Selective fine needle aspiration of parotid masses. FNA should be performed in all patients older than 60 years.

Hdl Handle:
http://hdl.handle.net/10147/207753
Title:
Selective fine needle aspiration of parotid masses. FNA should be performed in all patients older than 60 years.
Authors:
Kieran, S M; McKusker, M; Keogh, I; Timon, C
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear, Hospital, Dublin, Ireland. skieran@rcsi.ie
Citation:
J Laryngol Otol. 2010 Sep;124(9):975-9. Epub 2010 May 25.
Journal:
The Journal of laryngology and otology
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207753
DOI:
10.1017/S0022215110001088
PubMed ID:
20497621
Abstract:
OBJECTIVES: The exact role of fine needle aspiration in the pre-operative assessment of patients presenting with parotid masses is controversial. Some surgeons propose that fine needle aspiration be performed only selectively in those patients with likely malignant disease, whilst others recommend it for all patients presenting with such a mass. Intuitively, one would expect older patients to be more likely to suffer from primary malignant parotid tumours and secondary deposits of malignant skin tumours. Therefore, we hypothesised that older patients with a parotid mass should undergo fine needle aspiration regardless of their medical history. DESIGN: We retrospectively reviewed 197 consecutive parotidectomies to test this hypothesis. RESULTS: One hundred and twenty-one patients (61.4 per cent) were diagnosed with benign disease, whilst 76 (38.6 per cent) were diagnosed with malignant disease. Eighty-three per cent of patients aged 60 years or younger had benign disease, as opposed to 35.6 per cent of patients aged more than 60 years. Malignant disease occurred more commonly in patients older than 60 years (odds ratio 8.962, 95 per cent confidence interval 4.607-17.434). CONCLUSION: In patients with a parotid mass, fine needle aspiration should be performed on all those aged 60 years or older.
Language:
eng
MeSH:
Adenolymphoma/epidemiology/*pathology; Adenoma, Pleomorphic/epidemiology/*pathology; Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Biopsy, Fine-Needle; Carcinoma, Squamous Cell/epidemiology/*secondary; Child; Child, Preschool; Female; Humans; Male; Middle Aged; Odds Ratio; Parotid Gland/*pathology/surgery; Parotid Neoplasms/epidemiology/*pathology/secondary/surgery; Patient Selection; Retrospective Studies; Sensitivity and Specificity; Skin Neoplasms/epidemiology/*pathology; Young Adult
ISSN:
1748-5460 (Electronic); 0022-2151 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKieran, S Men_GB
dc.contributor.authorMcKusker, Men_GB
dc.contributor.authorKeogh, Ien_GB
dc.contributor.authorTimon, Cen_GB
dc.date.accessioned2012-02-01T10:40:12Z-
dc.date.available2012-02-01T10:40:12Z-
dc.date.issued2012-02-01T10:40:12Z-
dc.identifier.citationJ Laryngol Otol. 2010 Sep;124(9):975-9. Epub 2010 May 25.en_GB
dc.identifier.issn1748-5460 (Electronic)en_GB
dc.identifier.issn0022-2151 (Linking)en_GB
dc.identifier.pmid20497621en_GB
dc.identifier.doi10.1017/S0022215110001088en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207753-
dc.description.abstractOBJECTIVES: The exact role of fine needle aspiration in the pre-operative assessment of patients presenting with parotid masses is controversial. Some surgeons propose that fine needle aspiration be performed only selectively in those patients with likely malignant disease, whilst others recommend it for all patients presenting with such a mass. Intuitively, one would expect older patients to be more likely to suffer from primary malignant parotid tumours and secondary deposits of malignant skin tumours. Therefore, we hypothesised that older patients with a parotid mass should undergo fine needle aspiration regardless of their medical history. DESIGN: We retrospectively reviewed 197 consecutive parotidectomies to test this hypothesis. RESULTS: One hundred and twenty-one patients (61.4 per cent) were diagnosed with benign disease, whilst 76 (38.6 per cent) were diagnosed with malignant disease. Eighty-three per cent of patients aged 60 years or younger had benign disease, as opposed to 35.6 per cent of patients aged more than 60 years. Malignant disease occurred more commonly in patients older than 60 years (odds ratio 8.962, 95 per cent confidence interval 4.607-17.434). CONCLUSION: In patients with a parotid mass, fine needle aspiration should be performed on all those aged 60 years or older.en_GB
dc.language.isoengen_GB
dc.subject.meshAdenolymphoma/epidemiology/*pathologyen_GB
dc.subject.meshAdenoma, Pleomorphic/epidemiology/*pathologyen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAge Factorsen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshBiopsy, Fine-Needleen_GB
dc.subject.meshCarcinoma, Squamous Cell/epidemiology/*secondaryen_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshOdds Ratioen_GB
dc.subject.meshParotid Gland/*pathology/surgeryen_GB
dc.subject.meshParotid Neoplasms/epidemiology/*pathology/secondary/surgeryen_GB
dc.subject.meshPatient Selectionen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSensitivity and Specificityen_GB
dc.subject.meshSkin Neoplasms/epidemiology/*pathologyen_GB
dc.subject.meshYoung Adulten_GB
dc.titleSelective fine needle aspiration of parotid masses. FNA should be performed in all patients older than 60 years.en_GB
dc.contributor.departmentDepartment of Otolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear, Hospital, Dublin, Ireland. skieran@rcsi.ieen_GB
dc.identifier.journalThe Journal of laryngology and otologyen_GB
dc.description.provinceLeinster-

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