Fine Needle Aspiration Cytology of the Salivary Gland: An analysis of 221 cases / 대한세포병리학회지
Korean Journal of Cytopathology
; : 133-143, 1999.
Article
em Ko
| WPRIM
| ID: wpr-726567
Biblioteca responsável:
WPRO
ABSTRACT
Fine needle aspiration cytology of the salivary lesions was performed on 221 patients at Soonchunhyang University Hospital for 10 years. Of 221 aspirates, 6 aspirates(2.7%) were inadequate, 116 cases(52.5%) were non-neoplastic lesions, 76(34.4%) cases were benign neoplasms and 23 cases(10.4%) were malignant neoplasms. The cytologic diagnoses could be correlated with histologic findings in 58 cases. FNAC correctly discriminated between neoplastic and nonneoplastic lesions in fifty-seven lesions and failed in a case, and overall accuracy, sensitivity, and specificity were 98.3%, 98.0%, and 100.0%. FNAC correctly discriminated malignant neoplasms from benign neoplastic/non- neoplastic lesions in fifty-three cases and failed in five cases, and overall accuracy, sensitivity, and specificity were 91.3%, 72.7%, and 95.7%. Among three false negative cases, two mucoepidermoid carcinomas were misdiagnosed as mucocele and benign neoplasm, and an acinic cell carcinoma were misdiagnosed as Warthin's tumor. Two false positive cases were a Warthin's tumor misdiagnosed as squamous cell carcinoma and a pleomorphic adenoma misinterpretated as suggestive of malignancy. In conclusion, diagnostic accuracy of FNAC of salivary lesions is high, and the possibilities of low grade mucoepidermoid carcinoma and acinic cell carcinoma should be considered on hypocellular smears with mucoid or fluidy background.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Glândulas Salivares
/
Carcinoma de Células Escamosas
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Sensibilidade e Especificidade
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Carcinoma Mucoepidermoide
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Carcinoma de Células Acinares
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Adenoma Pleomorfo
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Biópsia por Agulha Fina
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Diagnóstico
/
Mucocele
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Cytopathology
Ano de publicação:
1999
Tipo de documento:
Article
País de publicação:
COREA DEL SUR
/
COREIA DO SUL
/
KR
/
SOUTH KOREA