Fine needle aspiration cytology in the management ENT of patients

Smallman, Lesley A.; Young, Jennifer A.; Oates, J.; Proops, David W.; Johnson, Alan P.

doi:10.1017/s0022215100106796

Cited by 42 publications

(20 citation statements)

References 17 publications

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“…In the present study on head and neck masses reported cases are as follows 35 cases of thyroid, 17 cases of salivary gland, 104 cases of lymph node and 11 cases of miscellaneous swellings. Present study corresponds to the study done by Smallman et al [16] and O'Donnell et al [13]. In the present study percentage of reactive lymphadenitis cases were 18.08 %.…”

Section: Discussionsupporting

confidence: 91%

Accuracy of Fine Needle Aspiration Cytology in Head and Neck Masses

Poorey

Tyagi

2014

Indian J Otolaryngol Head Neck Surg

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In ENT clinical practice patients with neck swelling is a common presentation. To know their exact nature a simple, sensitive and diagnostic tool is required to prevent unnecessary costlier investigation and corresponding treatment. Fine needle aspiration cytology (FNAC) is a very safe, sensitive and diagnostic tool. This study was done to know the diagnostic accuracy, sensitivity and specificity of the FNAC in head and neck masses. Present prospective study was done in 179 patients of head and neck masses which were subjected to FNAC and their results were later correlated with histopathological examination report (HPR) wherever available. Out of 179 FNAC, HPR available only in 152 cases. In present study 104 cases (58.10 %) of lymph node, 35 cases (19.55 %) of thyroid gland, 17 cases (9.49 %) of salivary gland, 12 cases (6.70 %) of soft tissue and 11 cases (6.14 %) of miscellaneous swellings were present. The sensitivity, specificity, positive predictive value and negative predictive value of present study were 81.8, 95.0, 81.8 and 95.0 % respectively. The accuracy was 92.10 %.

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Section: Discussionsupporting

confidence: 91%

Accuracy of Fine Needle Aspiration Cytology in Head and Neck Masses

Poorey

Tyagi

2014

Indian J Otolaryngol Head Neck Surg

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“…Unsatisfactory aspirates have been reported in previous studies in the range of 6-15%, 7,15,16 which is much higher than that observed in our study (3.7%). Unsatisfactory aspirates in the previous studies were the result of poor handling of the aspirated material and the lack of trained cytopathologists, whereas inadequacy in the present study was attributable to small lesion size and poor handling of aspirated material.…”

Section: Discussioncontrasting

confidence: 71%

Clinicopathologic Profile of Significant Cervical Lymphadenopathy in Children Aged 1–12 Years

2009

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“…As observed in studies by Smallman et al, 11 Jain et al, 13 Dhingra et al, 14 and Russ et al, 15 we also found that the most common lesions involving the pediatric head and neck are of lymph nodes, the most common being reactive lymphoid proliferations (72%, n = 412), followed by tubercular lymphadenitis (16%, n = 91) and granulomatous lymphadenitis (5.2%, n = 30). The present study did not make any attempt to categorize the type of reactive lymphadenopathy.…”

supporting

confidence: 83%

Evaluation of fine needle aspiration biopsy as a diagnostic tool in pediatric head and neck lesions

Dutta¹,

Awasthi²,

Agarwal³

et al. 2010

PLMI

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Background: Fine needle aspiration (FNA) biopsy is a well accepted diagnostic procedure and considered to be a valuable test for initial assessment of head and neck swellings in adults. The technique has gained popularity in the pediatric population over the last decade, with varying degrees of acceptance rates, accuracy, and results among pathologists. Objective: This study was performed to evaluate the utility of aspiration cytology as a first-line diagnostic tool in palpable head and neck masses in children, taking into account the diversity of lesions observed in this subset of the population. Cytologic analysis was correlated with histologic results for evaluating diagnostic accuracy wherever possible. The applicability of FNA biopsy in diagnosing pediatric malignant lesions was also evaluated. Methods: This retrospective study conducted from January 2008 to December 2009 screened all pediatric cases referred to the departments of pathology at two tertiary care hospitals in India. Data from a total of 662 children aged 0-15 years presenting with head and neck masses who underwent FNA biopsy were collected. Cytologic results were interpreted and analyzed according to anatomic site. The lesions were then categorized into inflammatory, infective, and neoplastic. Results: Of the 662 lesions, 23 cases were excluded due to inadequate material, thus the data for 639 cases were finally evaluated. Lymph node lesions predominated, accounting for 570 cases (89.2%), of which 412 (72%) cases were diagnosed as reactive and 91 (16%) cases as tubercular lymphadenitis. Other lesions aspirated were thyroid (18 cases, 2.8%), salivary gland (12 cases, 1.8%), and miscellaneous surface lumps (39 cases, 6.1%). Of all the cases, 628 (98.27%) were reported as benign and 11 (1.67%) as malignant. The positive predictive value of cytologic analysis in diagnosing malignancy was 100%, although exact typing of lesions was possible only on histopathologic examination. Conclusion: FNA biopsy is a sensitive and minimally invasive first-line investigation in the diagnosis of head and neck masses in children. It is highly accurate in isolating and determining potentially neoplastic lesions, thus guiding the way for cases which truly require excision biopsy or other second-line investigations.

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Fine needle aspiration cytology in the management ENT of patients

Cited by 42 publications

References 17 publications

Accuracy of Fine Needle Aspiration Cytology in Head and Neck Masses

Accuracy of Fine Needle Aspiration Cytology in Head and Neck Masses

Clinicopathologic Profile of Significant Cervical Lymphadenopathy in Children Aged 1–12 Years

Evaluation of fine needle aspiration biopsy as a diagnostic tool in pediatric head and neck lesions

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