Evaluation of clinician-operated sonography and fine-needle aspiration in the assessment of salivary gland tumours.

Détails

ID Serval
serval:BIB_D47FCECF51EF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Evaluation of clinician-operated sonography and fine-needle aspiration in the assessment of salivary gland tumours.
Périodique
Clinical Otolaryngology
Auteur⸱e⸱s
Kraft M., Lang F., Mihaescu A., Wolfensberger M.
ISSN
1749-4486 (Electronic)
ISSN-L
1749-4478
Statut éditorial
Publié
Date de publication
2008
Volume
33
Numéro
1
Pages
18-24
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish. PDF type: original article
Résumé
OBJECTIVES: To evaluate the combination of ultrasound (US) + fine-needle aspiration (FNA) in the assessment of salivary gland tumours in the hands of the otolaryngologist.
DESIGN: A retrospective review of case notes was performed.
SETTING: Two university teaching hospitals in Switzerland.
PARTICIPANTS: One hundred and three patients with a total of 106 focal masses of the salivary glands were included. Clinician-operated US + FNA were the first line of investigation for these lesions. All patients underwent surgical excision of the lesion, which allowed for confirmation of diagnosis by histopathology in 104 lesions and by laboratory testing in two lesions.
MAIN OUTCOME MEASURES: Primary--diagnostic accuracy in identifying true salivary gland neoplasms and detecting malignancy. Secondary--predicting an approximate and specific diagnosis in these tumours.
RESULTS: The combination of US + FNA achieved a diagnostic accuracy of 99% in identifying and differentiating true salivary gland neoplasms from tumour-like lesions. In detecting malignancy, this combination permitted an accuracy of 98%. An approximate diagnosis was possible in 89%, and a specific diagnosis in 69% of our patients.
CONCLUSIONS: Due to economic factors and a high diagnostic accuracy, the combination of US + FNA represents the investigation method of choice for most salivary gland tumours. We suggest that the otolaryngologist be employed in carrying out these procedures, as is already the rule in other medical specialties, while computed tomography and magnetic resonance imaging should be reserved to those few lesions, which cannot be delineated completely by sonography.
Mots-clé
Adult, Aged, Aged, 80 and over, Biopsy, Fine-Needle/methods, Cohort Studies, False Negative Reactions, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Reproducibility of Results, Retrospective Studies, Salivary Gland Neoplasms/pathology, Salivary Gland Neoplasms/ultrasonography, Ultrasonography/methods
Pubmed
Web of science
Création de la notice
17/06/2008 10:31
Dernière modification de la notice
20/08/2019 15:54
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