Fine needle aspiration biopsy of intraoral and oropharyngeal mass lesions

Saleh, Husain; Clayman, Lewis; Masri, H. Al

doi:10.1186/1742-6413-5-4

Cited by 34 publications

(79 citation statements)

References 21 publications

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“…The most common masses biopsied in this manner are odontogenic tumors, intraosseous lesions, minor salivary gland tumors, sublingual salivary glands and other oral regions. 6,[8][9][10][11][12] However, some reports have described the relevance of FNAB for the diagnosis of oral cavity lesions and oropharyngeal lesions. 8,9 The most commonly described advantages of the FNAB method are the preoperative diagnoses of lesions, clinical follow-up, the ability to avoid unnecessary damage to crucial structures of the oral cavity, more comfort for the patient and a low risk of infection and tissue damage.…”

Section: Introductionmentioning

confidence: 99%

“…6,[8][9][10][11][12] However, some reports have described the relevance of FNAB for the diagnosis of oral cavity lesions and oropharyngeal lesions. 8,9 The most commonly described advantages of the FNAB method are the preoperative diagnoses of lesions, clinical follow-up, the ability to avoid unnecessary damage to crucial structures of the oral cavity, more comfort for the patient and a low risk of infection and tissue damage. 8,9 The most commonly reported disadvantages are the fact that there is little space to perform the backward and forward movement necessary to complete the procedure, and the difficulty involved in fixing the lesion.…”

Section: Introductionmentioning

confidence: 99%

“…8,9 The most commonly described advantages of the FNAB method are the preoperative diagnoses of lesions, clinical follow-up, the ability to avoid unnecessary damage to crucial structures of the oral cavity, more comfort for the patient and a low risk of infection and tissue damage. 8,9 The most commonly reported disadvantages are the fact that there is little space to perform the backward and forward movement necessary to complete the procedure, and the difficulty involved in fixing the lesion. 8 The sensitivity of FNAB in intraoral lesions may vary from 80% to 100%; specificity varies from 80% to 100% and the accuracy varies from 60% to 100%.…”

Section: Introductionmentioning

confidence: 99%

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Fine needle aspiration biopsy in the oral cavity and head and neck region

et al. 2011

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Abstract:The objective of the current study was to evaluate the sensitivity, specificity and accuracy of fine needle aspiration biopsy (FNAB) of submucous nodules from the oral cavity and head and neck region as an auxiliary diagnostic tool. Fifty patients with nodule lesions in the oral cavity and the head and neck region were selected. All of them were submitted to FNAB and to either incisional or excisional biopsy. The diagnoses from the FNABs were compared with the biopsy diagnosis as the gold standard. All the cases of FNAB were analyzed by a single oral pathologist prior to the biopsy diagnosis. The results showed that the sensitivity of FNAB was 75%, its specificity was 96% and its accuracy was 58.8%. The false positive and false negative rates were 6.7% and 13.3%, respectively. The positive predictive value was 86% and the negative predictive value was 93%. The inconclusive rate was 16/50. FNAB displayed a high success rate for identifying both malignant and benign lesions, but a low accuracy for making a final diagnosis.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fine needle aspiration biopsy in the oral cavity and head and neck region

et al. 2011

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“…These lesions have been traditionally treated on clinical basis and evaluated by surgical biopsy. Studies of transmucosal needle aspiration of oral cavity lesions are limited [1][2][3][4][5][6][7][8][9][10]. The oral cavity and oropharynx are readily accessible to fine needle aspiration (FNA) and it may be a useful technique for preliminary assessment.…”

Section: Introductionmentioning

confidence: 99%

Intraoral and Oropharyngeal Lesions: Role of Fine Needle Aspiration Cytology in the Diagnosis

Singhal

Khurana

Handa

et al. 2015

Indian J Otolaryngol Head Neck Surg

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The oral cavity is affected by a wide range of pathologic lesions, for which a morphologic diagnosis is required for proper management. Fine needle aspiration (FNA) is being increasingly used for preliminary diagnoses of such lesions. This is retrospective analysis of intraoral and oropharyngeal lesions diagnosed with FNAC over a period of 7 years. Out of total 55 cases, a definite diagnosis could be made on cytology in 50 cases (90.9 %). These 50 cases were further included in the study. Thirty cases were reported as non-neoplastic and 20 as neoplastic (11 benign and nine malignant). The diagnoses were made taking into account the background material (blood, mucin) and the predominant cells present (neutrophils, lymphoid cells, macrophages, hemosiderin laden macrophages, squamous cells, basaloid cells, spindle cells, giant cells). Histopathological diagnosis was available in 17 cases and corresponded with FNA diagnosis in 16 cases (94.12 %). No significant complications were seen in patients undergoing these FNAs. It can be concluded that FNA is a simple and rapid diagnostic test that can be useful for preliminary assessment of oral and oropharyngeal lesions.

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“…[6][7][8][9][10] Pfeiffer et al Has described the use of transmucosal core needle biopsy of the tongue base.…”

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confidence: 99%

Trans-lingual biopsy of the tongue base under local anaesthetic – a new technique

Abbas¹,

Abbas²,

Hans³

et al. 2018

JOENTR

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Aim: The tongue base is an important anatomical area to biopsy when searching for an unknown head and neck primary malignancy. Additionally biopsies must be taken when a clinically apparent tongue base lesion is present and malignancy is suspected. It can be extremely challenging to obtain a meaningful biopsy result for a variety of reasons. Patients who present with head and neck malignancy often come with an array of medical co-morbidities and therefore subjecting them to the risks of a general anaesthetic may not be appropriate. Materials and methods:We present a novel technique of tongue base biopsy which can be performed under local anaesthetic. Alongside this we present a case in which this technique has been utilized by the senior author.Results: The patient presented above had multiple inadequate conventional tonguebase biopsies. Our novel technique yielded a positive result allowing the patient to continue treatment of his recurrent disease. Conclusion:The trans-lingual biopsy of the tongue base under local anaesthetic is a simple, safe and cost effective way to obtain a tissue diagnosis in tongue base malignancy. We believe it to be reproducible and easy to teach.

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Fine needle aspiration biopsy of intraoral and oropharyngeal mass lesions

Cited by 34 publications

References 21 publications

Fine needle aspiration biopsy in the oral cavity and head and neck region

Fine needle aspiration biopsy in the oral cavity and head and neck region

Intraoral and Oropharyngeal Lesions: Role of Fine Needle Aspiration Cytology in the Diagnosis

Trans-lingual biopsy of the tongue base under local anaesthetic – a new technique

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