The diagnostic value of fine needle aspiration biopsy in bilateral swellings of the parotid.
DOI:
https://doi.org/10.26641/1997-9665.2016.1.49-53Keywords:
salivary glands, bilateral involvement, fine needle aspiration biopsy.Abstract
Background. Fine needle aspiration biopsy (FNAB) is a frequently used method in the diagnosis of masses and it has been employed in pre-operative diagnosis of salivary gland lesions for many years. There are many publications in the literature on diagnostic value of FNA in salivary gland masses. However, studies involving FNA results of multiple lesions of salivary glands are rare. Objective. The purpose of present study is to determine the diagnostic value of FNAB in the bilateral, especially in the diffuse, swellings of the parotid gland and detection of pitfalls and their consequences. Methods. A total of 19 cases of bilateral swelling of parotid gland were included in this study. Demographic and clinical features of patients, results of FNAB and postoperative histopathological examination in some cases were analyzed retrospectively. Results. Eleven (57,89%) of patients were female, 8 (42,11%) were male. The age range of patients was 33-74 and mean age was 49,05. Benign non-neoplastic disease in 15 (78,95%), and benign neoplastic disease in 4 (21,05) of 19 cases were detected with FNAB. Conclusion. FNAB is the accessible, inexpensive and reliable method in the diagnosis and selection of the treatment tactics of the bilateral parotid swellings. Biopsies from both sides separately are advisable to prevent diagnostic errors in the bilateral parotid swellings, especially in the cases of Warthin tumour.
References
- Tryggvason G, Gailey MP, Hulstein SL, Karnell LH, Hoffman HT, Funk GF, Jensen CS, Van Daele DJ. Accuracy of fine-needle aspiration and imaging in the preoperative workup of salivary gland mass lesions treated surgically. Laryngoscope. 2013 Jan;123(1):158-63. doi: 10.1002/lary.23613.
- DeMay R, editor. Salivary gland. In: The Art & Science of Cytopathology. 2nd ed., Vol. 2, Chica-go, IL: ASCP Press; 2012:793-4.
- Simsek G, Akin I, Koybasioglu F, Mutlu M, Onal B, Gunsoy B. [Diagnostic value of fine needle aspiration cytology in salivary gland masses]. Kulak Burun Bogaz Ihtis Derg. 2009 Mar-Apr;19(2):71-6. Turkish.
- Chen S, Paul BC, Myssiorek D. An algorithm approach to diagnosing bilateral parotid en-largement. Otolaryngol Head Neck Surg. 2013 May;148(5):732-9. doi: 10.1177/0194599813476669.
- Madero-Visbal R, Milas Z. The role of parotidectomy in Sjögren's syndrome. Oral Maxillofac Surg Clin North Am. 2014 Feb;26(1):83-90. doi: 10.1016/j.coms.2013.09.007.
- Musayev JS. [The role of fine needle aspira-tion biopsy in the determining of salivary gland in-volvement in systemic diseases]. Azerbaijan Medi-cal Journal. 2012;2:96-9. Azerbaijanian.
- Ucuncu H, Kurt S, Demirci E, Eren S, Altas E. Bilateral parotid swelling with blindness. J Craniofac Surg. 2013 Nov;24(6):2174-6. doi: 10.1097/SCS.0b013e3182a2d865.
- Musayev J, Rahimov C, Hasanov A, Farzaliyev I. Bilateral parotid sarcoidosis recognised by fine needle aspiration cytology. The West Lon-don Medical Journal. 2013;5(1):15-20.
- Saha AK, Rachapalli S, Steer S, Gordon P. Bilateral parotid gland involvement in Wegener granulomatosis. Ann Rheum Dis. 2009 Jul;68(7):1233-4. doi: 10.1136/ard.2008.094862.
- Bonnet R, Bertin H, Delemazure AS, Clairand R, Mercier J, Corre P. [Parotid involvement in Churg-Strauss syndrome]. Rev Stomatol Chir Maxillofac Chir Orale. 2014 Jun;115(3):188-91. doi: 10.1016/j.revsto.2014.03.006. French.
- Park MJ, Mandel L. Diagnosing bulimia nervosa with parotid swelling: case report. N Y State Dent J. 2006 Nov;72(6):36-9.
- Harbison JM, Liess BD, Templer JW, Zitsch RP 3rd, Wieberg JA. Chronic parotitis: a challenging disease entity. Ear Nose Throat J. 2011 Mar;90(3):E13-6.
- Tsai YT, Yeh CJ, Chen YA, Chen YW, Huang SF. Bilateral parotid abscesses as the initial presentation of strongyloidiasis in the immunocompetent host. Head Neck. 2012 Jul;34(7):1051-4. doi: 10.1002/hed.21724.
- Immadisetty V, Agrawall P. A successful treatment strategy for clozapine-induced parotid swelling: a clinical case and systematic review. Ther Adv Psychopharmacol. 2012 Dec;2(6):235-9. doi: 10.1177/2045125312455187.
- Gislon Da Silvia RM. Captopril-induced bi-lateral parotid and submandibular sialadenitis. Eur J Clin Pharmacol. 2004 Aug;60(6):449-53.
- Van der Weijden GA, Ten Heggeler JM, Slot DE, Rosema NA, Van der Velden U. Parotid gland swelling following mouthrinse use. Int J Dent Hyg. 2010 Nov;8(4):276-9. doi: 10.1111/j.1601-5037.2009.00419.x.
- Peter Klussmann J, Wittekindt C, Florian Preuss S, Al Attab A, Schroeder U, Guntinas-Lichius O. High risk for bilateral Warthin tumor in heavy smokers: review of 185 cases. Acta Otolaryngol. 2006 Dec;126(11):1213-7.
- Huang JT, Li W, Chen XQ, Shi R.H, Zhao YF. Synchronous bilateral pleomorphic adenomas of the parotid gland. J Investig Clin Dent. 2012 Aug;3(3):225-7. doi: 10.1111/j.2041-1626.2012.00123.x.
- Uzunkulaoglu H, Yazici H, Can IH, Dogan S, Uzunkulaoglu T. Bilateral oncocytoma in the parotid gland. J Craniofac Surg. 2012 May;23(3):e246-7. doi: 10.1097/SCS.0b013e31824dfccd.
- Jia YL, Bishwo SP, Nie X, Chen LL. Syn-chronous bilateral multifocal acinic cell carcinoma of parotid gland: case report and review of the literature. J Oral Maxillofac Surg. 2012 Oct;70(10):e574-80. doi: 10.1016/j.joms.2012.06.006.
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