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European Archives of Oto-Rhino-Laryngology

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18.07.2019 | Head and Neck

The role of fine-needle aspiration biopsy (FNAB) in Warthin tumour diagnosis and management

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 10/2019

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Abstract

Purpose

Warthin tumour (WT) is the second most common benign tumour of the parotid gland. The aim of this study was to assess the value of the FNAB in the diagnosis and treatment decision in patients with WT.

Materials and methods

We performed a retrospective study of patients treated for parotid gland mass between 2006 and 2016. Patients who underwent the surgery with preoperative FNAB were considered. The first group was comprised of patients with preoperative FNAB showing WT and the second group was formed by patients with definitive histology of WT.

Results

216 patients had FNAB with the result of WT and underwent surgery (98 women—45.4% and 118 men—54.6%). The definitive histology corresponded with the preoperative diagnosis in 201 cases (93.1%). The other way round, 222 patients were operated with definitive histology showing WT and we correlated this finding with preoperative FNAB. The result of FNAB corresponded with definitive histology of WT in 201 cases (90.5%). Counted sensitivity and specificity of the ultrasound-guided FNAB for the diagnosis of WT were, respectively: 96.63% (CI 93.19–98.64%) and 96.21 (CI 93.83–97.86%). The accuracy of this method was 96.36% (CI 94.54–97.70%).

Conclusion

Ultrasound-guided FNAB is a safe, accurate and important method in WT diagnosis. The therapeutic approach can be chosen based on FNAB results correlated with other clinical findings. We propose that when WT is suspected, follow-up or enucleation of the tumour are appropriate treatments. Patient preferences should be also considered.

Kadletz L, Grasl S, Grasl MC, Perisanidis C, Erovic BM (2017) Extracapsular dissection versus superficial parotidectomy in benign parotid gland tumors: the Vienna medical school experience. Head Neck 39(2):356–360. https://doi.org/10.1002/hed.24598 CrossRefPubMed

Andreasen S, Therkildsen MH, Bjorndal K, Homoe P (2016) Pleomorphic adenoma of the parotid gland 1985–2010: A Danish nationwide study of incidence, recurrence rate, and malignant transformation. Head Neck 38(Suppl 1):E1364–1369. https://doi.org/10.1002/hed.24228 CrossRefPubMed

Stárek I, Salzman R, Skálová A, Chovanec M, Gál P, Zábrodský M, Školoudík L, Rotnágl J, Pár I, Štrympl P (2017) Doporučené postupy v diagnostice a léčbě nádorů příušní žlázy. Otorinolaryng a Foniat (Prague) 66(3):119–126 (In Czech)

Cope W, Naugler C, Taylor SM, Trites J, Hart RD, Bullock MJ (2014) The association of warthin tumor with salivary ductal inclusions in intra and periparotid lymph nodes. Head Neck Pathol 8(1):73–76. https://doi.org/10.1007/s12105-013-0477-5 CrossRefPubMed

Chulam TC, Noronha Francisco AL, Goncalves Filho J, Pinto Alves CA, Kowalski LP (2013) Warthin's tumour of the parotid gland: our experience. Acta Otorhinolaryngol Ital 33(6):393–397PubMedPubMedCentral

Thangarajah T, Reddy VM, Castellanos-Arango F, Panarese A (2009) Current controversies in the management of Warthin tumour. Postgrad Med J 85(999):3–8. https://doi.org/10.1136/pgmj.2008.071282 CrossRefPubMed

Kuzenko YV, Romanuk AM, Dyachenko OO, Hudymenko O (2016) Pathogenesis of Warthin's tumors. Interv Med Appl Sci 8(2):41–48. https://doi.org/10.1556/1646.8.2016.2.2 CrossRefPubMedPubMedCentral

Orabona GD, Abbate V, Piombino P, Romano A, Schonauer F, Iaconetta G, Salzano G, Farina F, Califano L (2015) Warthin's tumour: Aetiopathogenesis dilemma, ten years of our experience. J Craniomaxillofac Surg 43(4):427–431. https://doi.org/10.1016/j.jcms.2014.11.019 CrossRefPubMed

Mantsopoulos K, Goncalves M, Koch M, Iro H (2018) Extracapsular dissection for warthin tumors despite the risk of ipsilateral metachronous occurrence. Laryngoscope 128(11):2521–2524. https://doi.org/10.1002/lary.27166 CrossRefPubMed

10.

Correia-Sa I, Correia-Sa M, Costa-Ferreira P, Silva A, Marques M (2017) Fine-needle aspiration cytology (FNAC): is it useful in preoperative diagnosis of parotid gland lesions? Acta Chir Belg 117(2):110–114. https://doi.org/10.1080/00015458.2016.1262491 CrossRefPubMed

11.

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

12.

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

13.

Lussier C, Klijanienko J, Vielh P (2000) Fine-needle aspiration of metastatic nonlymphomatous tumors to the major salivary glands: a clinicopathologic study of 40 cases cytologically diagnosed and histologically correlated. Cancer 90(6):350–356CrossRef

14.

Franzen AM, Kaup Franzen C, Guenzel T, Lieder A (2018) Increased incidence of Warthin tumours of the parotid gland: a 42-year evaluation. Eur Arch Otorhinolaryngol 275(10):2593–2598. https://doi.org/10.1007/s00405-018-5092-3 CrossRefPubMed

15.

Schwalje AT, Uzelac A, Ryan WR (2015) Growth rate characteristics of Warthin's tumours of the parotid gland. Int J Oral Maxillofac Surg 44(12):1474–1479. https://doi.org/10.1016/j.ijom.2015.07.019 CrossRefPubMed

16.

Luers JC, Guntinas-Lichius O, Klussmann JP, Kusgen C, Beutner D, Grosheva M (2016) The incidence of Warthin tumours and pleomorphic adenomas in the parotid gland over a 25-year period. Clin Otolaryngol 41(6):793–797. https://doi.org/10.1111/coa.12694 CrossRefPubMed

17.

Patel DK, Morton RP (2016) Demographics of benign parotid tumours: Warthin's tumour versus other benign salivary tumours. Acta Otolaryngol 136(1):83–86. https://doi.org/10.3109/00016489.2015.1081276 CrossRefPubMed

18.

Shetty A, Geethamani V (2016) Role of fine-needle aspiration cytology in the diagnosis of major salivary gland tumors: a study with histological and clinical correlation. J Oral Maxillofac Pathol 20(2):224–229. https://doi.org/10.4103/0973-029X.185899 CrossRefPubMedPubMedCentral

19.

Vlantis AC, Ng SK, Mak CK, Cheung JM, Chan AB, van Hasselt CA (2016) If cytology of Warthin tumor is accurate, can management be conservative? Ear Nose Throat J 95(4–5):185–188PubMed

20.

Deodhar KK, Shah M, Chaturvedi P (2011) High-grade adenocarcinoma, (ductal type) arising in unilateral Warthin tumor of the parotid gland. Indian J Pathol Microbiol 54(3):574–577. https://doi.org/10.4103/0377-4929.85097 CrossRefPubMed

21.

Seifert G, Schulz J, Donath K (1977) A pathological sub-classification of carcinoma of salivary gland pleomorphic adenoma. An analysis of 38 cases (author's transl). HNO 25(10):337–348PubMed

22.

Teymoortash A, Werner JA (2005) Tissue that has lost its track: Warthin's tumour. Virchows Arch 446(6):585–588. https://doi.org/10.1007/s00428-005-1276-5 CrossRefPubMed

23.

Arida M, Barnes EL, Hunt JL (2005) Molecular assessment of allelic loss in Warthin tumors. Mod Pathol 18(7):964–968. https://doi.org/10.1038/modpathol.3800379 CrossRefPubMed

24.

Laco J, Celakovsky P, Kalfert D, Hornychova H, Rybnikar T, Ryska A (2010) Tumor-to-tumor metastasis: Warthin tumor as a recipient of lung carcinoma and of renal carcinoma—report of two cases. Pathol Res Pract 206(7):458–462. https://doi.org/10.1016/j.prp.2009.06.013 CrossRefPubMed

25.

Iwai H, Yamashita T (2005) Local excision procedure for Warthin's tumor of the parotid gland. Otolaryngol Head Neck Surg 132(4):577–580. https://doi.org/10.1016/j.otohns.2004.09.071 CrossRefPubMed

26.

Mantsopoulos K, Koch M, Goncalves M, Iro H (2018) Investigation of the surgical strategies for unilateral multifocal cystadenolymphomas of the parotid gland. Oral Oncol 82:176–180. https://doi.org/10.1016/j.oraloncology.2018.05.022 CrossRefPubMed

27.

Lee DH, Yoon TM, Lee JK, Lim SC (2017) Extracapsular dissection for Warthin tumor in the tail of parotid gland. Acta Otolaryngol 137(9):1007–1009. https://doi.org/10.1080/00016489.2017.1318221 CrossRefPubMed

28.

Ciuman RR, Oels W, Jaussi R, Dost P (2012) Outcome, general, and symptom-specific quality of life after various types of parotid resection. Laryngoscope 122(6):1254–1261. https://doi.org/10.1002/lary.23318 CrossRefPubMed

29.

Heller KS, Attie JN (1988) Treatment of Warthin's tumor by enucleation. Am J Surg 156(4):294–296CrossRef

30.

Espinoza S, Felter A, Malinvaud D, Badoual C, Chatellier G, Siauve N, Halimi P (2016) Warthin's tumor of parotid gland: surgery or follow-up? Diagnostic value of a decisional algorithm with functional MRI. Diagn Interv Imaging 97(1):37–43. https://doi.org/10.1016/j.diii.2014.11.024 CrossRefPubMed

31.

Yuan X, Gao Z, Jiang H, Yang H, Lv W, Wang Z, Niu Y, Feng G (2009) Predictors of facial palsy after surgery for benign parotid disease: multivariate analysis of 626 operations. Head Neck 31(12):1588–1592. https://doi.org/10.1002/hed.21134 CrossRefPubMed

Titel: The role of fine-needle aspiration biopsy (FNAB) in Warthin tumour diagnosis and management
Publikationsdatum: 18.07.2019
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 10/2019
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05566-7

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Springer Medizin

The role of fine-needle aspiration biopsy (FNAB) in Warthin tumour diagnosis and management

Abstract

Purpose

Materials and methods

Results

Conclusion

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HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

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Springer Medizin

Abstract

Purpose

Materials and methods

Results

Conclusion

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