Fine‐needle aspiration cytology: a reliable tool in the diagnosis of salivary gland lesions

Nanda, Kanwar Deep Singh; Mehta, Anurag; Nanda, Jasmine

doi:10.1111/j.1600-0714.2011.01069.x

Cited by 72 publications

(56 citation statements)

References 37 publications

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“…8,16 In Non-neoplastic lesions, submandibular gland was most commonly involved followed by parotid which were similar with findings by Gandhi SH and Singh Nanda. 8,9 In the present study, benign tumours were more common in the age group of 21-40 year, which is comparable with study done by Ahmad Set al…”

Section: Discussionsupporting

confidence: 82%

“…In the present study salivary gland lesions were more common in the 21-40 age group, which is comparable with the study done by Akhter et al 6 Male predominanace was observed in our study similar to that reported by Jain et al, Gandhi SH et al and Singh Nanda KD. [7][8][9] In site, wise distribution, parotid gland was most commonly involved followed by the submandibular, minor salivary gland and sublingual gland in present study. Similar observations were reported by Jain C7, Singh A et al and Ashraf A et al 10,11 However study by Vaidya S et al revealed that parotid and submandibular glands were equally affected.…”

Section: Discussionmentioning

confidence: 80%

“…9,15 Diagnostic problems in FNA cytology of salivary glands are discussed by various authors, based on a very large series of cases. Their vast experience proves utility of FNAC in salivary glands beyond doubt.…”

Section: Discussionmentioning

confidence: 99%

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A study of fine needle aspiration cytology in salivary gland lesions in a rural population

Joshi

Jadhav

Baste³

et al. 2017

Int J Adv Med

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Background: Fine needle aspiration cytology (FNAC) of suspected salivary gland lesions has an established role in preoperative diagnosis and management of patients. However diverse morphological patterns and overlapping features make it a challenging job, to give a precise diagnosis at times.Methods: This was a prospective study done from October 2011 to October 2013. Fine needle aspiration cytology was performed in 64 patients with clinically significant salivary gland lesions.Results: Fine needle aspiration cytology categorized 38 (59.4%) of the salivary gland lesions as neoplastic and 26 (40.6 %) as non- neoplastic lesions. Amongst the neoplastic lesions, 86.9% were benign and 13.2% were malignant cases.Conclusions: FNAC of the salivary gland is simple, cheap, safe and reliable technique in the primary diagnosis of salivary gland lesions.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 80%

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A study of fine needle aspiration cytology in salivary gland lesions in a rural population

Joshi

Jadhav

Baste³

et al. 2017

Int J Adv Med

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“…The present study also shows that histotype concordance is higher for benign neoplasm than for malign (83%). The accurate diagnosis of malign histotypes is still a challenge, and it is probably due to the extremely various morphology of presentation of the major salivary gland pathology, representing a highly complex cytological interpretation and great difficulty in gaining the necessary adequate experience (24)(25)(26)(27). Some carcinomas of the salivary glands are characterized by malign cells of different nature and generally their proportions in their representations and their architectural organization define the specific malignant histotype.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Assessment of Salivary Gland Neoplasms with Fine Needle Aspiration Cytology and Echography: A Retrospective Analysis of 357 Cases

Pastore

Borin

Mozzillo

et al. 2013

Int J Immunopathol Pharmacol

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Fine-needle aspiration cytology (FNAC) is a minimally invasive procedure usually well tolerated, easy to perform, quick, cheap and easy to repeat in case of doubts or non-diagnostic results. Echography is also a fast, cheap and non-invasive tool; however, the role of FNAC and echography in the diagnosis of salivary gland pathology is not universally recognised. Three hundred and fifty-seven patients with a cytological diagnosis at FNAC, and 247 of these who were also studied with echography, were enrolled for this retrospective study. The final histopathological diagnoses, obtained after surgery, were then compared to the preoperative FNAC diagnoses and echographic findings. From the analysis of our data, the overall FNAC specificity resulted 93%, sensitivity 83%, and diagnostic accuracy 92%. Echography sensibility was 57.1% specificity 98.2%, while positive and negative predictive value were respectively 80% and 94.8%. While echography can be useful in order to provide a better characterization of salivary gland lesions, FNAC can then be considered a safe diagnostic tool with reliable sensitivity and specificity for the assessment of salivary gland pathology and thus for selecting patients and indicating the best surgical treatment.It has been reported that major salivary gland tumours represent approximately 3% of all head and neck tumours; 80% involve parotid gland and 75% are benign neoplasms (l). According to the most recent WHO histological classification (2005) there is a broad spectrum of different histotypes of major salivary gland tumours (2), thus it is necessary to make a correct preoperative diagnosis in order to decide the best surgical/therapeutical approach. In this way, in order to perform a correct preoperative assessment, we used fine needle aspiration cytology (FNAC) and echography.FNAC is a minimally invasive method that does not require anaesthesia; it is well tolerated by the patient, easy to perform, quick, with rare complications, cheap and can be easily repeated in case of doubts or non-diagnostic results in order to reach a more accurate diagnosis (3). Echography is also a fast, cheap and non invasive tool. However, the role of FNAC and echography in the diagnosis of salivary gland pathology is not universally recognised (4, 5). Since its use is still controversial, most ENT surgeons prefer intraoperative frozen section examination to preoperative FNAC (6-7).The aim of this study is to show the accuracy and reliability of FNAC for the diagnosis of benign and malign tumours of major salivary glands through the evaluation of its diagnostic accuracy-sensibility,

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“…Ashraf et al have reported 14% non-neoplastic lesions [10]. Jain et al presented a study with 10% non-neoplastic lesions [11], and Singh et al published a study with 55.9% inflammatory lesions [12].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Fine Needle Aspiration Cytology in Diagnosis of Salivary Gland Tumors

Iacob

Sin

Mezei

et al. 2015

Acta Medica Marisiensis

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Introduction: Masses of the head and neck comprise a variety of benign and malignant tumors and tumor-like conditions, which may present diagnostic challenges to the surgeon and pathologist as well. Fine needle aspiration cytology is considered to be a valuable diagnostic tool used for preoperative evaluation of various masses in the head and neck region. However, its role is quite controversial for salivary gland tumour evaluation. This study was aimed to evaluate salivary gland fine-needle aspiration cytology for sensitivity, specificity and diagnostic accuracy in our medical center. Material and method: The present study included 58 patients with different salivary gland lesions who underwent preoperative fine-needle aspiration procedure followed by surgical procedure and histological examination. The cytological findings were compared with the final histological diagnosis and concordance assessed. Results: Of the 58 cases with salivary gland lesions, most of them involved parotid gland (72.41%), 91.38% were neoplasms and 8.62% were non-neoplastic lesions. Out of 53 neoplasms, 39 were benign and 14 were malignant salivary gland tumors. The sensitivity and a specificity of fine-needle aspiration cytology in differentiation malignancies from benign lesions was 100% and 97.73% respectively. In some situations cytological features could not provide correct tumor characterization. Conclusions: Fine-needle aspiration cytology is a simple and reliable technique for preoperative evaluation of salivary gland tumors with a high sensitivity diagnosis of malignant tumors, but a lower tumor type characterization. Due to the minimally invasive nature of the technique, fine-needle aspiration cytology offers valuable information for planning of subsequent therapeutic management.

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Fine‐needle aspiration cytology: a reliable tool in the diagnosis of salivary gland lesions

Abstract: Fine-needle aspiration cytology is found to be a good sensitive and specific technique for the diagnosis of most of the salivary gland lesions. FNAC should be adopted as an initial investigation for all salivary gland swellings in conjunction with other investigations where appropriate.

Cited by 72 publications

References 37 publications

A study of fine needle aspiration cytology in salivary gland lesions in a rural population

A study of fine needle aspiration cytology in salivary gland lesions in a rural population

Preoperative Assessment of Salivary Gland Neoplasms with Fine Needle Aspiration Cytology and Echography: A Retrospective Analysis of 357 Cases

Efficacy of Fine Needle Aspiration Cytology in Diagnosis of Salivary Gland Tumors

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