Prospective evaluation of office-based parotid ultrasound.
BACKGROUND
Differentiation of parotid neoplasms from extraparotid upper cervical lesions is difficult by physical examination. The purpose of this report is to identify the role of office-based parotid ultrasound (US) in the evaluation of periauricular masses.


METHODS
A prospective database including the results of physical examination, office-based US, and the corresponding pathology was reviewed. Soft-tissue US was performed with a 7.5-mHz parallel probe with biplanar imaging.


RESULTS
Thirty-eight patients were evaluated over a 28-month period (mean age. 45 years; range, 23-78 years). US demonstrated a mass within the substance of the parotid (n = 23, 61%), outside the parotid (n = 11, 29%), or diffuse parotitis (n = 4, 10%). Intraparotid masses were preauricular (n = 14), postauricular (n = 5), or upper cervical (n = 4) and were solid (n = 22) or cystic (n = 1). Patients with solid intraparotid masses underwent superficial (n = 20) or total parotidectomy (n = 2). Benign (n = 19) and malignant (n = 3) solid parotid nodules had similar US features of hypoechogenicity with posterior enhancement. Indistinct margins were noted in 3 of 3 malignant lesions as well as 15 of 19 benign nodules (P = .9). Extraparotid masses were confirmed to be nodal disease on the basis of observation with resolution (n = 3), fine-needle aspiration (n = 6), or surgical removal (n = 2) (mean follow-up, 6 months).


CONCLUSIONS
Surgical office-based parotid US can delineate the location of periauricular mass lesions relative to the parotid gland. Benign and malignant lesions have a similar sonographic appearance.
Lamont
J P
JP
Department of Surgery, Baylor University Medical Center, Dallas, Texas, USA.
McCarty
T M
TM
Fisher
T L
TL
Kuhn
J A
JA
D000235:Adenolymphoma / Q000000981:diagnostic imaging / Q000473:pathology; D008949:Adenoma, Pleomorphic / Q000000981:diagnostic imaging / Q000473:pathology; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D003560:Cysts / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D010306:Parotid Gland / Q000000981:diagnostic imaging* / Q000473:pathology; D010307:Parotid Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D010824:Physicians' Offices; D011446:Prospective Studies; D014463:Ultrasonography