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In Reply.—I would like to reply to the two letters that have been written in response to our article "The Value of Sialography in the Diagnosis of Parotid Tumors: A Clinicopathological Correlation" in the December 1977 issue of the Archives (103:727-729). Drs Gates and Stevens concluded that sialography has negligible value in the diagnostic evaluation of parotid masses.
Our study was solely designed to determine the diagnostic accuracy of sialography, which certainly remains a controversial test. Our findings and conclusions do not suggest that sialography should be a routine part of the evaluation of all parotid masses. We were impressed with the accuracy of sialography to localize a mass within (intrinsic) or outside (extrinsic) the gland and predict the presence of a malignant tumor (four of six patients).
Since this study was a clinicopathological correlation, it was necessarily confined to those patients who underwent surgical exploration. Unfortunately, those patients
CALCATERRA TC. Sialography in Diagnosis of Parotid Tumors-Reply. Arch Otolaryngol. 1979;105(3):168. doi:10.1001/archotol.1979.00790150058017
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