Biopsy Techniques for Parotid Neoplasms
C Bano, K Tekeli, J Smith, S Hancox, J Sinnott, S Nachiappan, K Ramesar, DC Howlett
Hong Kong J Radiol 2018;21:94-8
DOI: 10.12809/hkjr1816819
Preoperative diagnosis of parotid masses through clinical assessment, imaging, and biopsy is important for optimal management. The use of fine-needle aspiration cytology (FNAC) with or without ultrasound guidance is the biopsy technique of choice. Nonetheless, ultrasound-guided core needle biopsy (USCB) is more accurate and sensitive in diagnosing malignancy, without major complications. USCB should be considered, particularly when FNAC is non-diagnostic.
Author affiliation(s):
C Bano, S Hancox, DC Howlett: Department of Radiology, Eastbourne District General Hospital, Eastbourne, United Kingdom
K Tekeli, J Smith: Department of Maxillofacial Surgery, Eastbourne District General Hospital, Eastbourne, United Kingdom
J Sinnott: Department of Ear, Nose and Throat Surgery, Eastbourne District General Hospital, Eastbourne, United Kingdom
S Nachiappan, K Ramesar: Department of Pathology, Eastbourne District General Hospital, Eastbourne, United Kingdom
中文摘要
腮腺腫瘤活檢技術
C Bano, K Tekeli, J Smith, S Hancox, J Sinnott, S Nachiappan, K Ramesar, DC Howlett
通過臨床評估、成像和活檢作出術前診斷對優化管理腮腺腫塊至關重要。使用有或沒有超聲引導的細針抽吸細胞學（FNAC）是活檢技術的最佳選擇。儘管如此，超聲引導的芯針活檢（USCB）在診斷惡性腫瘤方面更準確和靈敏，並無嚴重併發症。當FNAC結果是非診斷性時應考慮使用USCB。