Fine-needle aspiration cytology findings in 214 cases of nonparotid lesions of the head

Bardales, Ricardo H.; Baker, J C T Sandra; Mukunyadzi, Perkins

doi:10.1002/(sici)1097-0339(200004)22:4<211::aid-dc2>3.0.co;2-m

Cited by 18 publications

(1 citation statement)

References 24 publications

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“…26 However, this entails two surgical moments with consequences for the patient, such as pain, anxiety, and other risks arising from surgical intervention. 8,27 Aiming to reduce these consequences, FNAC may be indicated because it is a low-cost and noninvasive technique; however, its use as a protocol for intraosseous jaw lesions is not unanimous. 13,19,26,28 Therefore, the present SR adds knowledge regarding the diagnostic capability of this technique, which could help to guide clinicians in making a more evidence-based decision when facing intraosseous jaw lesions on the daily clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic capability of fine‐needle aspiration cytology in assessment of intraosseous lesions of the jaws: A systematic review

Pilati

Santos

Melo

et al. 2020

Diagnostic Cytopathology

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Purpose To systematically review (SR) and critically appraise studies that investigated the diagnostic capability of fine‐needle aspiration cytology (FNAC) in the assessment of intraosseous lesions of the jaws. Methods Six main electronic databases and three gray literature databases were searched aiming diagnostic studies, which were selected in a two‐phase process. Risk of bias (RoB) of included studies was assessed using the Revised Tool for the Quality Assessment of Diagnostic Accuracy Studies. Results A total of eight articles were included, of which six evaluated the FNAC smear technique exclusively, one assessed both smear and cell‐block techniques, while one investigated only the cell‐block technique. With regard to the FNAC smear technique, from 134 benign lesions investigated, concordance with the histopathological diagnosis was achieved in 64.17% of cases. In addition, considering the 32 malignant lesions assessed through this technique, concordance with histopathology was achieved in all cases. Regarding the cell‐block technique, only benign lesions (n = 40) were evaluated in the included studies, in which the concordance rate with histopathology was of 77.5%. The overall RoB judgment was “at risk of bias” for seven included studies mostly due to lack of information or reportedly absence of blinding of evaluator. Conclusions Within the limitations of this SR, FNAC presented modest to satisfactory diagnostic capability for the assessment of intraosseous jaw lesions, showing concordance rates higher than 64% for the smear and 77% for the cell‐block technique. Also, considerably high concordance rates were found for the assessment of malignant lesions regarding FNAC smear technique.

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Section: Discussionmentioning

confidence: 99%

Diagnostic capability of fine‐needle aspiration cytology in assessment of intraosseous lesions of the jaws: A systematic review

Pilati

Santos

Melo

et al. 2020

Diagnostic Cytopathology

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Fine-needle aspiration biopsy cytology of malignant neoplasms of the sinonasal tract

Helsel

Bardales

Mukunyadzi

2003

Cancer

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BACKGROUND Primary and metastatic malignancies that originate in the sinonasal tract are rare and histologically diverse. The role of fine‐needle aspiration biopsy (FNAB) and the cytomorphologic features of these tumors have not been specifically addressed. METHODS The authors reviewed 22 cytology cases (20 FNABs, 1 sputum sample, and 1 pleural fluid sample) from 18 patients with malignancies originating in the sinonasal tract (17 carcinomas, 3 melanomas, and 2 sarcomas) and assessed the cytomorphology, cytohistologic correlation, and ability of cytology to render a specific diagnosis. RESULTS Primary and metastastic sites sampled by FNAB included masses in or around the nose (n = 2), orbit (2), maxillary sinus (2), frontal sinus (1), intraoral area (1), preauricular area (1), soft tissue neck masses, parotid and lymph nodes (10), and cervical spine (1). Exfoliative cytology was positive in two samples of sputum and pleural fluid, representing the initial cancer diagnosis before the sinonasal primary tumor was detected. Seventeen of 22 (77.3%) cases were classified as carcinoma not otherwise specified, carcinoma with specific differentiation, sarcoma, or melanoma. Cytology failed to correctly classify the specific subtype of three carcinomas. The cytologic features that were evaluated included cellularity, cellular arrangement, nuclear features, nuclear‐to‐cytoplasmic ratio, and the background appearance. CONCLUSIONS Sinonasal tract malignancies demonstrate a wide range of cytologic findings but specific features allowing for an accurate and definitive diagnosis are often present in many tumors. Fine‐needle aspiration cytology is an important diagnostic tool in the management of sinonasal malignancies and can be complemented by the use of ancillary studies for the diagnosis of poorly differentiated or nonepithelial tumors. Cancer (Cancer Cytopathol) 2003;99:105–12. © 2003 American Cancer Society.

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Granulation tissue associated with a ruptured epidermal inclusion cyst: A potential pitfall in fine needle aspirates of neck masses

Peltola

Samad

Pambuccian

2011

Diagnostic Cytopathology

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Fine-needle aspiration cytology findings in 214 cases of nonparotid lesions of the head

Cited by 18 publications

References 24 publications

Diagnostic capability of fine‐needle aspiration cytology in assessment of intraosseous lesions of the jaws: A systematic review

Diagnostic capability of fine‐needle aspiration cytology in assessment of intraosseous lesions of the jaws: A systematic review

Fine-needle aspiration biopsy cytology of malignant neoplasms of the sinonasal tract

Granulation tissue associated with a ruptured epidermal inclusion cyst: A potential pitfall in fine needle aspirates of neck masses

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