Abstract:
PURPOSE OF REVIEW:Fine needle aspiration is a safe diagnostic technique that is widely employed for lesions of the head and neck. Among head and neck sites, the parotid gland stands apart for the number, diversity and peculiarity of pathologic processes to target this structure. This matchless complexity has prompted a thoughtful discussion regarding the application of the fine needle aspiration to parotid masses--a discussion that has primarily focused on the reliability of the fine needle aspiration as a diagnostic tool, and on its utility in guiding patient management. RECENT FINDINGS:Recent studies have confirmed a high overall accuracy rate for fine needle aspiration evaluation of parotid masses, ranging from 90 to 95%. At the same time, these soaring accuracy rates cannot be uniformly anticipated across all diagnostic scenarios. Fine needle aspiration is notoriously unreliable in recognizing the malignant nature of the parotid carcinoma, providing its precise classification, and establishing its grade. A few malignant neoplasms are particularly prone to diagnostic error. Acinic cell carcinoma is frequently interpreted as benign or even nonneoplastic; and low-grade lymphomas are often discounted as inflammatory processes. SUMMARY:Parotid gland masses are not particularly conducive to diagnostic accuracy and precision by fine needle aspiration. Accordingly, indiscriminant reliance on the fine needle aspiration findings at the expense of the clinical, radiographic, and intraoperative findings is unwarranted. Whether one uses the fine needle aspiration routinely or selectively in patients with parotid masses, the fine needle aspiration findings should contribute to, not displace, the overall diagnostic impression.
journal_name
Curr Opin Otolaryngol Head Neck Surgauthors
Alphs HH,Eisele DW,Westra WHdoi
10.1097/01.moo.0000193184.38310.0akeywords:
subject
Has Abstractpub_date
2006-04-01 00:00:00pages
62-6issue
2eissn
1068-9508issn
1531-6998pii
00020840-200604000-00004journal_volume
14pub_type
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journal_title:Current opinion in otolaryngology & head and neck surgery
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journal_title:Current opinion in otolaryngology & head and neck surgery
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journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
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journal_title:Current opinion in otolaryngology & head and neck surgery
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journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2015-04-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2017-10-01 00:00:00
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更新日期:2007-04-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
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更新日期:2004-12-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
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journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2012-08-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2008-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-10-01 00:00:00