Fine-needle aspiration cytology in the management of parotid masses: Evaluation of 249 patients

Autor: Patrick Dessi, Chrestian Ma, F Turner, M. Penicaud, Nicolas Fakhry, M. Zanaret, Aude Lagier, Justin Michel, Laure Santini, Julien Mancini, Antoine Giovanni, F. Antonini
Přispěvatelé: Anthropologie bio-culturelle, Droit, Ethique et Santé (ADES), Aix Marseille Université (AMU)-EFS ALPES MEDITERRANEE-Centre National de la Recherche Scientifique (CNRS), ORL et Chirurgie cervico-faciale pédiatrique - [Hôpitaux Timone et Nord - APHM], Hôpital de la Timone [CHU - APHM] (TIMONE)-Aix Marseille Université (AMU)- Hôpital Nord [CHU - APHM]-Assistance Publique - Hôpitaux de Marseille (APHM), Université Paris Descartes - Faculté de Médecine (UPD5 Médecine), Université Paris Descartes - Paris 5 (UPD5), Laboratoire d'Enseignement et de Recherche sur le Traitement de l'Information Médicale (LERTIM), Université de la Méditerranée - Aix-Marseille 2, Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital de la Timone [CHU - APHM] (TIMONE)- Hôpital Nord [CHU - APHM], Anthropologie bio-culturelle, Droit, Ethique et Santé ( ADES ), Aix Marseille Université ( AMU ) -EFS ALPES MEDITERRANEE-Centre National de la Recherche Scientifique ( CNRS ), Aix Marseille Université ( AMU ) -Assistance Publique - Hôpitaux de Marseille ( APHM ) - Hôpital de la Timone [CHU - APHM] ( TIMONE ) - Hôpital Nord [CHU - APHM], Université Paris Descartes - Faculté de Médecine ( UPD5 Médecine ), Université Paris Descartes - Paris 5 ( UPD5 ), Laboratoire d'Enseignement et de Recherche sur le Traitement de l'Information Médicale ( LERTIM )
Jazyk: angličtina
Rok vydání: 2012
Předmět:
medicine.medical_specialty
Biopsy
Fine-Needle
[SHS.ANTHRO-BIO]Humanities and Social Sciences/Biological anthropology
Salivary glands
Malignancy
Diagnosis
Differential
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Fine needle aspiration cytology
[ SDV.MHEP ] Life Sciences [q-bio]/Human health and pathology
Biopsy
Humans
Medicine
[SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs
030223 otorhinolaryngology
Retrospective Studies
medicine.diagnostic_test
business.industry
Retrospective cohort study
medicine.disease
Parotid Neoplasms
3. Good health
Surgery
Aspiration cytology
Parotid gland
body regions
medicine.anatomical_structure
Otorhinolaryngology
[ SHS.ANTHRO-BIO ] Humanities and Social Sciences/Biological anthropology
[ SDV.MHEP.OS ] Life Sciences [q-bio]/Human health and pathology/Sensory Organs
030220 oncology & carcinogenesis
Predictive value of tests
Diagnostic assessment
Head and neck tumour
Parotid Diseases
Radiology
business
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Parotid tumour
Zdroj: European Annals of Otorhinolaryngology, Head and Neck Diseases
European Annals of Otorhinolaryngology, Head and Neck Diseases, Elsevier Masson, 2012, 129 (3), pp.131-135. ⟨10.1016/j.anorl.2011.10.008⟩
European Annals of Otorhinolaryngology, Head and Neck Diseases, 2012, 129 (3), pp.131-135. ⟨10.1016/j.anorl.2011.10.008⟩
European Annals of Otorhinolaryngology, Head and Neck Diseases, Elsevier Masson, 2012, 129 (3), pp.131-135. 〈10.1016/j.anorl.2011.10.008〉
ISSN: 1879-7296
1879-730X
DOI: 10.1016/j.anorl.2011.10.008⟩
Popis: International audience; Introduction The role of fine-needle aspiration cytology (FNAC) in the management of parotid tumours is still the subject of controversy. The purpose of this study was to determine the diagnostic value of FNAC in our institution in order to define its place in the diagnostic strategy.Patients and methods :This retrospective study was based on 249 patients who had undergone preoperative FNAC before being operated in our institution between 2001 and 2008. All examinations were performed and interpreted by the same experienced pathologist.Results, Among the 249 patients included in this study, 187 (75%) had a benign tumour and 62 (25%) had a malignant tumour. No complications of FNAC were observed. Cytological findings were non-contributory in 47 patients (18%). The sensitivity of FNAC for the diagnosis of malignancy was 80% with a specificity of 89.5%. Among the 11 false-negative results, lymphomas and low-grade mucoepidermoid carcinomas were the most common histological types. Among the 16 false-positive results, Warthin's tumours, pleomorphic adenomas and lymphoepithelial lesions were the most common histological types. Accurate histological classification of the tumour was reported in 79.5% of cases (86% for benign tumours and 44% for malignant tumours).Conclusion FNAC is a reliable examination providing important information to the surgeon in the preoperative diagnostic assessment.
Databáze: OpenAIRE
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