Which test should I do to determine if malignant or not in my hypoechoic solid lesion in my right parotid gland? MRI or FNAC? Which one is the best? Thank you.
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First u need to do MRI if any abnormalities detected then fnac can be advised
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FNAC is best.
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Hi Lybrate user I would advise you to do a biopsy test.
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First let a cancer surgeon examine you clinically. If its a well defined mobile lesion. I presume that you have done an ultrasound of the parotid, which says it is an hypoechoic lesion. FNAC is usually done to determine whether the lesion is cancer or benign. But it may have false positives. MRI is done to know characteristics which may tell us if benign or malignant and relation of the tumour to surrounding structures and facial nerve involvement. However MRI is not advised for small tumors even if cancer on FNAC as it is unlikely to change any treatment, which is superficial parotidectomy (presuming it arises from superficial lobe)
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