Sjögren's disease & overlap diseases

Ultrasound-guided core needle biopsy of the parotid gland in Sjögren’s disease: a promising tool towards precision medicine

RMD OpenPublished Prospective feasibility study

Authors' conclusion

US-guided CNB is safe, well-tolerated and yields adequate tissue.

Study context

Population
Patients with Sjögren's disease (SjD) in the Belgian Sjögren's Syndrome Transition Trial (64 of 66 without gland swelling)64 without gland swelling
Participants
66 patients
Outcome
Feasibility, safety and tissue adequacy of US-guided CNB of the parotid gland
Methodological detailssingle-group
  • Single-group

Main finding

As reported in the abstract

Feasibility, tolerability and tissue adequacy of US-guided CNB of the parotid gland

Mean visual analogue scale (VAS) pain (0–10) during biopsy

2.7

SD=2.77

Mean VAS pain (0–10) in the 3 days before the follow-up call at day 14

1.9

SD=2.33

Patients willing to repeat the procedure

82%

Adequate tissue retrieved

62 of 66

Observational data: associations, not effects.

Further findings

Correlation of histological severity (mild, moderate, severe) with US scores and traditional outcome measures

Histological severity correlated with US scores
P < 0.01
Histological severity did not correlate with ESSPRI dryness or ESSDAI

Safety

No major complications occurred

Original publication

Ultrasound-guided core needle biopsy of the parotid gland in Sjögren’s disease: a promising tool towards precision medicine. RMD Open. Published 23 October 2025. doi:10.1136/rmdopen-2025-005560

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