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Parotid gland surgery: 4-Year review of 118 cases in an Asian population
Background. To determine the presentation and management of parotid lesions requiring excision in a largely Chinese Asian population. Methods. Retrospective study of 118 consecutive parotidectomies. Results. Thirty‐seven percent were Warthin's tumor (WT), 33% pleomorphic adenoma (PA), 21% other...
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| Published in: | Head & neck 2003-07, Vol.25 (7), p.543-548 |
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| container_title | Head & neck |
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| creator | Lim, Lynne Hsueh Yee Chao, Siew Shuen Goh, Christopher Hood Keng Ng, Chee Yung Goh, Yau Hong Khin, Lay Wai |
| description | Background.
To determine the presentation and management of parotid lesions requiring excision in a largely Chinese Asian population.
Methods.
Retrospective study of 118 consecutive parotidectomies.
Results.
Thirty‐seven percent were Warthin's tumor (WT), 33% pleomorphic adenoma (PA), 21% other benign disease (OBD), and 9% malignant tumor (MT). Mean age was significantly different between benign (51 years) and malignant (40 years) lesions. MT decreased above 50 years, but increased five times with pain and two times with a noninferior pole lesion. Sensitivity of fine‐needle aspiration (FNA) for differentiating benign from MT = 78%, for WT =5 8%, for PA =82%, for OBD = 28%, and for MT = 38%. CT scans did not alter WT management. Facial nerve (FN) paresis was not associated with histology, tumor size, site, or parotidectomy type.
Conclusions.
This is the first report documenting that most benign parotid tumors are WT and not PA. MT risk is greater in those less than 50 with pain and a noninferior pole lesion. Cystic lesions such as WT require great care in the evaluation of FNA findings. © 2003 Wiley Periodicals, Inc. Head Neck 25: 543–548, 2003 |
| doi_str_mv | 10.1002/hed.10267 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73372904</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>73372904</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3897-20ab802b8a4edf97ef1d6fde0a9b9e8ee2bff55028d7cb97360a43bcc4f45e353</originalsourceid><addsrcrecordid>eNp1kE1PGzEQhq0KVCDtoX8A-QJSDwv-2rWXWxQCaRWlPVChniyvdwyGzW6wdwv59zhNoKde7NHMM_POvAh9oeSMEsLO76FOASvkB3RISSkzwoXc28SCZ5xIcYCOYnwghPBCsI_ogDJFVJHLQzT7aULX-xrfNaatcRzCHYT1BRbZbzABB_jj4Rl3DlOqsDURIvYtNi0eR5_eVbcaGtP7rv2E9p1pInze_SP062p6M5ll8x_X3ybjeWa5SpsxYipFWKWMgNqVEhytC1cDMWVVggJglXN5Tpiqpa1KyQtiBK-sFU7kwHM-QqfbuavQPQ0Qe7300UKT1oduiFpyLlmZDh-hr1vQhi7GAE6vgl-asNaU6I1tOtmm_9qW2OPd0KFapuw7ufMpASc7wERrGhdMa338x4mSKVlsRM-33LNvYP1_RT2bXr5JZ9sOH3t4ee8w4VGnqsz17eJaL26_z2m54PqGvwJgeZGU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>73372904</pqid></control><display><type>article</type><title>Parotid gland surgery: 4-Year review of 118 cases in an Asian population</title><source>Wiley</source><creator>Lim, Lynne Hsueh Yee ; Chao, Siew Shuen ; Goh, Christopher Hood Keng ; Ng, Chee Yung ; Goh, Yau Hong ; Khin, Lay Wai</creator><creatorcontrib>Lim, Lynne Hsueh Yee ; Chao, Siew Shuen ; Goh, Christopher Hood Keng ; Ng, Chee Yung ; Goh, Yau Hong ; Khin, Lay Wai</creatorcontrib><description>Background.
To determine the presentation and management of parotid lesions requiring excision in a largely Chinese Asian population.
Methods.
Retrospective study of 118 consecutive parotidectomies.
Results.
Thirty‐seven percent were Warthin's tumor (WT), 33% pleomorphic adenoma (PA), 21% other benign disease (OBD), and 9% malignant tumor (MT). Mean age was significantly different between benign (51 years) and malignant (40 years) lesions. MT decreased above 50 years, but increased five times with pain and two times with a noninferior pole lesion. Sensitivity of fine‐needle aspiration (FNA) for differentiating benign from MT = 78%, for WT =5 8%, for PA =82%, for OBD = 28%, and for MT = 38%. CT scans did not alter WT management. Facial nerve (FN) paresis was not associated with histology, tumor size, site, or parotidectomy type.
Conclusions.
This is the first report documenting that most benign parotid tumors are WT and not PA. MT risk is greater in those less than 50 with pain and a noninferior pole lesion. Cystic lesions such as WT require great care in the evaluation of FNA findings. © 2003 Wiley Periodicals, Inc. Head Neck 25: 543–548, 2003</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.10267</identifier><identifier>PMID: 12808657</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adenolymphoma - pathology ; Adenolymphoma - surgery ; Adenoma, Pleomorphic - pathology ; Adenoma, Pleomorphic - surgery ; Adult ; Age Factors ; Asia ; Biological and medical sciences ; Biopsy, Needle ; China - ethnology ; Facial Paralysis - etiology ; Female ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Male ; management ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Pain - complications ; parotid ; Parotid Neoplasms - pathology ; Parotid Neoplasms - surgery ; Retrospective Studies ; Risk Factors ; Sensitivity and Specificity ; Singapore ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Surgical Wound Infection - etiology ; tumor ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Warthin's</subject><ispartof>Head & neck, 2003-07, Vol.25 (7), p.543-548</ispartof><rights>Copyright © 2003 Wiley Periodicals, Inc.</rights><rights>2003 INIST-CNRS</rights><rights>Copyright 2003 Wiley Periodicals, Inc. Head Neck 25: 543-548, 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3897-20ab802b8a4edf97ef1d6fde0a9b9e8ee2bff55028d7cb97360a43bcc4f45e353</citedby><cites>FETCH-LOGICAL-c3897-20ab802b8a4edf97ef1d6fde0a9b9e8ee2bff55028d7cb97360a43bcc4f45e353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,777,781,786,787,23911,23912,25121,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14928764$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12808657$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lim, Lynne Hsueh Yee</creatorcontrib><creatorcontrib>Chao, Siew Shuen</creatorcontrib><creatorcontrib>Goh, Christopher Hood Keng</creatorcontrib><creatorcontrib>Ng, Chee Yung</creatorcontrib><creatorcontrib>Goh, Yau Hong</creatorcontrib><creatorcontrib>Khin, Lay Wai</creatorcontrib><title>Parotid gland surgery: 4-Year review of 118 cases in an Asian population</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background.
To determine the presentation and management of parotid lesions requiring excision in a largely Chinese Asian population.
Methods.
Retrospective study of 118 consecutive parotidectomies.
Results.
Thirty‐seven percent were Warthin's tumor (WT), 33% pleomorphic adenoma (PA), 21% other benign disease (OBD), and 9% malignant tumor (MT). Mean age was significantly different between benign (51 years) and malignant (40 years) lesions. MT decreased above 50 years, but increased five times with pain and two times with a noninferior pole lesion. Sensitivity of fine‐needle aspiration (FNA) for differentiating benign from MT = 78%, for WT =5 8%, for PA =82%, for OBD = 28%, and for MT = 38%. CT scans did not alter WT management. Facial nerve (FN) paresis was not associated with histology, tumor size, site, or parotidectomy type.
Conclusions.
This is the first report documenting that most benign parotid tumors are WT and not PA. MT risk is greater in those less than 50 with pain and a noninferior pole lesion. Cystic lesions such as WT require great care in the evaluation of FNA findings. © 2003 Wiley Periodicals, Inc. Head Neck 25: 543–548, 2003</description><subject>Adenolymphoma - pathology</subject><subject>Adenolymphoma - surgery</subject><subject>Adenoma, Pleomorphic - pathology</subject><subject>Adenoma, Pleomorphic - surgery</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Asia</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>China - ethnology</subject><subject>Facial Paralysis - etiology</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Male</subject><subject>management</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pain - complications</subject><subject>parotid</subject><subject>Parotid Neoplasms - pathology</subject><subject>Parotid Neoplasms - surgery</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sensitivity and Specificity</subject><subject>Singapore</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Surgical Wound Infection - etiology</subject><subject>tumor</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>Warthin's</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNp1kE1PGzEQhq0KVCDtoX8A-QJSDwv-2rWXWxQCaRWlPVChniyvdwyGzW6wdwv59zhNoKde7NHMM_POvAh9oeSMEsLO76FOASvkB3RISSkzwoXc28SCZ5xIcYCOYnwghPBCsI_ogDJFVJHLQzT7aULX-xrfNaatcRzCHYT1BRbZbzABB_jj4Rl3DlOqsDURIvYtNi0eR5_eVbcaGtP7rv2E9p1pInze_SP062p6M5ll8x_X3ybjeWa5SpsxYipFWKWMgNqVEhytC1cDMWVVggJglXN5Tpiqpa1KyQtiBK-sFU7kwHM-QqfbuavQPQ0Qe7300UKT1oduiFpyLlmZDh-hr1vQhi7GAE6vgl-asNaU6I1tOtmm_9qW2OPd0KFapuw7ufMpASc7wERrGhdMa338x4mSKVlsRM-33LNvYP1_RT2bXr5JZ9sOH3t4ee8w4VGnqsz17eJaL26_z2m54PqGvwJgeZGU</recordid><startdate>200307</startdate><enddate>200307</enddate><creator>Lim, Lynne Hsueh Yee</creator><creator>Chao, Siew Shuen</creator><creator>Goh, Christopher Hood Keng</creator><creator>Ng, Chee Yung</creator><creator>Goh, Yau Hong</creator><creator>Khin, Lay Wai</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>John Wiley & Sons</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200307</creationdate><title>Parotid gland surgery: 4-Year review of 118 cases in an Asian population</title><author>Lim, Lynne Hsueh Yee ; Chao, Siew Shuen ; Goh, Christopher Hood Keng ; Ng, Chee Yung ; Goh, Yau Hong ; Khin, Lay Wai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3897-20ab802b8a4edf97ef1d6fde0a9b9e8ee2bff55028d7cb97360a43bcc4f45e353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adenolymphoma - pathology</topic><topic>Adenolymphoma - surgery</topic><topic>Adenoma, Pleomorphic - pathology</topic><topic>Adenoma, Pleomorphic - surgery</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Asia</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle</topic><topic>China - ethnology</topic><topic>Facial Paralysis - etiology</topic><topic>Female</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Male</topic><topic>management</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pain - complications</topic><topic>parotid</topic><topic>Parotid Neoplasms - pathology</topic><topic>Parotid Neoplasms - surgery</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sensitivity and Specificity</topic><topic>Singapore</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Surgical Wound Infection - etiology</topic><topic>tumor</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Warthin's</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lim, Lynne Hsueh Yee</creatorcontrib><creatorcontrib>Chao, Siew Shuen</creatorcontrib><creatorcontrib>Goh, Christopher Hood Keng</creatorcontrib><creatorcontrib>Ng, Chee Yung</creatorcontrib><creatorcontrib>Goh, Yau Hong</creatorcontrib><creatorcontrib>Khin, Lay Wai</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lim, Lynne Hsueh Yee</au><au>Chao, Siew Shuen</au><au>Goh, Christopher Hood Keng</au><au>Ng, Chee Yung</au><au>Goh, Yau Hong</au><au>Khin, Lay Wai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parotid gland surgery: 4-Year review of 118 cases in an Asian population</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2003-07</date><risdate>2003</risdate><volume>25</volume><issue>7</issue><spage>543</spage><epage>548</epage><pages>543-548</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background.
To determine the presentation and management of parotid lesions requiring excision in a largely Chinese Asian population.
Methods.
Retrospective study of 118 consecutive parotidectomies.
Results.
Thirty‐seven percent were Warthin's tumor (WT), 33% pleomorphic adenoma (PA), 21% other benign disease (OBD), and 9% malignant tumor (MT). Mean age was significantly different between benign (51 years) and malignant (40 years) lesions. MT decreased above 50 years, but increased five times with pain and two times with a noninferior pole lesion. Sensitivity of fine‐needle aspiration (FNA) for differentiating benign from MT = 78%, for WT =5 8%, for PA =82%, for OBD = 28%, and for MT = 38%. CT scans did not alter WT management. Facial nerve (FN) paresis was not associated with histology, tumor size, site, or parotidectomy type.
Conclusions.
This is the first report documenting that most benign parotid tumors are WT and not PA. MT risk is greater in those less than 50 with pain and a noninferior pole lesion. Cystic lesions such as WT require great care in the evaluation of FNA findings. © 2003 Wiley Periodicals, Inc. Head Neck 25: 543–548, 2003</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>12808657</pmid><doi>10.1002/hed.10267</doi><tpages>6</tpages></addata></record> |
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| subjects | Adenolymphoma - pathology Adenolymphoma - surgery Adenoma, Pleomorphic - pathology Adenoma, Pleomorphic - surgery Adult Age Factors Asia Biological and medical sciences Biopsy, Needle China - ethnology Facial Paralysis - etiology Female Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Male management Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology. Stomatology Pain - complications parotid Parotid Neoplasms - pathology Parotid Neoplasms - surgery Retrospective Studies Risk Factors Sensitivity and Specificity Singapore Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Surgical Wound Infection - etiology tumor Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology Warthin's |
| title | Parotid gland surgery: 4-Year review of 118 cases in an Asian population |
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