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Research ArticleHEAD AND NECK

Ultrasonography-Guided Core-Needle Biopsy of Parotid Gland Masses

Yung-Liang Wan, Siu-Cheung Chan, Yao-Liang Chen, Yun-Chung Cheung, Kar-Wai Lui, Ho-Fai Wong, Chuen Hsueh and Lai-Chu See
American Journal of Neuroradiology October 2004, 25 (9) 1608-1612;
Yung-Liang Wan
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Siu-Cheung Chan
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Yao-Liang Chen
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Yun-Chung Cheung
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Kar-Wai Lui
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Ho-Fai Wong
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Chuen Hsueh
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Lai-Chu See
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    Fig 1.

    A 69-year-old man with low-grade lymphoma of the parotid gland.

    A, Hypoechoic mass with linear echogenic foci within the tumor.

    B, Core biopsy of the mass with a cutting needle passing through the tumor.

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    TABLE 1:

    Final diagnoses of 53 parotid lesions, patients undergoing surgery, needle sizes, passes, and volume of acquired tissue

    Pathologic DiagnosisPatient Age (y)M:F RatioTotal CasesSurgical CasesNeedle GaugePassesTissue Volume (mm3)*
    Benign neoplasm17–7222:11331514–181–418–128
        Pleomorphic adenoma17–548:7151116–182–436–128
        Warthin tumor†34–7212:3151214–181–318–105
        Oncocytoma58, 621:12116264
        Neurilemmoma561:01116264
    Malignant neoplasm38–8110:313614–202–536–262
        Lymphoma38–743:36114–202–536–262
        Primary carcinoma‡40–814:04414–182–355–157
        Metastatic carcinoma40, 572:02016, 182, 355, 64
        Organized abscess, clear cell carcinoma§651:01116396
    Nonneoplastic lesion31–703:47014–182–436–128
        Sclerosing sialoadenitis61, 700:220162, 364, 96
        Chronic inflammation55–691:23016, 182–436–128
        Postoperative fibrosis311:010142105
        Lymphoid hyperplasia341:01018355
    Total17–8135:18533114–201–518–262
    • * Approximate volume = 3.14 × radius × radius × length of specimen notch or throw × number of passes.

    • † Of 53 cases, only one Warthin tumor was associated with hematoma.

    • ‡ Including adenoid cystic, lymphoepithelioma–like, mucoepidermoid, and squamous cell carcinomas (one each).

    • § Pathologic diagnoses were concordant between biopsy and surgery in all patients except this one. Clear cell carcinoma was found on surgicopathology.

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American Journal of Neuroradiology: 25 (9)
American Journal of Neuroradiology
Vol. 25, Issue 9
1 Oct 2004
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Yung-Liang Wan, Siu-Cheung Chan, Yao-Liang Chen, Yun-Chung Cheung, Kar-Wai Lui, Ho-Fai Wong, Chuen Hsueh, Lai-Chu See
Ultrasonography-Guided Core-Needle Biopsy of Parotid Gland Masses
American Journal of Neuroradiology Oct 2004, 25 (9) 1608-1612;

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Ultrasonography-Guided Core-Needle Biopsy of Parotid Gland Masses
Yung-Liang Wan, Siu-Cheung Chan, Yao-Liang Chen, Yun-Chung Cheung, Kar-Wai Lui, Ho-Fai Wong, Chuen Hsueh, Lai-Chu See
American Journal of Neuroradiology Oct 2004, 25 (9) 1608-1612;
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Cited By...

  • Comparison of Fine-Needle Aspiration and Core Needle Biopsy under Ultrasonographic Guidance for Detecting Malignancy and for the Tissue-Specific Diagnosis of Salivary Gland Tumors
  • Myopericytoma of the parotid region treated by extracapsular dissection
  • CT Features of Parotid Gland Oncocytomas: A Study of 10 Cases and Literature Review
  • Diagnosing a parotid lump: fine needle aspiration cytology or core biopsy?
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