Parotid Tumors: Fine‐Needle Aspiration and/or Frozen Section
- 1 December 2008
- journal article
- research article
- Published by Wiley in Otolaryngology -- Head and Neck Surgery
- Vol. 139 (6), 811-815
- https://doi.org/10.1016/j.otohns.2008.09.013
Abstract
The purpose of this study was to analyze and compare the value of fine-needle aspiration cytology (FNAC) and frozen section (FS) analysis in the assessment of parotid gland tumors. Chart review and cross-sectional analysis. FNAC and FS analysis of 110 parotid tumors, 68 malignancies and 42 benign tumors, were analyzed and compared with the final histopathologic diagnosis. The accuracy, sensitivity, and specificity of FNAC in detecting malignant tumors were 79 percent, 74 percent, and 88 percent, respectively. On FS analysis, the accuracy, sensitivity, and specificity in detecting malignant tumors were 94 percent, 93 percent, and 95 percent, respectively. The histologic tumor type was correctly diagnosed by FNAC and FS in 27 of 42 (64%) and 39 of 42 (93%) benign tumors, respectively, and in 24 of 68 (35%) and 49 of 68 (72%) malignant neoplasms, respectively. The current analysis showed a superiority of FS compared with FNAC regarding the diagnosis of malignancy and tumor typing. FNAC alone is not prone to determine the surgical management of parotid malignancies.Keywords
This publication has 18 references indexed in Scilit:
- Parotidectomy for Benign Parotid Disease at a University Teaching Hospital: Outcome of 963 OperationsThe Laryngoscope, 2006
- Elective neck dissection versus observation in primary parotid carcinomaOtolaryngology -- Head and Neck Surgery, 2005
- Diagnostic accuracy of fine‐needle aspiration cytology and frozen section in primary parotid carcinomaCancer, 2004
- Extracapsular dissection for clinically benign parotid lumps: reduced morbidity without oncological compromiseBritish Journal of Cancer, 2003
- Carcinoma of the parotid glandThe American Journal of Surgery, 2003
- High Incidence of Lymph Node Metastasis in Major Salivary Gland CancerJAMA Otolaryngology–Head & Neck Surgery, 2003
- The Significance of the Margin in Parotid Surgery for Pleomorphic AdenomaThe Laryngoscope, 2002
- Frozen section during parotid surgery revisited: Efficacy of its applications and changing trend of indicationsHead & Neck, 2002
- Perioperative frozen section examination in parotid gland tumorsSao Paulo Medical Journal, 1999
- The indications for elective treatment of the neck in cancer of the major salivary glandsCancer, 1992