RT Journal Article
SR Electronic
T1 Safety, patient acceptance and diagnostic accuracy of ultrasound core needle biopsy of parotid or submandibular glands in primary Sjögren’s syndrome with suspected salivary gland lymphoma
JF RMD Open
JO RMD Open
FD EULAR
SP e001901
DO 10.1136/rmdopen-2021-001901
VO 8
IS 1
A1 Ivan Giovannini
A1 Michele Lorenzon
A1 Valeria Manfrè
A1 Sara Zandonella Callegher
A1 Enrico Pegolo
A1 Chiara Zuiani
A1 Rossano Girometti
A1 Alojzija Hocevar
A1 Christian Dejaco
A1 Luca Quartuccio
A1 Salvatore De Vita
A1 Alen Zabotti
YR 2022
UL http://rmdopen.bmj.com/content/8/1/e001901.abstract
AB Background Enlargement of the major salivary glands (SGs) is a major risk factor for B-cell lymphoma among patients with primary Sjögren’s syndrome (pSS). Ultrasound-guided core needle biopsy (US-guided CNB) could be a novel technique to manage SG enlargement among patients with pSS.Objective Accordingly, this study’s main aim was to evaluate the safety, patient tolerance and diagnostic accuracy of US-guided CNB procedure for patients with pSS with major SG enlargement.Methods Patients with clinical diagnosis of pSS and a clinical indication for SG biopsy consecutively underwent US-guided CNB between September 2019 and June 2021. These patients were evaluated clinically 1, 2 and 12 weeks after US-guided CNB. Patients were asked to complete a questionnaire about postprocedural complications as well as periprocedural pain, using the Visual Analogue Scale. Complications were categorised as transient (<12 weeks) or persistent (≥12 weeks).Results US-guided CNB was performed on 30 major salivary glands (22 parotid glands and 8 submandibular glands). The procedure was well tolerated. Transient complications—such as haematoma, swelling—were observed among 43% of patients, and mean periprocedural pain was low. However, no persistent complications were reported during the study’s follow-up period.Conclusion US-guided CNB represents a novel approach for the management of patients with pSS with SG enlargement. The procedure showed remarkable patient safety and tolerance, allowing adequate glandular sampling and a definite diagnosis for almost all participating patients without long-term complications.Data are available upon reasonable request.