American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 27, Issue 2 , Pages 96-100, March 2006

Preoperative cytology in the management of parotid neoplasms

  • Salvatore Aversa, MD

      Affiliations

    • Department of Otolaryngology, University of Turin, San Luigi Hospital, Orbassano, Torino, Italy
    • ,
  • Cristina Ondolo, MD

      Affiliations

    • Department of Otolaryngology, University of Turin, San Luigi Hospital, Orbassano, Torino, Italy
    • ,
  • Enrico Bollito, MD

      Affiliations

    • Department of Pathology, San Luigi Hospital, Orbassano, Torino, Italy
    • ,
  • Gianluca Fadda, MD

      Affiliations

    • Department of Otolaryngology, University of Turin, San Luigi Hospital, Orbassano, Torino, Italy
    • ,
  • Salvatore Conticello, MD

      Affiliations

    • Department of Otolaryngology, University of Turin, San Luigi Hospital, Orbassano, Torino, Italy
    • Corresponding Author InformationCorresponding author. Department of Otolaryngology, University of Turin, 10043 Orbassano, Torino, Italy. Tel.: +39 011 9026463x461; fax: +39 011 9026553.

Received 18 February 2005

Abstract 

Background

This study evaluates the diagnostic role of preoperative cytology of parotid neoplasms. The method is particularly useful in the evaluation of the parotid diseases in which the same clinical features may be treated variously. Fine-needle aspiration biopsy is a simple and well-tolerated diagnostic tool, which provides accurate information for diagnosis and follow-up of the disease. The accuracy of the method partly depends on the operator skill.

Materials and methods

From a series of 452 subjects who underwent parotidectomy, preoperative cytological evaluation was available in 310 and compared with histological diagnosis in a retrospective review.

Results

The agreement between histotype determination using fine-needle aspiration biopsy and final histological diagnosis was 79%, specificity was 100%, sensitivity was 83%, and diagnostic accuracy was 97%.

Conclusion

These findings demonstrated that, given the low complication rate, preoperative cytology is particularly useful in diagnosing parotid disease and in planning the surgical strategy and approach.

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PII: S0196-0709(05)00144-4

doi:10.1016/j.amjoto.2005.07.015

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 27, Issue 2 , Pages 96-100, March 2006

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