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Comparison of ultrasonographically guided fine‐needle aspiration and core needle biopsy in the diagnosis of parotid masses
Author(s) -
Huang YuChieh,
Wu ChenTe,
Lin Gigin,
Chuang WenYu,
Yeow KeeMin,
Wan YungLiang
Publication year - 2012
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20873
Subject(s) - medicine , histopathology , biopsy , radiology , ultrasound , fine needle aspiration , medical diagnosis , parotid gland , diagnostic accuracy , pathology
Background. To retrospectively compare the accuracies of ultrasound‐guided fine‐needle aspiration (USFNA) and ultrasound‐guided core needle biopsy (USCNB) in the diagnosis of parotid masses. Methods. A total of 171 patients (aged 17–86 years, mean 54 years) with parotid masses (35 malignant and 136 benign lesions) underwent either USFNA (n = 107) or USCNB (n = 64). The diagnostic accuracies for differentiating benign from malignant lesions of both examinations were compared. Surgical histopathology (n = 104) and clinical diagnosis (n = 67) were used to establish the final diagnoses. Results. USCNB had a significantly higher sensitivity (94.1%) than USFNA (55.6%) ( p < 0.05) in differentiating benign lesions from malignant conditions. The specificity and overall accuracy of USCNB were higher than those of USFNA (100% and 98.4% versus 93.3% and 86.9%, respectively). USCNB provided more specific diagnosis than USFNA (100% versus 93.3%, p < 0.05). All six patients with lymphomas who underwent USCNB were accurately diagnosed, whereas all four patients with lymphomas who underwent USFNA were not. Conclusions. USCNB should be preferred to USFNA when a definite diagnosis of a parotid solid mass is needed. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2011;