scholarly journals Case Series-An Overview of Extracapsular Dissection of Parotid Tumours

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Deepalakshmi T ◽  
◽  
Rai A ◽  
Mahesh SG ◽  
Devan PP ◽  
...  
Keyword(s):  
Case Series ◽  
Needle Aspiration ◽  
Surgical Approaches ◽  
Parotid Tumors ◽  
Parotid Neoplasm ◽  
Extracapsular Dissection ◽  
Sialadenoma Papilliferum ◽  
Digital Manipulation ◽  
Needle Aspiration Cytology ◽  
Parotid Tumours

Extra Capsular Dissection (ECD) differs markedly from classic surgical approaches to the parotid neoplasm because facial nerve dissection is not performed. Factors noted to favor this approach include mobility of the tumor within the gland, a thin covering of capsule and glandular tissue, and a tumor large enough to allow digital manipulation during dissection. Imaging, fine needle aspiration cytology, and neuron-monitoring play a heightened role in ECD [1]. The AIM of this article is to report case series on surgical management of few types of parotid tumors by extra capsular dissection and to assess longterm results after the treatment of Parotid tumors using surgical technique ECD. This case series includes five different parotid tumors such as Warthin’s tumor, Pleomorphic adenoma, Sialadenoma papilliferum of parotid, chronic sialoadenitis, Parotid cystadenoma, out of 30 cases operated in our hospital. All the patients in this study received appropriate surgical treatment (ECD) and done a follow up evaluation every month. Extra capsular dissection is a safe, reliable and recommended technique to manage the small benign superficial parotid tumors if the case is selected properly.

scholarly journals Case series-an overview of extracapsular dissection of parotid tumours

2021 ◽  
Vol 7 (9) ◽  
pp. 1521
Author(s):  
Anushree Rai M. ◽  
Deepalakshmi Tanthry ◽  
Mahesh Santhraya ◽  
Devan Poothatta Pannen ◽  
Rukma Bhandary ◽  
...  
Keyword(s):  
Case Series ◽  
Needle Aspiration ◽  
Long Term Results ◽  
Surgical Approaches ◽  
Parotid Tumors ◽  
Parotid Neoplasm ◽  
Extracapsular Dissection ◽  
Sialadenoma Papilliferum ◽  
Digital Manipulation ◽  
Parotid Tumours

<p>Extra capsular dissection (ECD) differs markedly from classic surgical approaches to the parotid neoplasm because facial nerve dissection is not performed. Factors noted to favor this approach include mobility of the tumor within the gland, a thin covering of capsule and glandular tissue, and a tumor large enough to allow digital manipulation during dissection. Imaging, fine needle aspiration cytology, and neuron-monitoring play a heightened role in ECD. The aim of this article is to report case series on surgical management of few types of parotid tumors by extra capsular dissection and to assess long-term results after the treatment of parotid tumors using surgical technique ECD.This case series includes five different parotid tumors such as Warthin’s tumor, Pleomorphic adenoma, Sialadenoma papilliferum of parotid, chronic sialoadenitis, parotid cystadenoma, out of 30 cases operated in our hospital. All the patients in this study received appropriate surgical treatment (ECD)<strong> </strong>and done a follow up evaluation every month.</p>

Critical clinical appraisal of the role of ultrasound guided fine needle aspiration cytology in the management of parotid tumours

2005 ◽  
Vol 119 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Y Bajaj ◽  
S Singh ◽  
N Cozens ◽  
J Sharp
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Malignant Tumours ◽  
Ultrasound Guided ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology ◽  
Parotid Tumours

Objective: Fine needle aspiration cytology is a well established tool for investigating many head and neck conditions. Its application in parotid tumours is, however, controversial. This article is aimed at defining the role of ultrasound guided fine needle aspiration cytology (FNAC) in the diagnostic work up of parotid tumours. The accuracy and utility of FNAC of parotid tumours was also assessed.Design: Retrospective case note review.Setting: District general hospital.Participants: Review of 69 patient records who had parotid surgery under one surgeon’s care (JS). Clinical opinion, FNAC results and final pathology findings were examined.Main outcome measures: The results of the FNAC were compared to the histopathological diagnosis obtained from the surgical specimen.Results: Histological evaluation revealed 13 malignant tumours and 56 benign lesions. The overall sensitivity of FNAC was 84.6 per cent and specificity was 96.4 per cent. We noted 11 true positive, 54 true negative, two false negative and two false positive results. Positive predictive value for diagnosing malignancy was 84.6 per cent and negative predictive value for malignancy was 96.4 per cent. The overall accuracy of FNAC of parotids in this study was 94.2 per cent.Conclusions: FNAC results provide useful preoperative information. FNAC enables more reliable patient counselling and reduces pathological surprises. Pre-operative recognition of malignant tumours may help prepare both the surgeon and patient for an appropriate surgical procedure. Its enhancement of the pre-operative recognition of malignant parotid tumours may alert more stringent attention to the operative margin and hence better tumour clearance. Ultrasound guided FNAC was found to be highly specific for malignancy and its sensitivity for malignancy was good.

scholarly journals Cyto-serological correlation in toxoplasma lymphadenitis: Is bypassing biopsy plausible?

2021 ◽  
Vol 6 (2) ◽  
pp. 103-107
Author(s):  
Zeba Nisar ◽  
Jaydeep N. Pol ◽  
Sachin J Patil ◽  
Rakhi V Jagdale
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
English Literature ◽  
Case Series ◽  
Needle Aspiration ◽  
Cervical Region ◽  
Indian Literature ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology

To study ten cases of toxoplasmic lymphadenitis (TL) in which the diagnosis was made by fine needle aspiration cytology and confirmed by subsequent serology. Retrospective study done over a period of five years. We retrieved ten cases of Toxoplasma lymphadenitis in which fine-needle aspiration cytology (FNAC) of lymph node was done after clinical examination. Serology with electrochemiluminescense was done in all the cases. The cytological features were characterised by microgranulomas, abundance of tingible body macrophages and absence of necrosis. Serologic testing for toxoplasma in all the cases revealed elevated titres. Lymphadenitis due to Toxoplasma infection should be considered in the diagnosis of unexplained lymphadenopathy at all sites, especially the cervical region. Serologic confirmation should be recommended for all suspected cases. FNAC diagnosis can eliminate the need for hospitalization and surgery. To the best of authors’ knowledge, this is 5 case series of cytodiagnosis of TL in the English literature and 2 in the Indian literature. This is the largest case series of cytodiagnosis of TL in the Indian literature and 2 largest in the world literature next to the one done by Haque et al.

Characteristics and Outcomes of Parotid Gland Tumors in Adolescents

2021 ◽  
pp. 014556132110640
Author(s):  
Hirofumi Kanetake ◽  
Yuko Inaka ◽  
Ichita Kinoshita ◽  
Yusuke Ayani ◽  
Akiko Ozaki ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Malignant Tumors ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Parotid Tumors ◽  
Pleomorphic Adenomas ◽  
Needle Aspiration Cytology

Objective Parotid tumors are rare neoplasms in adults but are exceedingly infrequent in adolescents. We aimed to determine the clinical characteristics and outcomes of parotid tumors in adolescents under 20 years old. Methods Between 1999 and 2020, 979 cases of benign parotid tumors and 236 cases of malignant parotid tumors were treated surgically in our department. Of these, 12 benign cases (1.2%) and 9 malignant cases (3.8%) were in adolescents. There were no benign or malignant cases for those aged under 10 years. Results Regarding the histological type, all benign tumors were pleomorphic adenomas. About half of malignant tumors were mucoepidermoid carcinomas, and excluding one high-grade case, the grade of malignancy was all low/intermediate. The accuracy of fine-needle aspiration cytology among adolescents showed no significant difference with that of adults. In contrast to adults, adolescent benign tumor cases showed a markedly high rate of pleomorphic adenomas and no postoperative facial nerve palsy. Malignant tumors in adolescents had a different trend than adults; low/intermediate-grade malignancies were common and thus few symptoms/signs of malignancy could be observed. As well, the accuracy of fine-needle aspiration cytology was poor. All cases had a good prognosis and are disease-free survival. Conclusion Parotid tumors in adolescents are rare but have several characteristics that are distinct from adults. As long-term observation is required posttreatment in adolescent patients, recurrence in benign pleomorphic adenomas and poor long-term prognosis in malignant tumors, especially for those with low/intermediate-grade malignancy, are more likely to be observed.

Dysplastic Megakaryocytes and Eosinophilic Precursors in the Diagnosis of Myeloid Sarcoma on Lymph Node Fine-Needle Aspiration Cytology: A Case Series

2012 ◽  
Vol 56 (3) ◽  
pp. 325-329 ◽  
Author(s):  
Sandeep S. Ojha ◽  
Kanchan S. Kothari ◽  
Leena P. Naik ◽  
Gwendolyn C. Fernandes ◽  
Saaishta Rangwala ◽  
...  
Keyword(s):  
Lymph Node ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Case Series ◽  
Needle Aspiration ◽  
Myeloid Sarcoma ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology
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