Eficacia de los procedimientos diagnósticos en la patología médico-quirúrgica de las glándulas salivales

  1. Joseba Santamaría 1
  2. Leire Irazu 1
  3. Gorka Santamaría 1
  4. Icíar Arteagoitia 1
  5. Juan Alonso
  6. Laura Romo
  7. Julio Álvarez
  8. Sergio Esteban
  9. Salvador Landa 1
  1. 1 Universidad del País Vasco/Euskal Herriko Unibertsitatea

    Universidad del País Vasco/Euskal Herriko Unibertsitatea

    Lejona, España

    ROR https://ror.org/000xsnr85

Medicina oral

ISSN: 1137-2834

Year of publication: 2000

Volume: 5

Issue: 3

Pages: 198-207

Type: Article

More publications in: Medicina oral


Objective. An evaluation is made of the diagnostic efficacy of the clinical and complementary techniques used to diagnose medical-surgical pathology of the salivary glands. Design. A retrospective study of 436 cases of medical-surgical pathology of the salivary glands spanning the period 1985-1997 was conducted, comparing the histopathological and microbiological findings with the diagnostic reports involving the most commonly used complementary tests (simple X-rays, sialography, echography, computed axial tomography, magnetic resonance imaging and fine-needle aspiration). Results and conclusions. The tentative clinical diagnosis exhibited a sensitivity and specificity of over 0.80 in discriminating between benign and malignant processes, though exactness in typification was low. Echography should replace sialography in patients with inflammatory and obstructive disorders of the salivary glands. Computed axial tomography and magnetic resonance imaging afford no advantages over the other explorations, and should be reserved for staging purposes, the determination of possible involvement of the deep parotid lobe, and for assessing tumor relations to adjacent structures.