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Ultrasound-guided cutting-needle biopsy of the parotid gland

Published online by Cambridge University Press:  29 June 2007

J. R. Buckland ,
G. Manjaly ,
N. Violaris  and
D. C. Howlett
J. R. Buckland
Affiliation:
Department of Ear, Nose and Throat Surgery, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, UK.
G. Manjaly
Affiliation:
Department of Ear, Nose and Throat Surgery, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, UK.
N. Violaris
Affiliation:
Department of Ear, Nose and Throat Surgery, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, UK.
D. C. Howlett*
Affiliation:
Department of RadiologyEastbourne District General Hospital, Kings Drive,Eastbourne, East Sussex, UK.
*
Address for correspondence: Dr D. C. Howlett, Consultant Radiologist, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex BN21 2UD.
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Abstract

We describe the technique of ultrasound-guided 18 gauge (1.2 mm) needle biopsy in 16 patients with parotid gland lesions. This provides material suitable for histological analysis and can be performed quickly and safely under local anaesthesia. Thirteen of the patients had non-diagnostic blind fine-needle aspiration cytology (FNAC) with a 21 gauge (0.8 mm) needle prior to biopsy. Initial ultrasound was found to be superior to clinical examination in 31 per cent of cases. The ultrasound-guided technique provided a diagnostic specimen in 100 per cent of patients and was helpful where FNAC had been inconclusive. There was a diagnostic accuracy of 100 per cent in the patients who underwent subsequent surgery. This method should be considered when FNAC is non-diagnostic and surgical treatment is being considered. It is particularly useful in patients with diffuse enlargement of the gland and does provide a core of material for accurate assessment of tissue architecture. In this series, nine patients avoided unnecessary surgery.

Keywords

Parotid glandUltrasonographyBiopsyNeoplasm metastasis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 11 , November 1999 , pp. 988 - 992
Copyright
Copyright © JLO (1984) Limited 1999

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References

Bearcroft, P. W. P., Berman, L. H., Grant, J. (1995) The use of ultrasound-guided cutting-needle biopsy in the neck. Clinical Radiology 50: 690–695.CrossRefGoogle ScholarPubMed
Byrne, M. N., Spector, J. G., Garvin, C. F., Gado, M. H. (1989) Preoperative assessment of parotid masses: a comparative evaluation of radiologic techniques to histopathologic diagnosis. Laryngoscope 99(3): 284–292.CrossRefGoogle ScholarPubMed
Cvetinovic, M., Jovic, N., Mijatovic, D. (1991) Evaluation of ultrasound in the diagnosis of pathologic processes in the parotid gland. Journal of Oral and Maxillofacial Surgery 49: 147–150.CrossRefGoogle ScholarPubMed
Elvin, A., Sundstrom, C., Larsson, S. G., Lindgren, P. G. (1997) Ultrasound-guided 1.2 mm cutting-needle biopsies of head and neck tumours. Acta Radiologica 38: 376–380.CrossRefGoogle ScholarPubMed
Eneroth, C. M., Franzen, S., Zajicek, J. (1967) Cytologic diagnosis on aspirate from 1000 salivary gland tumours Acta Otolaryngologica 1: 168–171.CrossRefGoogle Scholar
Frable, W. J. (1976) Thin needle aspiration biopsy. American Journal of Clinical Pathology 65: 68–181.CrossRefGoogle ScholarPubMed
Frable, W. J. (1983) Thin needle aspiration biopsy. In Major Problems in Pathology, vol. 14, (Benninton, J. L., ed.), W. B. Saunders Co., Philadelphia, pp 7–20.Google Scholar
Glaser, K. S., Weger, A. R., Schmid, K. W., Bodner, E. (1989) Is fine-needle aspiration of tumours harmless? Lancet 1: 620.CrossRefGoogle ScholarPubMed
Hanbidge, A. E., Arenson, A. M., Shaw, P. A., Szalai, J. P., Hamilton, P. A., Leonhardt, C. (1995) Needle size and sample adequacy in ultrasound-guided biopsy by thyroid nodules. Canadian Association of Radiology Journal 46(3): 199–201.Google ScholarPubMed
Hugo, N. E., McKinney, P., Griffith, B. H. (1973) Management of tumours of the parotid gland. North American Surgical Clinic 53: 105–111.CrossRefGoogle ScholarPubMed
Illes, R. W., Brian, M. B. (1986) A review of the tumours of the salivary gland. Surgery Gynecology Obstetics 163: 399–404.Google ScholarPubMed
Jennings, P. E., Donald, J. J., Coral, A., Rode, J., Lees, W. R. (1989) Ultasound-guided core biopsy. Lancet 1: 1369–1371.CrossRefGoogle ScholarPubMed
Lindgren, P. G. (1980) Ultrasonically guided punctures. Radiology 137: 235.CrossRefGoogle ScholarPubMed
Matalon, T. A. S., Silver, B. (1990) Ultrasound guidance of interventional procedures. Radiology 174: 43–47.CrossRefGoogle ScholarPubMed
McGuirt, W. F., McCabe, B. F. (1978) Sigificance of node biopsy before definitive treatment of cervical metastatic carcinoma. Laryngoscope 88: 594–597.CrossRefGoogle Scholar
McGurk, M., Hussain, K. (1997) Role of fine needle aspiration cytology in the management of the discrete parotid lump. Annals of the Royal College of Surgeons of England 79: 198–202.Google ScholarPubMed
McIvor, N. P., Freeman, J. L., Salem, S., Elden, L., Noyek, A. M, Bedard, Y. C. (1994) Ultrasonongraphy and ultrasoundguided fine-needle aspiration biopsy of head and neck lesions: A surgical perspective. Laryngoscope 104: 669–674.CrossRefGoogle Scholar
Nankhonya, J. M., Zakhour, H. D. (1991) Malignant seeding of the needle aspiration tract: a rare complication. British Journal of Dermatology 124: 285–286.CrossRefGoogle ScholarPubMed
Nettle, W. J. S., Orell, S. R. (1989) Fine needle aspiration in the diagnosis of salivary gland lesions. New Zealand Journal of Surgery 59: 47–51.Google ScholarPubMed
O'Dwyer, P., Farrar, W. B., James, A. G., Finkelmeier, W., McCabe, D. P. (1986) Needle aspiration biopsy of major salivary gland tumours. Cancer 57: 554–557.3.0.CO;2-G>CrossRefGoogle Scholar
Rashleigh-Beicher, H. J. C, Russell, R. G. C, Lees, W. R. (1986) Cutaneous seeding of pancreatic carcinoma by fineneedle aspiration biopsy. British Journal of Radiology 59: 182.CrossRefGoogle Scholar
Roland, N. J., Caslin, A. W., Smith, P. A., Turnbull, L. S., Panarese, A., Jones, A. S. (1993) Fine needle aspiration cytology of salivary gland lesions reported immediately in a head and neck clinic. Journal of Laryngology and Otology 107: 1025–1028.CrossRefGoogle Scholar
Rothberg, R., Noyek, A. M., Goldfinger, M., Kassel, E. E. (1984) Diagnostic ultrasound imaging of parotid disease - a contemporary clinical perspective. Journal of Otolaryngology 13(4): 232–240.Google ScholarPubMed
Sadler, G. P., McGee, S., Dallimore, N. S., Monypenny, I. J., Douglas-Jones, A. G., Lyons, K., Horgan, K. (1994) Role of fine-needle aspiration cytology and needle-core biopsy in the diagnosis of lobular carcinoma of the breast. British Journal of Surgery 81: 1315–1317.CrossRefGoogle ScholarPubMed
Sismanis, A., Merriam, J., Kline, T. S., Davis, R. K., Shapsay, S. M., Strong, M. S. (1981) Diagnosis of salivary gland tumours by fine needle aspiration biopsy. Head and Neck Surgery 3: 482–489.CrossRefGoogle ScholarPubMed
Sismanis, A., Strong, M. S., Merriam, J. (1980) Fine needle aspiration biopsy diagnosis of neck masses. Otolaryngologic Clinics of North America 13(3): 421–429.CrossRefGoogle ScholarPubMed
Webb, A. J. (1973)Cytological diagnosis of salivary gland lesions in adult and paediatric patients. Acta Cytologica 17: 51–58.Google Scholar
Yamaguchi, K. T., Strong, M. S., Shapsay, S. M., Soto, E. (1979) Seeding of parotid carcinoma along Vim-Silverman needle tract. Journal of Otolaryngology 8(1): 49–52.Google ScholarPubMed