Regarding parotid neoplasms, the false statement is
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.
FNA has low sensitivity and specificity in diagnosing parotid neoplasms
Pain may be a pointer for malignancy
Superficial lobe tumors can present with trismus as early presentation
Enucleation leads to recurrence
Salivary Gland