Resumo

RODRIGUEZ JIMENEZ, Rubén et al. Medios auxiliares diagnósticos en afecciones de glándulas salivales mayores. Rev cubana med [online]. 2002, vol.41, n.4, pp.216-219. ISSN 0034-7523.

A descriptive and prospective study was conducted among 80 patients with clinical diagnosis of major salivary gland tumors that received surgical treatment at the clinical and surgical hospitals of Villa Clara from 1996 to 1998. The results of the application of the auxiliary diagnostic tools: ultrasound, aspiration biopsy, scintigraphy and conventional paraffin biopsy (considered as the gold test in the study) are described. All of them were very useful for diagnosing this pathology. The ultrasound proved to be a useful and available test to define localization and structure of the lesion. It reflected ecogenic images in 66.7 % of the benign affections and in the total number of the malignant. The scintigraphy showed hyperuptake of the radiopharmaceutical in 100 % of the adenolymphomas and allowed their differentiation from the rest of the affections with hypouptake. The inclusion paraffin biopsy confirmed the diagnosis in all cases. The cytohistological relation demonstrated that the aspiration biopsy is a highly reliable accessible tool to determine benignity or malignancy of a tumor, since it reached 75 % of sensitivity, 96.7 % of specificity and 92.2 % of efficiency.

Palavras-chave : SALIVARY GLAND NEOPLASMS [diagnosis]; EPIDEMIOLOGY, DESCRIPTIVE; PROSPECTIVE STUDIES; DIAGNOSTIC TECHNIQUES AND PROCEDURES; ORAL SURGICAL PROCEDURES.