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Parotid lymphoma in west Scotland: two-year ‘snapshot’ of diagnosis, management and core issues

Published online by Cambridge University Press:  07 July 2009

D P Crampsey ,
S A Savage ,
P McKay  and
K MacKenzie
D P Crampsey*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary, Glasgow, Scotland, UK
S A Savage
Affiliation:
West of Scotland Managed Clinical Networks, Glasgow Royal Infirmary, Glasgow, Scotland, UK
P McKay
Affiliation:
Department of Haematology, Gartnavel General Hospital, Glasgow, Scotland, UK
K MacKenzie
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary, Glasgow, Scotland, UK
*
Address for correspondence: Mr David P Crampsey, Specialist Registrar, Department of Otolaryngology, Royal Alexandra Hospital, Corsebar Road, Paisley PA2 9PN, Scotland, UK. E-mail: david.crampsey@btinternet.com
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Abstract

Objectives:

To establish whether there is a requirement for a network policy on management of suspected intraparotid lymphoma, and to answer the question, ‘Can lymphoma of the parotid region be adequately diagnosed, typed and treated on the basis of a core biopsy, within the West of Scotland?’

Method:

We identified 22 patients from the West of Scotland Managed Clinical Network database who had been diagnosed between 2003 and 2005 with lymphoma of the parotid region (nodal or extranodal). These 22 cases were reviewed, assessing specifically their investigation and diagnosis (compared with the World Health Organization classification of parotid lymphoma).

Results:

Three of the 22 patients underwent core biopsy to diagnose and type their lymphoma. All these procedures were performed within a single centre.

Conclusion:

It is possible to successfully perform core biopsy of parotid lymphoma lesions (generally under ultrasonic guidance). This may obviate the need for open procedures. Close collaboration with haematology, pathology, radiology, and head and neck colleagues is required.

Keywords

Parotid NeoplasmsBiopsyLymphoma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 11 , November 2009 , pp. 1237 - 1241
Copyright
Copyright © JLO (1984) Limited 2009

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Footnotes

Presented at the Scottish Otolaryngological Society Summer Meeting, May 2008, Pitlochry, Scotland, UK.

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