Concordance of fine-needle aspiration cytology and histopathology in parotid masses: the added role of MRI.

Cohort studyThe Journal of laryngology and otology· May 2026

Concordance of fine-needle aspiration cytology and histopathology in parotid masses: the added role of MRI.

Pınar Atabey, Şeref Barbaros Arik

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CytopathologyCohort studyDiagnosisQ3IF 1.0

Fine-needle aspiration cytology showed substantial agreement with histopathology for benign versus malignant parotid masses.

Concordance of fine-needle aspiration cytology and histopathology in parotid masses: the added role of MRI.

Pınar Atabey, Şeref Barbaros Arik

The Journal of laryngology and otology · May 2026 · Q3 in General Medicine

Background

This retrospective study evaluated the concordance between fine-needle aspiration cytology and histopathology in parotid gland masses and assessed the diagnostic value of magnetic resonance imaging features.

Methods

Forty-two patients who underwent parotidectomy with available fine-needle aspiration cytology, magnetic resonance imaging, and histopathology results were included. fine-needle aspiration cytology-histopathology agreement was analysed for multicategorical and binary (benign vs. malignant) classifications.

Results

κ = 0.636

cytology and biopsy usually agreed on benign versus malignant

More results

Thirty-eight lesions (90.5 per cent) were benign and four (9.5per cent) were malignant.

All lesions were T2-hyperintense, and cystic-like appearance was strongly associated with Warthin tumour ( p = 0.001; odds ratio 38.5).

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Conclusion · 1 of 2

No magnetic resonance imaging or clinical variable independently predicted malignancy.

Conclusion · 2 of 2

Overall, these findings support fine-needle aspiration cytology as the cornerstone of pre-operative evaluation of parotid masses, with magnetic resonance imaging serving primarily for surgical planning.

Concordance of fine-needle aspiration cytology and histopathology in parotid masses: the added role of MRI.

Concordance of fine-needle aspiration cytology and histopathology in parotid masses: the added role of MRI.

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