Clinical histopathology of 250 parotidectomy patients This is a retrospective study of 250 consecutive parotidectomy patients at units in Belgium and the Netherlands. The sensitivity and specificity of FNAC was 64% and 99% respectively, the sensitivity being slightly lower than the often quoted 80%. MRI and CT were the imaging used most often, with MRI being the imaging of choice. Epithelial-myoepithelial carcinoma was surprisingly the most frequently identified malignant lesion. The incidence of Frey’s was 4.4% and recurrence of benign tumours 2.3%. Facial nerve palsy occurred transiently in 29.2% and permanently in 7.9%. Overall, the paper gives a reasonable summary of the pathology, side-effects and complications of parotid surgery.