Skip to main content Accessibility help

Ultrasound-guided cutting-needle biopsy of the parotid gland

  • J. R. Buckland (a1), G. Manjaly (a1), N. Violaris (a1) and D. C. Howlett (a2)


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.


Corresponding author

Address for correspondence: Dr D. C. Howlett, Consultant Radiologist, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex BN21 2UD.


Hide All
Bearcroft, P. W. P., Berman, L. H., Grant, J. (1995) The use of ultrasound-guided cutting-needle biopsy in the neck. Clinical Radiology 50: 690695.
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): 284292.
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: 147150.
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: 376380.
Eneroth, C. M., Franzen, S., Zajicek, J. (1967) Cytologic diagnosis on aspirate from 1000 salivary gland tumours Acta Otolaryngologica 1: 168171.
Frable, W. J. (1976) Thin needle aspiration biopsy. American Journal of Clinical Pathology 65: 68181.
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 720.
Glaser, K. S., Weger, A. R., Schmid, K. W., Bodner, E. (1989) Is fine-needle aspiration of tumours harmless? Lancet 1: 620.
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): 199201.
Hugo, N. E., McKinney, P., Griffith, B. H. (1973) Management of tumours of the parotid gland. North American Surgical Clinic 53: 105111.
Illes, R. W., Brian, M. B. (1986) A review of the tumours of the salivary gland. Surgery Gynecology Obstetics 163: 399404.
Jennings, P. E., Donald, J. J., Coral, A., Rode, J., Lees, W. R. (1989) Ultasound-guided core biopsy. Lancet 1: 13691371.
Lindgren, P. G. (1980) Ultrasonically guided punctures. Radiology 137: 235.
Matalon, T. A. S., Silver, B. (1990) Ultrasound guidance of interventional procedures. Radiology 174: 4347.
McGuirt, W. F., McCabe, B. F. (1978) Sigificance of node biopsy before definitive treatment of cervical metastatic carcinoma. Laryngoscope 88: 594597.
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: 198202.
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: 669674.
Nankhonya, J. M., Zakhour, H. D. (1991) Malignant seeding of the needle aspiration tract: a rare complication. British Journal of Dermatology 124: 285286.
Nettle, W. J. S., Orell, S. R. (1989) Fine needle aspiration in the diagnosis of salivary gland lesions. New Zealand Journal of Surgery 59: 4751.
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: 554557.
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.
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: 10251028.
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): 232240.
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: 13151317.
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: 482489.
Sismanis, A., Strong, M. S., Merriam, J. (1980) Fine needle aspiration biopsy diagnosis of neck masses. Otolaryngologic Clinics of North America 13(3): 421429.
Webb, A. J. (1973)Cytological diagnosis of salivary gland lesions in adult and paediatric patients. Acta Cytologica 17: 5158.
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): 4952.


Ultrasound-guided cutting-needle biopsy of the parotid gland

  • J. R. Buckland (a1), G. Manjaly (a1), N. Violaris (a1) and D. C. Howlett (a2)


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed