Fine needle aspiration biopsy as a diagnostic method that guides the clinician and affects the treatment in parotid gland masses

Adem Bora; Barış Şapcı

doi:10.7197/cmj.1282269

Research Article

Year 2023, Volume: 45 Issue: 2, 13 - 20, 30.06.2023

Adem Bora Barış Şapcı

https://doi.org/10.7197/cmj.1282269

Abstract

References

1. Ali, N. S., Akhtar, S., Junaid, M., Awan, S., & Aftab, K. (2011). Diagnostic accuracy of fine needle aspiration cytology in parotid lesions. ISRN surgery, 2011, 721525. https://doi.org/10.5402/2011/721525
2. MAVEC, P., ENEROTH, C. M., FRANZEN, S., MOBERGER, G., & ZAJICEK, J. (1964). ASPIRATION BIOPSY OF SALIVARY GLAND TUMOURS. I. CORRELATION OF CYTOLOGIC REPORTS FROM 652 ASPIRATION BIOPSIES WITH CLINICAL AND HISTOLOGIC FINDINGS. Acta oto-laryngologica, 58, 471–484. https://doi.org/10.3109/00016486409121406
3. Altin, F., Alimoglu, Y., Acikalin, R. M., & Yasar, H. (2019). Is fine needle aspiration biopsy reliable in the diagnosis of parotid tumors? Comparison of preoperative and postoperative results and the factors affecting accuracy. Brazilian journal of otorhinolaryngology, 85(3), 275–281. https://doi.org/10.1016/j.bjorl.2018.04.015
4. Sharma, G., Jung, A. S., Maceri, D. R., Rice, D. H., Martin, S. E., & Grant, E. G. (2011). US-guided fine-needle aspiration of major salivary gland masses and adjacent lymph nodes: accuracy and impact on clinical decision making. Radiology, 259(2), 471–478. https://doi.org/10.1148/radiol.11101087
5. O'Brien C. J. (2003). Current management of benign parotid tumors--the role of limited superficial parotidectomy. Head & neck, 25(11), 946–952. https://doi.org/10.1002/hed.10312
6. Song, I. H., Song, J. S., Sung, C. O., Roh, J. L., Choi, S. H., Nam, S. Y., Kim, S. Y., Lee, J. H., Baek, J. H., & Cho, K. J. (2015). Accuracy of Core Needle Biopsy Versus Fine Needle Aspiration Cytology for Diagnosing Salivary Gland Tumors. Journal of pathology and translational medicine, 49(2), 136–143. https://doi.org/10.4132/jptm.2015.01.03
7. Boldes, T., Hilly, O., Alkan, U., Shkedy, Y., Morgenstern, S., Shpitzer, T., Bachar, G., & Mizrachi, A. (2021). Accuracy, predictability and prognostic implications of fine-needle aspiration biopsy for parotid gland tumours: A retrospective case series. Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 46(5), 1065–1072. https://doi.org/10.1111/coa.13795
8. Qizilbash, A. H., Sianos, J., Young, J. E., & Archibald, S. D. (1985). Fine needle aspiration biopsy cytology of major salivary glands. Acta cytologica, 29(4), 503–512.
9. Frable, M. A., & Frable, W. J. (1991). Fine-needle aspiration biopsy of salivary glands. The Laryngoscope, 101(3), 245–249. https://doi.org/10.1288/00005537-199103000-00005
10. Suzuki, M., Kawata, R., Higashino, M., Nishikawa, S., Terada, T., Haginomori, S. I., Kurisu, Y., & Hirose, Y. (2019). Values of fine-needle aspiration cytology of parotid gland tumors: A review of 996 cases at a single institution. Head & neck, 41(2), 358–365. https://doi.org/10.1002/hed.25503
11. Zbären, P., Schär, C., Hotz, M. A., & Loosli, H. (2001). Value of fine-needle aspiration cytology of parotid gland masses. The Laryngoscope, 111(11 Pt 1), 1989–1992. https://doi.org/10.1097/00005537-200111000-00023
12. Taniuchi, M., Kawata, R., Omura, S., Haginomori, S. I., Terada, T., Higashino, M., Kurisu, Y., & Hirose, Y. (2021). A novel clinically-oriented classification of fine-needle aspiration cytology for salivary gland tumors: a 20-year retrospective analysis of 1175 patients. International journal of clinical oncology, 26(2), 326–334. https://doi.org/10.1007/s10147-020-01816-5
13. Viguer, J. M., Vicandi, B., Jiménez-Heffernan, J. A., López-Ferrer, P., & Limeres, M. A. (1997). Fine needle aspiration cytology of pleomorphic adenoma. An analysis of 212 cases. Acta cytologica, 41(3), 786–794. https://doi.org/10.1159/000332705
14. Ghantous, Y., Naddaf, R., Barak, M., Abd-Elraziq, M., & Abu Eln-Naaj, I. (2016). The Role of Fine Needle Aspiration in the Diagnosis of Parotid Gland Tumors: Correlation With Preoperative Computerized Tomography Tumor Size. The Journal of craniofacial surgery, 27(2), e192–e196. https://doi.org/10.1097/SCS.0000000000002446
15. Hanege, F. M., Tuysuz, O., Sakallioglu, O., & Arslan Solmaz, O. (2020). Diagnostic value of preoperative fine needle aspiration cytology in parotid gland tumors. Diagnostic cytopathology, 48(11), 1075–1080. https://doi.org/10.1002/dc.24514
16. Harb, J. L., Bakar, D., & Dhingra, J. K. (2020). Diagnostic Accuracy of Fine-Needle Biopsy for Salivary Gland Neoplasms in a Community Otolaryngology Practice. OTO open, 4(3), 2473974X20949184. https://doi.org/10.1177/2473974X20949184
17. Reerds, S. T. H., Van Engen-Van Grunsven, A. C. H., van den Hoogen, F. J. A., Takes, R. P., Marres, H. A. M., & Honings, J. (2021). Accuracy of parotid gland FNA cytology and reliability of the Milan System for Reporting Salivary Gland Cytopathology in clinical practice. Cancer cytopathology, 129(9), 719–728. https://doi.org/10.1002/cncy.22435
18. Marzouki, H. Z., Altabsh, M. A., Albakrei, M. O., Al-Khatib, T. A., Merdad, M. A., & Farsi, N. J. (2017). Accuracy of preoperative fine needle aspiration in diagnosis of malignant parotid tumors. Saudi medical journal, 38(10), 1000–1006. https://doi.org/10.15537/smj.2017.10.20988 19. Hartimath, B., Kudva, A., & Singh Rathore, A. (2011). Role of fine-needle aspiration cytology in swellings of the parotid region. The Indian journal of surgery, 73(1), 19–23. https://doi.org/10.1007/s12262-010-0162-9

Fine needle aspiration biopsy as a diagnostic method that guides the clinician and affects the treatment in parotid gland masses

Year 2023, Volume: 45 Issue: 2, 13 - 20, 30.06.2023

Adem Bora Barış Şapcı

https://doi.org/10.7197/cmj.1282269

Abstract

ABSTRACT
Objective: The aim of our study was to determine the specificity and sensitivity criteria of parotid fine needle aspiration biopsy in the diagnosis of parotid gland masses in our instution, and guide the physician by using FNAB before surgery.
Study design: Retrospective chart review
Methods: Retrospective analysis was conducted by comparing the fine needle aspiration biopsy results of 80 patients with complete data and postoperative histopathological diagnoses of 90 patients who underwent fine needle biopsy in our clinic between 2015 and 2022 and were subsequently operated. Correlation of preoperative FNB results to final surgical pathology was performed and measures of diagnostic accuracy computed.
Results: Of all patients, 56.3% were male and 43.7 were female. The mean age was 48 (range 19-87). 56.2% of them were right-sided and 43.8% were left-sided. When the fine needle aspiration biopsies of the patients were examined, 47 were reported as benign (58.8%), 2 as malignant (2.5%), 21 as suspicious (26.3%), and 10 as insufficient (12.5%). Of 80 patients, 34 were diagnosed as pleomorphic adenoma, 14 as whartin tumor, and 7 as sialoadenitis.
Conclusion: FNAB is one of the most important diagnostic tools in the diagnosis of parotid gland masses when applied knowing its advantages and given treatment without ignoring the deficiencies. It should be kept in mind that subtyping with FNAB in cases with malignant histopathological diagnosis will reduce the secondary surgical needs of the cases.

Keywords

Fine needle aspiration biopsy, parotid gland mass, parotid gland tumor management

References

1. Ali, N. S., Akhtar, S., Junaid, M., Awan, S., & Aftab, K. (2011). Diagnostic accuracy of fine needle aspiration cytology in parotid lesions. ISRN surgery, 2011, 721525. https://doi.org/10.5402/2011/721525
2. MAVEC, P., ENEROTH, C. M., FRANZEN, S., MOBERGER, G., & ZAJICEK, J. (1964). ASPIRATION BIOPSY OF SALIVARY GLAND TUMOURS. I. CORRELATION OF CYTOLOGIC REPORTS FROM 652 ASPIRATION BIOPSIES WITH CLINICAL AND HISTOLOGIC FINDINGS. Acta oto-laryngologica, 58, 471–484. https://doi.org/10.3109/00016486409121406
3. Altin, F., Alimoglu, Y., Acikalin, R. M., & Yasar, H. (2019). Is fine needle aspiration biopsy reliable in the diagnosis of parotid tumors? Comparison of preoperative and postoperative results and the factors affecting accuracy. Brazilian journal of otorhinolaryngology, 85(3), 275–281. https://doi.org/10.1016/j.bjorl.2018.04.015
4. Sharma, G., Jung, A. S., Maceri, D. R., Rice, D. H., Martin, S. E., & Grant, E. G. (2011). US-guided fine-needle aspiration of major salivary gland masses and adjacent lymph nodes: accuracy and impact on clinical decision making. Radiology, 259(2), 471–478. https://doi.org/10.1148/radiol.11101087
5. O'Brien C. J. (2003). Current management of benign parotid tumors--the role of limited superficial parotidectomy. Head & neck, 25(11), 946–952. https://doi.org/10.1002/hed.10312
6. Song, I. H., Song, J. S., Sung, C. O., Roh, J. L., Choi, S. H., Nam, S. Y., Kim, S. Y., Lee, J. H., Baek, J. H., & Cho, K. J. (2015). Accuracy of Core Needle Biopsy Versus Fine Needle Aspiration Cytology for Diagnosing Salivary Gland Tumors. Journal of pathology and translational medicine, 49(2), 136–143. https://doi.org/10.4132/jptm.2015.01.03
7. Boldes, T., Hilly, O., Alkan, U., Shkedy, Y., Morgenstern, S., Shpitzer, T., Bachar, G., & Mizrachi, A. (2021). Accuracy, predictability and prognostic implications of fine-needle aspiration biopsy for parotid gland tumours: A retrospective case series. Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 46(5), 1065–1072. https://doi.org/10.1111/coa.13795
8. Qizilbash, A. H., Sianos, J., Young, J. E., & Archibald, S. D. (1985). Fine needle aspiration biopsy cytology of major salivary glands. Acta cytologica, 29(4), 503–512.
9. Frable, M. A., & Frable, W. J. (1991). Fine-needle aspiration biopsy of salivary glands. The Laryngoscope, 101(3), 245–249. https://doi.org/10.1288/00005537-199103000-00005
10. Suzuki, M., Kawata, R., Higashino, M., Nishikawa, S., Terada, T., Haginomori, S. I., Kurisu, Y., & Hirose, Y. (2019). Values of fine-needle aspiration cytology of parotid gland tumors: A review of 996 cases at a single institution. Head & neck, 41(2), 358–365. https://doi.org/10.1002/hed.25503
11. Zbären, P., Schär, C., Hotz, M. A., & Loosli, H. (2001). Value of fine-needle aspiration cytology of parotid gland masses. The Laryngoscope, 111(11 Pt 1), 1989–1992. https://doi.org/10.1097/00005537-200111000-00023
12. Taniuchi, M., Kawata, R., Omura, S., Haginomori, S. I., Terada, T., Higashino, M., Kurisu, Y., & Hirose, Y. (2021). A novel clinically-oriented classification of fine-needle aspiration cytology for salivary gland tumors: a 20-year retrospective analysis of 1175 patients. International journal of clinical oncology, 26(2), 326–334. https://doi.org/10.1007/s10147-020-01816-5
13. Viguer, J. M., Vicandi, B., Jiménez-Heffernan, J. A., López-Ferrer, P., & Limeres, M. A. (1997). Fine needle aspiration cytology of pleomorphic adenoma. An analysis of 212 cases. Acta cytologica, 41(3), 786–794. https://doi.org/10.1159/000332705
14. Ghantous, Y., Naddaf, R., Barak, M., Abd-Elraziq, M., & Abu Eln-Naaj, I. (2016). The Role of Fine Needle Aspiration in the Diagnosis of Parotid Gland Tumors: Correlation With Preoperative Computerized Tomography Tumor Size. The Journal of craniofacial surgery, 27(2), e192–e196. https://doi.org/10.1097/SCS.0000000000002446
15. Hanege, F. M., Tuysuz, O., Sakallioglu, O., & Arslan Solmaz, O. (2020). Diagnostic value of preoperative fine needle aspiration cytology in parotid gland tumors. Diagnostic cytopathology, 48(11), 1075–1080. https://doi.org/10.1002/dc.24514
16. Harb, J. L., Bakar, D., & Dhingra, J. K. (2020). Diagnostic Accuracy of Fine-Needle Biopsy for Salivary Gland Neoplasms in a Community Otolaryngology Practice. OTO open, 4(3), 2473974X20949184. https://doi.org/10.1177/2473974X20949184
17. Reerds, S. T. H., Van Engen-Van Grunsven, A. C. H., van den Hoogen, F. J. A., Takes, R. P., Marres, H. A. M., & Honings, J. (2021). Accuracy of parotid gland FNA cytology and reliability of the Milan System for Reporting Salivary Gland Cytopathology in clinical practice. Cancer cytopathology, 129(9), 719–728. https://doi.org/10.1002/cncy.22435
18. Marzouki, H. Z., Altabsh, M. A., Albakrei, M. O., Al-Khatib, T. A., Merdad, M. A., & Farsi, N. J. (2017). Accuracy of preoperative fine needle aspiration in diagnosis of malignant parotid tumors. Saudi medical journal, 38(10), 1000–1006. https://doi.org/10.15537/smj.2017.10.20988 19. Hartimath, B., Kudva, A., & Singh Rathore, A. (2011). Role of fine-needle aspiration cytology in swellings of the parotid region. The Indian journal of surgery, 73(1), 19–23. https://doi.org/10.1007/s12262-010-0162-9

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Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Surgical Science Research Articles
Authors	Adem Bora 0000-0002-5036-0595 Barış Şapcı 0000-0002-4404-9768
Early Pub Date	June 30, 2023
Publication Date	June 30, 2023
Acceptance Date	June 24, 2023
Published in Issue	Year 2023Volume: 45 Issue: 2

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AMA	Bora A, Şapcı B. Fine needle aspiration biopsy as a diagnostic method that guides the clinician and affects the treatment in parotid gland masses. CMJ. June 2023;45(2):13-20. doi:10.7197/cmj.1282269

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