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

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    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
    Issue Date
    2012-02-01T10:40:12Z
    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
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    Citation
    J Laryngol Otol. 2010 Sep;124(9):975-9. Epub 2010 May 25.
    Journal
    The Journal of laryngology and otology
    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
    ISSN
    1748-5460 (Electronic)
    0022-2151 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1017/S0022215110001088
    Scopus Count
    Collections
    Royal Victoria Eye and Ear Hospital

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