Jering, Monika ORCID: 0000-0001-5418-0797, Mayer, Marcel, Thoelken, Rubens, Schiele, Stefan, Maccagno, Andrea and Zenk, Johannes . Diagnostic Accuracy and Post-Procedural Complications Associated with Ultrasound-Guided Core Needle Biopsy in the Preoperative Evaluation of Parotid Tumors. Head Neck Pathol.. NEW YORK: SPRINGER. ISSN 1936-0568

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Abstract

Correct diagnosis of a parotid neoplasm based on histology preoperatively is of utmost importance in order to guide patient management. The aim of this study was to evaluate the diagnostic accuracy of an ultrasound-guided core needle biopsy of a parotid lesion and to describe associated post-procedural complications. A retrospective study was conducted between January 2015 and March 2021 of all patients who were referred to a tertiary care center for evaluation of a parotid lesion and who underwent core needle biopsy due to high-risk features or when malignancy was suspected on clinical examination or ultrasonography. Patient characteristics, histological findings, and post-procedural complications were recorded and evaluated. Among 890 patients referred for evaluation of a parotid lesion, in 138 patients a core needle biopsy was undertaken. On the basis of core needle biopsy findings, 11 lymphomas and 82 non-lymphoma malignancies were diagnosed in the parotid gland. The sensitivity of the core needle biopsy predicting the accurate tumor type was 97.56% (95% CI 91.47-99.70%) and the specificity 94.64% (95% CI 85.13-98.88%). The accuracy for the correct histopathological diagnosis was 93.48% (95% CI 87.98-96.97%). Post-procedural minor complications occurred in 19 patients (13.8%). In conclusion, a core needle biopsy can identify malignancy in the parotid gland with high sensitivity and specificity in a safe manner and therefore guide surgical treatment.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Jering, MonikaUNSPECIFIEDorcid.org/0000-0001-5418-0797UNSPECIFIED
Mayer, MarcelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thoelken, RubensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schiele, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maccagno, AndreaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zenk, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-574227
DOI: 10.1007/s12105-021-01401-w
Journal or Publication Title: Head Neck Pathol.
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1936-0568
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ASPIRATION-CYTOLOGY; GUIDANCE; NECK; HEADMultiple languages
PathologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/57422

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