Year 2019, Volume 3 , Issue 11, Pages 800 - 804 2019-11-01

Parotis bezi kitlelerinin B-mod ultrasonografi ve strain elastografi bulguları ile değerlendirilmesi
Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings

Umut ÖĞÜŞLÜ [1] , Sibel AYDIN AKSU [2] , Sadık Ahmet UYANIK [3] , Burçak GÜMÜŞ [4]


Amaç: Ultrason elastografi (USE) tiroid, meme lenf nodu ve prostat dokularının benign ve malign lezyonlarının ayrımında kullanışlı bulunmuştur. Bununla birlikte parotis bezindeki kullanımında sınırlı data mevcuttur. Biz bu çalışmada parotis bezi lezyonlarında benign malign ayrımında B-mod ultrasonografi (US) ve USE bulgularının tanısal performansını değerlendirmeyi amaçladık. İkincil hedef olarak da en sık rastlanan benign parotis bezi lezyonlarını kendi içerisinde değerlendirmeyi hedefledik.

Yöntemler: Bu kesitsel çalışmada 48 hastada 57 lezyon değerlendirilmeye alındı. Her hasta iki radyolog tarafından muayene edildi. B-mod US (boyut, kontur, ciltten derinlik, içyapı, kalsifikasyon, kistik komponent) ve USE (gerinim oranı olarak belirtilen yarı nicel değer) bulguları not edildi. Her bulgu ayrı ayrı değerlendirildi. Her hastaya ince iğne aspirasyon biyopsisi ve sonrasında cerrahi rezeksiyon uygulandı.

Bulgular: Lezyonların 50’si benign, 7’si malign olarak patolojik tanı aldı. B-mod ultrason bulguları dikkate alındığında düzensiz kontur özelliğinin malign lezyonların ayrımında en yüksek doğruluk oranına (%85,7) sahip olduğu görüldü. USE bulguları değerlendirildiğinde gözlemciler içi uyum orta-ortanın altında; gözlemciler arası uyum ise orta olarak saptandı. Malign kitleler benign olanlar ile kıyaslandığında hafif daha yüksek gerinim oranı değerlerine sahip olmakla birlikte istatistiksel olarak anlamlı fark tespit edilmedi (P=0,422) ve güvenilir bir eşik değer saptanamadı.

Sonuç: USE ile meme ve tiroid lezyonlarındaki umut verici sonuçlar elde edilmesine rağmen parotis kitlelerinin değerlendirilmesinde konvansiyonel US bulguları ve ince iğne aspirasyon biyopsisi hala temel tanı aracı olarak geçerliliğini sürdürmektedir.

Aim: Ultrasound elastography (USE) has been found useful in differentiation between malignant and benign lesions of various tissues, such as the thyroid, breast, lymph node and prostate, however, there is limited data on the parotid gland. The aim of this study is to assess the diagnostic performance of B-mode ultrasonography (US) and USE findings in differentiating between benign and malignant parotid gland masses. A secondary goal is to evaluate results for the most frequent benign lesions. 

Methods: In this cross-sectional study, 57 masses in 48 patients were evaluated. 2 radiologists examined each patient. B-mode US (size, contour, skin depth, internal structures, calcification, cystic component) and USE (a semiquantitative value strain index (SI)) findings were noted. We considered each feature individually. All patients underwent fine needle aspiration cytology (FNAC) and surgical resection.

Results: 50 masses were benign and 7 were malignant. Among B-mode US results, contour irregularity was found to have the highest accuracy (85.7%) in differentiating malignant lesions. When USE findings were considered, intra-observer agreement was moderate to fair and interobserver agreement was moderate. Malignant masses had mildly high SI scores. There was a wide range overlap between malignant and benign lesions. There was no statistically significant difference (P=0.422) and we could not attain a reliable SI cut-off value.

Conclusion: Despite the promising results of USE in breast and thyroid lesions, conventional US findings and FNAC are still the primary diagnostic tool to evaluate parotid lesions.

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Primary Language en
Subjects Radiology, Nuclear Medicine, Medical Imaging
Journal Section Research article
Authors

Orcid: 0000-0001-7985-0734
Author: Umut ÖĞÜŞLÜ (Primary Author)
Institution: Okan University Hospital, Department of Radiology
Country: Turkey


Orcid: 0000-0003-3675-8190
Author: Sibel AYDIN AKSU
Institution: Haydarpasa Numune Training and Research Hospital, Department of Radiology,
Country: Turkey


Orcid: 0000-0003-0622-2985
Author: Sadık Ahmet UYANIK
Institution: Okan University Hospital, Department of Radiology
Country: Turkey


Orcid: 0000-0002-3933-7263
Author: Burçak GÜMÜŞ
Institution: Okan University Hospital, Department of Radiology
Country: Turkey


Dates

Publication Date : November 1, 2019

Bibtex @research article { josam642092, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2019}, volume = {3}, pages = {800 - 804}, doi = {10.28982/josam.642092}, title = {Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings}, key = {cite}, author = {Öğüşlü, Umut and Aydın Aksu, Sibel and Uyanık, Sadık Ahmet and Gümüş, Burçak} }
APA Öğüşlü, U , Aydın Aksu, S , Uyanık, S , Gümüş, B . (2019). Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings . Journal of Surgery and Medicine , 3 (11) , 800-804 . DOI: 10.28982/josam.642092
MLA Öğüşlü, U , Aydın Aksu, S , Uyanık, S , Gümüş, B . "Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings" . Journal of Surgery and Medicine 3 (2019 ): 800-804 <http://jsurgmed.com/en/pub/issue/49829/642092>
Chicago Öğüşlü, U , Aydın Aksu, S , Uyanık, S , Gümüş, B . "Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings". Journal of Surgery and Medicine 3 (2019 ): 800-804
RIS TY - JOUR T1 - Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings AU - Umut Öğüşlü , Sibel Aydın Aksu , Sadık Ahmet Uyanık , Burçak Gümüş Y1 - 2019 PY - 2019 N1 - doi: 10.28982/josam.642092 DO - 10.28982/josam.642092 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 800 EP - 804 VL - 3 IS - 11 SN - -2602-2079 M3 - doi: 10.28982/josam.642092 UR - https://doi.org/10.28982/josam.642092 Y2 - 2019 ER -
EndNote %0 Journal of Surgery and Medicine Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings %A Umut Öğüşlü , Sibel Aydın Aksu , Sadık Ahmet Uyanık , Burçak Gümüş %T Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings %D 2019 %J Journal of Surgery and Medicine %P -2602-2079 %V 3 %N 11 %R doi: 10.28982/josam.642092 %U 10.28982/josam.642092
ISNAD Öğüşlü, Umut , Aydın Aksu, Sibel , Uyanık, Sadık Ahmet , Gümüş, Burçak . "Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings". Journal of Surgery and Medicine 3 / 11 (November 2019): 800-804 . https://doi.org/10.28982/josam.642092
AMA Öğüşlü U , Aydın Aksu S , Uyanık S , Gümüş B . Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings. J Surg Med. 2019; 3(11): 800-804.
Vancouver Öğüşlü U , Aydın Aksu S , Uyanık S , Gümüş B . Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings. Journal of Surgery and Medicine. 2019; 3(11): 800-804.
IEEE U. Öğüşlü , S. Aydın Aksu , S. Uyanık and B. Gümüş , "Assessment of parotid gland masses with B-mode ultrasonography and strain elastography findings", Journal of Surgery and Medicine, vol. 3, no. 11, pp. 800-804, Nov. 2019, doi:10.28982/josam.642092