nach oben

European Archives of Oto-Rhino-Laryngology

Erschienen in:

27.02.2020 | Head and Neck

The role of fine-needle aspiration biopsy (FNAB) in the diagnostic management of parotid gland masses with emphasis on potential pitfalls

verfasst von: Lucie Dostalova, David Kalfert, Alzbeta Jechova, Vladimir Koucky, Stepan Novak, Martin Kuchar, Michal Zabrodsky, Daniela Novakova Kodetova, Marie Ludvikova, Ivana Kholova, Jan Plzak

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 6/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The treatment strategy of parotid gland tumours depends mainly on the histopathological type of the lesion. Fine-needle aspiration biopsy (FNAB) is recommended in preoperative diagnostics. The aim of the study was to evaluate the FNAB standing in the diagnostic algorithm of parotid gland lesions and to correlate FNAB results in relation to the definitive histopathological diagnosis.

Material and methods

The retrospective analyses of 651 examined and consequently surgically treated parotid gland lesions at the Department of Otorhinolaryngology and Head and Neck Surgery, 1st Faculty of Medicine, Charles University in Prague between 2006 and 2016 were used. Preoperative cytological results were consequently evaluated in relation to the definitive histopathological diagnosis.

Results

The cohort consisted of 367 women and 284 men (average age 58 years). FNAB was diagnostic in 604 (92.8%) patients and non-diagnostic in 47 (7.2%) patients. The result of FNAB was positive (suspicious for malignant tumour) in 89 (14.7%) patients and negative (benign) in 515 (85.3%) patients. Sensitivity of the examination was 80.00%, specificity was 93.82%, PPV 62.92%, NPV 97.28%, and LR + and LR− were 12.95 and 0.21, respectively, with an accuracy of 92.22%.

Conclusion

Our results confirm the significant role of FNAB in the diagnostic algorithm of parotid gland lesions.

Stárek I, Skálová A, Salzman R, Chovanec M, Zábrodský M, Gál P, Školoudik L, Rotnágl J, Pár I, Štrympl P (2017) Guidelines for diagnosis and treatment of parotid gland tumours. Otorinolaryngol Foniatr 66(3):119–126

El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ (2017) WHO Classification of head and neck tumours. International Agency for Research on Cancer, Lyon

Silva WP, Stramandinoli-Zanicotti RT, Schussel JL, Ramos GH, Ioshi SO, Sassi LM (2016) Accuracy, sensitivity and specificity of fine needle aspiration biopsy for salivary gland tumors: a retrospective study from 2006 to 2011. Asian Pac J Cancer Prev 17(11):4973–4976. https://doi.org/10.22034/APJCP.2016.17.11.4973 CrossRefPubMedPubMedCentral

Kholova I, Ludvikova M (2015) Repeated fine-needle aspiration improves the diagnostics in selected atypia of undetermined significance/follicular lesion of undetermined significance cases, but further studies are needed. Acta Cytol 59(1):120. https://doi.org/10.1159/000380845 CrossRefPubMed

Pusztaszeri M, Rossi ED, Baloch ZW, Faquin WC (2019) Salivary gland fine needle aspiration and introduction of the Milan Reporting System. Adv Anat Pathol 26(2):84–92. https://doi.org/10.1097/PAP.0000000000000224 CrossRefPubMed

Ali NS, Akhtar S, Junaid M, Awan S, Aftab K (2011) Diagnostic accuracy of fine needle aspiration cytology in parotid lesions. ISRN Surg 2011:721525. https://doi.org/10.5402/2011/721525 CrossRefPubMedPubMedCentral

Lukas J, Duskova J (2006) Fine-needle aspiration biopsy in the diagnostic of the tumors and non-neoplastic lesions of salivary glands. Bratisl Lek Listy 107(1–2):12–15PubMed

Stramandinoli RT, Sassi LM, Pedruzzi PA, Ramos GH, Oliveira BV, Ogata DC, Ioshii SO (2010) Accuracy, sensitivity and specificity of fine needle aspiration biopsy in salivary gland tumours: a retrospective study. Med Oral Patol Oral Circ Bucal 15(1):e32–37. https://doi.org/10.4317/medoral.15.e32 CrossRef

Viguer JM, Vicandi B, Jimenez-Heffernan JA, Lopez-Ferrer P, Gonzalez-Peramato P, Castillo C (2010) Role of fine needle aspiration cytology in the diagnosis and management of Warthin's tumour of the salivary glands. Cytopathology 21(3):164–169. https://doi.org/10.1111/j.1365-2303.2009.00667.x CrossRefPubMed

10.

Croonenborghs TM, Van Hevele J, Scheerlinck J, Nout E, Schoenaers J, Politis C (2019) A multicentre retrospective clinico-histopathological review of 250 patients after parotidectomy. Int J Oral Maxillofac Surg. https://doi.org/10.1016/j.ijom.2019.03.963 CrossRefPubMed

11.

Edizer DT, Server EA, Yigit O, Yildiz M (2016) Role of fine-needle aspiration biopsy in the management of salivary gland masses. Turk Arch Otorhinolaryngol 54(3):105–111. https://doi.org/10.5152/tao.2016.1700 CrossRefPubMedPubMedCentral

12.

Christensen RK, Bjorndal K, Godballe C, Krogdahl A (2010) Value of fine-needle aspiration biopsy of salivary gland lesions. Head Neck 32(1):104–108. https://doi.org/10.1002/hed.21151 CrossRefPubMed

13.

Cohen EG, Patel SG, Lin O, Boyle JO, Kraus DH, Singh B, Wong RJ, Shah JP, Shaha AR (2004) Fine-needle aspiration biopsy of salivary gland lesions in a selected patient population. Arch Otolaryngol Head Neck Surg 130(6):773–778. https://doi.org/10.1001/archotol.130.6.773 CrossRefPubMed

14.

Cho HW, Kim J, Choi J, Choi HS, Kim ES, Kim SH, Choi EC (2011) Sonographically guided fine-needle aspiration biopsy of major salivary gland masses: a review of 245 cases. AJR Am J Roentgenol 196(5):1160–1163. https://doi.org/10.2214/AJR.10.4256 CrossRefPubMed

15.

Carrillo JF, Ramirez R, Flores L, Ramirez-Ortega MC, Arrecillas MD, Ibarra M, Sotelo R, Ponce-De-Leon S, Onate-Ocana LF (2009) Diagnostic accuracy of fine needle aspiration biopsy in preoperative diagnosis of patients with parotid gland masses. J Surg Oncol 100(2):133–138. https://doi.org/10.1002/jso.21317 CrossRefPubMed

16.

Elagoz S, Gulluoglu M, Yilmazbayhan D, Ozer H, Arslan I (2007) The value of fine-needle aspiration cytology in salivary gland lesions, 1994–2004. ORL J Otorhinolaryngol Relat Spec 69(1):51–56. https://doi.org/10.1159/000096717 CrossRefPubMed

17.

Di Napoli A, Mallel G, Bartolazzi A, Cavalieri E, Becelli R, Cippitelli C, Ruco L (2015) Nodular lymphocyte-predominant hodgkin lymphoma in a warthin tumor of the parotid gland: a case report and literature review. Int J Surg Pathol 23(5):419–423. https://doi.org/10.1177/1066896915582263 CrossRefPubMed

18.

Fundakowski C, Castano J, Abouyared M, Lo K, Rivera A, Ojo R, Gomez-Fernandez C, Messinger S, Sargi Z (2014) The role of indeterminate fine-needle biopsy in the diagnosis of parotid malignancy. Laryngoscope 124(3):678–681. https://doi.org/10.1002/lary.24341 CrossRefPubMed

19.

Tabatabai ZL, Auger M, Kurtycz DF, Laser A, Souers RJ, Laucirica R, Barkan GA, Crothers BA, Khalbuss WE (2015) Performance characteristics of adenoid cystic carcinoma of the salivary glands in fine-needle aspirates: results from the College of American Pathologists Nongynecologic Cytology Program. Arch Pathol Lab Med 139(12):1525–1530. https://doi.org/10.5858/arpa.2013-0173-CP CrossRefPubMed

20.

Vicandi B, Jimenez-Heffernan JA, Lopez-Ferrer P, Gonzalez-Peramato P, Patron M, Viguer JM (2012) Fine needle aspiration cytology of basal cell adenoma of the salivary gland: a cytohistological correlation study of 35 cases. Cytopathology 23(5):315–319. https://doi.org/10.1111/j.1365-2303.2011.00899.x CrossRefPubMed

21.

Behzatoglu K, Bahadir B, Huq GE, Kaplan HH (2005) Spontaneous infarction of a pleomorphic adenoma in parotid gland: diagnostic problems and review. Diagn Cytopathol 32(6):367–369. https://doi.org/10.1002/dc.20268 CrossRefPubMed

22.

Wangsiricharoen S, Lekawanvijit S, Rangdaeng S (2017) Agreement between rapid on-site evaluation and the final cytological diagnosis of salivary gland specimens. Cytopathology 28(4):321–328. https://doi.org/10.1111/cyt.12428 CrossRefPubMed

23.

Tommola E, Tommola S, Porre S, Kholova I (2019) Salivary gland FNA diagnostics in a real-life setting: one-year-experiences of the implementation of the Milan System in a Tertiary Care Center. Cancers (Basel). https://doi.org/10.3390/cancers11101589 CrossRef

24.

Schmidt RL, Hall BJ, Layfield LJ (2011) A systematic review and meta-analysis of the diagnostic accuracy of ultrasound-guided core needle biopsy for salivary gland lesions. Am J Clin Pathol 136(4):516–526. https://doi.org/10.1309/AJCP5LTQ4RVOQAIT CrossRefPubMed

25.

Bajwa MS, Mitchell DA, Brennan PA (2014) Is it time we adopted a classification for parotid gland cytology? Br J Oral Maxillofac Surg 52(2):99–101. https://doi.org/10.1016/j.bjoms.2013.11.006 CrossRefPubMed

26.

Cibas ES, Ali SZ, Conference NCITFSotS (2009) The Bethesda system for reporting thyroid cytopathology. Am J Clin Pathol 132(5):658–665. https://doi.org/10.1309/AJCPPHLWMI3JV4LA CrossRefPubMed

27.

Cibas ES, Ali SZ (2017) The 2017 Bethesda system for reporting thyroid cytopathology. J Am Soc Cytopathol 6(6):217–222. https://doi.org/10.1016/j.jasc.2017.09.002 CrossRefPubMed

28.

Nayar R, Wilbur DC (2015) The Bethesda system for reporting cervical cytology: definitions, criteria, and explanatory notes. Springer International Publishing, BerlinCrossRef

29.

Rosenthal DL, Wojcik EM, Kurtycz DFI (2015) The Paris system for reporting urinary cytology. Springer International Publishing, Berlin

30.

Bajwa MS, Rose SJ, Mairembam P, Nash R, Hotchen D, Godden D, Alam P, Daborn L, Spedding AV, Brennan PA (2016) Feasibility of a novel classification for parotid gland cytology: a retrospective review of 512 cytology reports taken from 4 United Kingdom general hospitals. Head Neck 38(11):1596–1603. https://doi.org/10.1002/hed.24482 CrossRefPubMed

31.

Kilavuz AE, Songu M, Imre A, Arslanoglu S, Ozkul Y, Pinar E, Ates D (2018) Application of Sal classification to parotid gland fine-needle aspiration cytology: 10-year retrospective analysis of 312 patients. Head Neck 40(5):937–942. https://doi.org/10.1002/hed.25056 CrossRefPubMed

32.

Faquin WC, Rossi ED, Baloch Z, Barkan GA, Foschini MP, Kurtycz DFI, Pusztaszeri M, Vielh P (2018) The Milan System for Reporting Salivary Gland Cytopathology. Springer International Publishing, BerlinCrossRef

33.

Viswanathan K, Sung S, Scognamiglio T, Yang GCH, Siddiqui MT, Rao RA (2018) The role of the Milan System for reporting salivary gland cytopathology: a 5-year institutional experience. Cancer Cytopathol 126(8):541–551. https://doi.org/10.1002/cncy.22016 CrossRefPubMed

34.

Layfield LJ, Baloch ZW, Hirschowitz SL, Rossi ED (2018) Impact on clinical follow-up of the Milan System for salivary gland cytology: a comparison with a traditional diagnostic classification. Cytopathology 29(4):335–342. https://doi.org/10.1111/cyt.12562 CrossRefPubMed

35.

Thiryayi SA, Low YX, Shelton D, Narine N, Slater D, Rana DN (2018) A retrospective 3-year study of salivary gland FNAC with categorisation using the Milan reporting system. Cytopathology 29(4):343–348. https://doi.org/10.1111/cyt.12557 CrossRefPubMed

36.

Miesbauerová M, Kholová I, Skálová A (2019) Minireview: The new system of unified evaluation of fine needle aspiration cytology of salivary glands: what is new in the Milan system for reporting of salivary glands lesions? Cesk Patol 55(1):61–65

37.

Farahani SJ, Baloch Z (2019) Retrospective assessment of the effectiveness of the Milan system for reporting salivary gland cytology: A systematic review and meta-analysis of published literature. Diagn Cytopathol 47(2):67–87. https://doi.org/10.1002/dc.24097 CrossRefPubMed

38.

Douville NJ, Bradford CR (2013) Comparison of ultrasound-guided core biopsy versus fine-needle aspiration biopsy in the evaluation of salivary gland lesions. Head Neck 35(11):1657–1661. https://doi.org/10.1002/hed.23193 CrossRefPubMed

39.

Zbaren P, Triantafyllou A, Devaney KO, Poorten VV, Hellquist H, Rinaldo A, Ferlito A (2018) Preoperative diagnostic of parotid gland neoplasms: fine-needle aspiration cytology or core needle biopsy? Eur Arch Otorhinolaryngol 275(11):2609–2613. https://doi.org/10.1007/s00405-018-5131-0 CrossRefPubMed

Titel: The role of fine-needle aspiration biopsy (FNAB) in the diagnostic management of parotid gland masses with emphasis on potential pitfalls
verfasst von: Lucie Dostalova
David Kalfert
Alzbeta Jechova
Vladimir Koucky
Stepan Novak
Martin Kuchar
Michal Zabrodsky
Daniela Novakova Kodetova
Marie Ludvikova
Ivana Kholova
Jan Plzak
Publikationsdatum: 27.02.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 6/2020
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-05868-1

Neu im Fachgebiet HNO

16.04.2024 | HNO-Chirurgie | Nachrichten

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

The role of fine-needle aspiration biopsy (FNAB) in the diagnostic management of parotid gland masses with emphasis on potential pitfalls

Abstract

Purpose

Material and methods

Results

Conclusion

Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update HNO

Springer Medizin

Abstract

Purpose

Material and methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2020

Elective neck dissection in T1/T2 oral squamous cell carcinoma with N0 neck: essential or not? A systematic review and meta-analysis

Tumor control of cervical lymph node metastases of unknown primary origin: the impact of the radiotherapy target volume

Importance of signal intensity on T1-weighted spin-echo sequence for the diagnosis of chronic cholesteatomatous otitis

Outcomes for a clinically representative cohort of hearing-impaired adults using the Nucleus® CI532 cochlear implant

The impact of a standardized vocal loading test on vocal fold oscillations

The diagnostic value of perpendicular vascular patterns of vocal cords defined by narrow-band imaging

Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update HNO