Back to Search
Start Over
Retrospective Assessment of the Utility of Imaging, Fine-Needle Aspiration Biopsy, and Intraoperative Frozen Section in the Management of Parotid Neoplasms: The Weill Cornell Medical College Experience
- Source :
- ORL. 77:171-179
- Publication Year :
- 2015
- Publisher :
- S. Karger AG, 2015.
-
Abstract
- Background/Aims: Preoperative identification of malignant parotid lesions remains challenging, and thus, some surgeons use frozen section (FS) to assist them in their decision making. We evaluated the pathologic and cost benefit of FS after fine-needle aspiration (FNA) at our institution. Methods: We assessed medical data for 260 patients undergoing parotidectomy with FS. The sensitivity, specificity, accuracy, positive predictive value, and negative predictive value were calculated for radiology, FNA, and FS. Results: The sensitivities, specificities, and accuracies of FNA and FS were 75.0, 96.4, and 93.2%, and 75.0, 100, and 96.8%, respectively. FS detected 0% of FNA false negatives and 80% of false positives. The additional pathology charge for FS alone per correctly identified benign lesion after a positive FNA was USD 1,443. Conclusion: FNA and FS are more reliable in the prognostication of the final pathology than radiology. At our center, FS appears to be of limited clinical use after benign FNAs, but may be more useful after positive, indeterminate, and nondiagnostic FNAs.
- Subjects :
- Adenoma
Adult
Male
medicine.medical_specialty
Adolescent
Biopsy, Fine-Needle
Young Adult
Predictive Value of Tests
Biopsy
False positive paradox
Frozen Sections
Humans
Medicine
Child
Aged
Retrospective Studies
Aged, 80 and over
medicine.diagnostic_test
business.industry
Carcinoma
Magnetic resonance imaging
Retrospective cohort study
Parotidectomy
Middle Aged
Magnetic Resonance Imaging
Parotid Neoplasms
Parotid gland
body regions
surgical procedures, operative
Fine-needle aspiration
medicine.anatomical_structure
Otorhinolaryngology
Predictive value of tests
Female
Radiology
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 14230275 and 03011569
- Volume :
- 77
- Database :
- OpenAIRE
- Journal :
- ORL
- Accession number :
- edsair.doi.dedup.....e5b6ff7c3b71392b658adf97571b7ac8