scholarly journals Fine needle aspiration cytology of low-grade mucoepidermoid carcinoma of the parotid gland: A diagnostic challenge

2008 ◽  
Vol 25 (3) ◽  
pp. 115
Author(s):  
AshaB Rupani ◽  
VikasS Kavishwar ◽  
Vynkatesh Achinmane ◽  
GururajV Puranik
2019 ◽  
Vol 6 (7) ◽  
pp. 2624
Author(s):  
Abhishek Kumar ◽  
Vasant Teggimani ◽  
Ramesh Hosamani ◽  
Prathamesh Chandrapattan ◽  
Aboli Koranne

Mucoepidermoid carcinoma (MEC) is the most common malignant neoplasm of the major salivary glands, accounting for 15.5% of all cases benign and malignant.1 It has multiple types of morphological variants and thus poses a significant challenge in diagnosis on Fine needle aspiration cytology (FNAC). The aim of this article is to report a case of MEC in a 70-years-old male patient who presented with a painless firm fluctuant swelling in left preauricular area on left cheek to Karnataka Institute of Medical Sciences, Hubli. Detailed history was noted, and the swelling was examined clinically. Radiological investigations were carried out. Fine-needle aspiration cytology was done for the lesion and report suggested tumor of the parotid gland. Total parotidectomy procedure was done. There were no intra operative complications and post operatively there was grade 4 Housemann Brackmann facial nerve palsy on left side. The weight of the tumor was 1.45 kg. The histologic picture confirmed that the tumor was MEC of parotid gland. Through this article we want to report the management of giant MEC, the largest to be reported in world literature. 


2013 ◽  
Vol 7 (4) ◽  
pp. 409-415 ◽  
Author(s):  
Alfredo E. Romero-Rojas ◽  
Julio A. Diaz-Perez ◽  
Deirdre Amaro ◽  
Alfonso Lozano-Castillo ◽  
Sandra I. Chinchilla-Olaya

2021 ◽  
Author(s):  
Olga Guiban ◽  
Antonello Rubini ◽  
Daniele Fresilli ◽  
Giuseppe Tiziano Lucarelli ◽  
Massimo Ralli ◽  
...  

Aims: To evaluate the pre-surgical diagnostic value of Multiparametric Ultrasound (MPUS) and Fine Needle Aspiration Cytology (FNAC) in differentiating parotid gland tumors, comparing the results with histology. Materials and methods:The study enrolled 84 patients with parotid gland lesions surgically treated in a single tertiary center and evaluated by MPUS. Each patient underwent FNAC. Histological examination was considered the gold standard. Results: Histology identified 62 benign tumors and 22 malignancies. In the differential diagnosis between malignant and benign lesions, B-mode Ultrasound (US), Color-Doppler US, Contrast-Enhanced US (CEUS), Elastography (USE) and FNAC showed the following values of sensitivity: 82%, 81%, 86%, 77%, 73% respectively; specificity: 97%, 61%, 95%, 71%, 97% respectively; PPV: 90%, 43%, 86%, 50%, 89% respectively; NPV: 93%, 90%, 95%, 88%, 91% respectively; and accuracy: 89%, 71%, 90%, 78%, 84% re-spectively. Conclusions: CEUS proved to be a valid and accurate method for identifying malignant tumors of parotid gland; the combination of B-mode US with CEUS showed similar diagnostic accuracy, but better sensitivity than CEUS taken alone. USE did not improve the diagnostic performance of the B-mode US, alone or in association with CEUS; however, it revealed the highest diagnostic accuracy in the differentiation between benign lesions. FNAC demonstrated lower values in comparison with CEUS and with USE. Therefore, according to our study, MPUS could be proposed as a valid alternative to FNAC.


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