The Role of Pre-operative CT-guided FNAB for Parapharyngeal Space Tumors

Overview

Journal Otolaryngol Head Neck Surg

Publisher Wiley

Specialties General Surgery
Otorhinolaryngology

Date 2007 Feb 27

PMID 17321869

Citations 14

Authors

Tarik Y Farrag

Frank R Lin

Wayne M Koch

Joseph A Califano

Charles W Cummings

Maryam A Farinola

Ralph P Tufano

Affiliations

Soon will be listed here.

Abstract

Objective: To determine the role of computed tomography (CT)-guided fine needle aspiration biopsy (FNAB) in surgical planning for parapharyngeal space (PPS) tumors.

Design And Setting: Chart review of 49 consecutive patients with surgically treated PPS tumors from 1995 to 2005.

Results: Twenty-nine patients had CT-guided FNAB. A cytopathologic diagnosis that was the same as final pathology was rendered in 14 (48%) patients; suggestive but not conclusive in 6 (21%) patients; discordant in 3 (10%) patients; and 6 (21%) patients had a nondiagnostic result. Fourteen of 15 patients who had a final histopathologic finding of pleomorphic adenoma had a correct or highly suggestive preoperative FNAB diagnosis. The positive predictive value for CT-guided FNAB to identify benign tumors is 90%, (18 of 20) but to identify malignant PPS tumors is 75% (3 of 4).

Conclusion: CT-guided FNAB of PPS tumors is helpful to predict the nature of the PPS tumors (especially benign), which allows the surgeon and patient to plan for treatment, accordingly.

Citing Articles

Parotid Gland Cancer With First Bite Syndrome Detected CT-Guided Fine Needle Aspiration Cytology.

Haneda M, Okamoto I, Shimizu A, Arai S, Yamakura T, Yunaiyama D In Vivo. 2024; 38(3):1454-1458.

PMID: 38688641 PMC: 11059903. DOI: 10.21873/invivo.13590.

Ultrasound-guided diagnosis on a parapharyngeal mass.

Alessio F, Scarano A, Valentini G, Boccatonda A, Andreetto L, Vicari S J Ultrasound. 2024; .

PMID: 38551781 DOI: 10.1007/s40477-024-00882-z.

Endoscopy-assisted transoral approach for parapharyngeal space tumors: Our experience and a systematic review of the literature.

Orlando P, Locatello L, Gallo O, Leopardi G, Maggiore G World J Otorhinolaryngol Head Neck Surg. 2023; 9(1):79-90.

PMID: 37006749 PMC: 10050965. DOI: 10.1002/wjo2.55.

Parapharyngeal Space Tumors: Our Experience.

Galli J, Rolesi R, Gallus R, Seccia A, Pedicelli A, Bussu F J Pers Med. 2023; 13(2).

PMID: 36836517 PMC: 9962679. DOI: 10.3390/jpm13020283.

Endoscopic ultrasound-guided fine-needle aspiration to diagnose a recurrent nasopharyngeal carcinoma in the parapharyngeal space.

Zhang Z, Bao Y, Yang H, Qin S, Zhang S, Duan X Endoscopy. 2022; 55(S 01):E194-E196.

PMID: 36368674 PMC: 9829779. DOI: 10.1055/a-1956-0062.