Regarding parotid neoplasms, the false statement is: (A) FNA has low sensitivity and specificity in diagnosing parotid neoplasms, (B) Pain may be a pointer for malignancy, (C) Superficial lobe tumors can present with trismus as early presentation, (D) Enucleation leads to recurrence
Answer is C. Ans. (c) Superficial lobe tumors can present with trismus as early presentationRef: Sabiston Textbook of surgery 20th Edition Page 807* Salivary gland tumors are usually slow growing and well circumscribed.* Patients with a mass and findings of rapid growth, pain, paresthesias, and facial nerve weakness are at increased risk of harboring a malignancy* Additional findings ominous for malignancy include skin invasion and fixation to the mastoid tip.* Trismus suggests invasion of the masseter or pterygoid muscles by deep parotid lobe malignancies.* MRI is the most sensitive study to determine soft-tissue extension and involvement of adjacent structures.* Diagnosis of salivary gland tumors is frequently aided by the use of FNA.* Excision of the gland is used to confirm the final diagnosis.* Encapsulated but sends pseudopodia (finger-like projections) into surrounding glands, enucleation is not done to avoid recurrence.