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The role of frozen section biopsy for parotid gland tumour with benign fine-needle aspiration cytology

  • M Suzuki (a1), Y Nakaegawa (a1), T Kobayashi (a1), T Kawase (a1), T Matsuzuka (a1) and S Murono (a1)...

Abstract

Objectives

This study focused on parotid gland tumours diagnosed as benign by fine-needle aspiration cytology and investigated the necessity of frozen section biopsy.

Methods

There were 104 cases of parotid gland tumour where fine-needle aspiration cytology was benign and frozen section biopsy was subsequently performed, between April 2006 and June 2016. In this retrospective study, the results of frozen section biopsy were analysed and compared with the final histological diagnosis.

Results

Among the 104 cases diagnosed as benign by fine-needle aspiration cytology, 102 cases and 2 cases were diagnosed as benign and malignant, respectively, by frozen section biopsy. The final histological diagnoses showed that 98 cases were benign and 6 cases were malignant. The sensitivity and specificity values of frozen section biopsy in detecting malignant tumours were 33 per cent and 100 per cent, respectively.

Conclusion

The necessity of frozen section biopsy in cases with benign fine-needle aspiration cytology may be low in parotid gland surgery.

Copyright

Corresponding author

Author for correspondence: Dr Masahiro Suzuki, Department of Otolaryngology, School of Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima City 960-1295, Japan E-mail: suzuma0510@gmail.com Fax: +81 24 547 1325

Footnotes

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Dr M Suzuki takes responsibility for the integrity of the content of the paper

Footnotes

References

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1Wong, DS. Frozen section during parotid surgery revisited: efficacy of its applications and changing trend of indications. Head Neck 2002;24:191–7
2Seethala, RR, LiVolsi, VA, Baloch, ZW. Relative accuracy of fine-needle aspiration and frozen section in the diagnosis of lesions of the parotid gland. Head Neck 2005;27:217–23
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4Schmidt, RL, Hall, BJ, Wilson, AR, Layfield, LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. Am J Clin Pathol 2011;136:4559
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8Patel, KR, Scognamiglio, T, Kutler, DI, Kuhel, WI, Gromis, J, Phillips, CD et al. Retrospective assessment of the utility of imaging, fine-needle aspiration biopsy, and intraoperative frozen section in the management of parotid neoplasms: the Weill Cornell Medical College experience. ORL J Otorhinolaryngol Relat Spec 2015;77:171–9
9Olsen, KD, Moore, EJ, Lewis, JE. Frozen section pathology for decision making in parotid surgery. JAMA Otolaryngol Head Neck Surg 2013;139:1275–8
10Nishikado, A, Kawata, R, Haginomori, SI, Terada, T, Higashino, M, Kurisu, Y et al. A clinicopathological study of parotid carcinoma: 18-year review of 171 patients at a single institution. Int J Clin Oncol 2018;23:615–24
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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