Volume : III, Issue : XI, November - 2014

FNAC OF THE PAROTID GLAND TUMOURS– IS IT REALLY NECESSARY?

Dr. Sharath B V, Dr. Vijayakumar G

Abstract :

Background: The tumors of salivary glands are relatively uncommon in surgical practice. The tumor thus presenting may be benign or malignant. Thus early diagnosis of malignant tumor is utmost important. Many diagnostic measures are used to diagnose the salivary tumors including fine needle aspiration cytology and Histopathology. But the accuracy of diagnosis is not known with fine needle aspiration cytology. Objective: To assess the accuracy of FNAC in diagnosing parotid gland tumors. Methods: A prospective study done in tertiary care centre between December 2010 and July 2013. About Twenty five cases of parotid gland tumors which were diagnosed by FNAC were included in the study. The study was carried out by taking proper history and detailed clinical examination including appropriate investigations; surgery was conducted. Patients were treated either by superficial parotidectomy or by total parotidectomy. Pre operative FNAC results were compared with post operative histopathological examination of the excised specimen. Results: Benign tumors constituted 80% of all parotid gland tumors and 20% were malignant tumors. Pleomorphic adenoma was the most common benign tumor constituting 90% of all benign tumors. Muco–epidermoid carcinoma was the most common malignant tumor constituting 60% of the tumors. The accuracy of FNAC in diagnosing benign parotid tumors was 100% and that of malignant tumors was 80%. The missed case is mucoepidermoid carcinoma. Conclusion: FNAC is a good preliminary test for diagnosing benign parotid tumors but it must be interpreted cautiously in patients with malignant parotid tumors.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. SHARATH B V, Dr. VIJAYAKUMAR G FNAC Of The Parotid Gland Tumours- is it Really Necessary? International Journal of Scientific Research, Vol : 3, Issue : 11 November 2014

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