Parotidectomy: Preoperative investigations and outcomes in a single surgeon practice

作者：Burgess Adele N; Serpell Jonathan W^*

来源：ANZ Journal of Surgery, 2008, 78(9): 791-793.

DOI：10.1111/j.1445-2197.2008.04651.x

• fine-needle aspiration cytology
• parotid
• tumour

Background: The aim of this study was to assess the value of fine-needle aspiration cytology (FNAC) as a preoperative evaluation for parotid tumours.
Methods: Prospectively collected data on 77 patients, collected on a parotid database, were retrospectively analysed. Preoperative investigations were carried out and cytology, histopathology and clinical outcomes were evaluated.
Results: The most common histopathology was benign lesions (89.6%), including pleomorphic adenoma (55.8%) and Warthin's tumour (11.7%). Melanoma (3.9%) and lymphoma (2.6%) were the commonest malignancies. Preoperative investigations included FNAC in 72 of the 77 patients (93.5%). FNAC had a sensitivity and specificity for benign tumours of 92.3 and 75%, respectively. FNAC for malignant tumours had a sensitivity of 75% and specificity of 93.8%. FNAC accurately diagnosed cell type in 85.9% of specimens for benign lesions, but only 50% for malignancy. Complications included wound infections (10.4%), salivary fistulas (6.5%) and temporary partial facial palsies in six patients (7.8%).
Conclusion: We conclude FNAC assists in preoperative assessment and Surgical planning for parotidectomy. This confirms the usefulness of FNAC as a preoperative assessment of parotid masses.

• 出版日期2008-9