Publication

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

Kieran, S M
; 
McKusker, M
; 
Keogh, I
; 
Timon, C
Author
Kieran, S M
 McKusker, M
 Keogh, I
 Timon, C
Advisors
Editors
Other Contributors
Departments
Department of Otolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear, Hospital, Dublin, Ireland. skieran@rcsi.ie
Date
2012-02-01T10:40:12Z
Date Submitted
Keywords
Other Subjects
Subject 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
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
URI
https://hdl.handle.net/10147/207753
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
Citation
J Laryngol Otol. 2010 Sep;124(9):975-9. Epub 2010 May 25.
ISSN
1748-5460 (Electronic)
0022-2151 (Linking)
eISSN
ISBN
DOI
10.1017/S0022215110001088
PMID
20497621
PMCID
Sponsorships
Funding Sources
Funding Amounts
Grant Identifiers
Methodology
Duration
Ethical Approval