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Accuracy and Value of Needle Biopsy of the Parotid Gland

Accuracy and Value of Needle Biopsy of the Parotid Gland Abstract DISEASES affecting the parotid gland are many and varied. Primary neoplasms of the parotid comprise 0.5% to 2.0% of all tumors afflicting man.1 Metastatic deposits in the parotid gland are not uncommon and some inflammatory and collagen diseases may affect the parotid gland as well. On occasion, findings such as unusual firmness or seventh nerve involvement may strongly suggest that a parotid mass is carcinoma. But on clinical examination alone, it is rarely possible to predict the histology with any degree of certainty. Treatment of malignant parotid tumors remains controversial. In each instance the surgeon must decide whether to perform superficial or total parotidectomy; whether to preserve or sacrifice the facial nerve, and whether a radical neck dissection is required. Although the size and location of the tumor most strongly influence these decisions, there are instances when the operation is selected on the basis of histological diagnosis. This report References 1. Ariel, J.M., et al: Treatment of Tumors of Parotid Salivary Gland , Surgery 35:124, 1954. 2. Silverman, I.: A New Biopsy Needle , Amer J Surg 40:671, 1938.Crossref 3. State, D., and Grage, T.B.: Surgical Treatment of Parotid Tumors , Curr Probl Surg ( (Jan) ) 1966. 4. Kirklin, J.W., et al: Parotid Tumors: Histopathology Clinical Behaviours and End Results , Surg Gynec Obstet 92:721, 1951. 5. Beahrs, O.H., et al: Carcinomatous Transformation of Mixed Tumors of the Parotid Gland , Arch Surg 75:605, 1957.Crossref 6. McQuarrie, D.G., and Winter, L.: Papillary Cystadenoma Lymphomatosum , Arch Surg 96:511, 1966.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Accuracy and Value of Needle Biopsy of the Parotid Gland

Archives of Otolaryngology , Volume 87 (5) – May 1, 1968

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00760060503011
Publisher site
See Article on Publisher Site

Abstract

Abstract DISEASES affecting the parotid gland are many and varied. Primary neoplasms of the parotid comprise 0.5% to 2.0% of all tumors afflicting man.1 Metastatic deposits in the parotid gland are not uncommon and some inflammatory and collagen diseases may affect the parotid gland as well. On occasion, findings such as unusual firmness or seventh nerve involvement may strongly suggest that a parotid mass is carcinoma. But on clinical examination alone, it is rarely possible to predict the histology with any degree of certainty. Treatment of malignant parotid tumors remains controversial. In each instance the surgeon must decide whether to perform superficial or total parotidectomy; whether to preserve or sacrifice the facial nerve, and whether a radical neck dissection is required. Although the size and location of the tumor most strongly influence these decisions, there are instances when the operation is selected on the basis of histological diagnosis. This report References 1. Ariel, J.M., et al: Treatment of Tumors of Parotid Salivary Gland , Surgery 35:124, 1954. 2. Silverman, I.: A New Biopsy Needle , Amer J Surg 40:671, 1938.Crossref 3. State, D., and Grage, T.B.: Surgical Treatment of Parotid Tumors , Curr Probl Surg ( (Jan) ) 1966. 4. Kirklin, J.W., et al: Parotid Tumors: Histopathology Clinical Behaviours and End Results , Surg Gynec Obstet 92:721, 1951. 5. Beahrs, O.H., et al: Carcinomatous Transformation of Mixed Tumors of the Parotid Gland , Arch Surg 75:605, 1957.Crossref 6. McQuarrie, D.G., and Winter, L.: Papillary Cystadenoma Lymphomatosum , Arch Surg 96:511, 1966.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: May 1, 1968

References

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