subject CANCER
dc.subject HEAD
dc.subject DISSECTION
dc.subject EMPHASIS
dc.subject 3125 Otorhinolaryngology, ophthalmology
dc.title Preoperative evaluation and treatment consideration of parotid gland tumors en
dc.type Article
dc.contributor.organization HUS Head and Neck Center
dc.contributor.organization Korva-, nenä- ja kurkkutautien klinikka
dc.contributor.organization University of Helsinki
dc.contributor.organization Helsinki University Hospital Area
dc.contributor.organization Department of Pathology
dc.contributor.organization Department of Ophthalmology and Otorhinolaryngology
dc.contributor.organization Research Program in Systems Oncology
dc.contributor.organization Research Programs Unit
dc.contributor.organization Faculty of Medicine
dc.contributor.organization HUSLAB
dc.description.reviewstatus Peer reviewed
dc.relation.issn 2378-8038
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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