Head and Neck Fine-Needle Aspiration: Cytohistological Correlation

González, Míriam; Blanc, Josep M.; Pardo, Jesús; Bosch, Ramón; Viñuela, José A.

doi:10.1016/s2173-5735(08)70224-2

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…In our series, lymph nodes were the most common site of head and neck masses (58.1%), which is in accordance with the literature . Considering the results of the meta‐analysis performed by Tandon et al, cytology of cervical lymph nodes provided the best sensitivity (92.5%) and salivary glands the best specificity (99.2%) .…”

Section: Discussionsupporting

confidence: 91%

Accuracy of fine‐needle aspiration cytology of head and neck masses

Rammeh

Romdhane

Sassi

et al. 2018

Diagnostic Cytopathology

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Background Head and neck masses are a common presentation in daily practice and can be challenging to both clinicians and cytopathologists. Fine needle aspiration cytology (FNAC) is a widely used method for the diagnosis of head and neck masses. The aim of the study was to assess our institutional experience of the accuracy of FNAC in the diagnosis of head and neck masses. Methods A total of 1262 FNACs were conducted from January 2013 to December 2016 and subdivided into benign and malignant categories. The thyroid and salivary glands FNACs were classified according to the Bethesda System for Reporting Thyroid cytopathology and to the Milan System for Reporting Salivary Gland Cytopathology respectively. The measures of diagnostic accuracy of FNAC were determined taking histology as a gold standard. Results A total of 7 false negative (FN) and 6 false positive (FP) FNACs were identified. Overall sensitivity and specificity of FNAC for a malignant diagnosis were 92% and 94.4%, respectively. Accuracy of FNACs of head and neck masses was 93.5% for all sites. The salivary gland group had the highest rate of FN (2.8%). All FP were reported in the thyroid group. These cases were cytologically classified suspicious for malignancy (n = 3) and papillary carcinoma (n = 3) and proved to be lymphocytic thyroiditis on final histology. Among the most common locations, cytology of lymph nodes provided the best sensitivity (98.2%). Salivary glands as well as lymph nodes had the best specificity (100%). Conclusion FNAC of head and neck masses has a high accuracy allowing a correct therapeutic management. However, this accuracy depends on the anatomic location of the mass.

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Section: Discussionsupporting

confidence: 91%

Accuracy of fine‐needle aspiration cytology of head and neck masses

Rammeh

Romdhane

Sassi

et al. 2018

Diagnostic Cytopathology

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“…1 Gonz alez et al recently reviewed 192 cases and confirmed the diagnostic accuracy of FNAC: 95.08% sensitivity, 98.11% specificity, 96.67% positive predictive value (PPV), and 97.20% negative predictive value (NPV). 2 In a recent meta-analysis (782 samples), the pooled sensitivity and specificity for cervical lymph nodes were 94.2% and 96.9%, respectively. 3 It is not uncommon for head and neck surgeons to encounter patients with previous neck irradiation who require FNAC for assessment of neck mass.…”

Section: Introductionmentioning

confidence: 97%

“…FNAC of cervical lymphadenopathy is a well‐established technique with various advantages as a diagnostic tool: it is safe, cheap, relatively noninvasive, and reasonably accurate 1. González et al recently reviewed 192 cases and confirmed the diagnostic accuracy of FNAC: 95.08% sensitivity, 98.11% specificity, 96.67% positive predictive value (PPV), and 97.20% negative predictive value (NPV) 2. In a recent meta‐analysis (782 samples), the pooled sensitivity and specificity for cervical lymph nodes were 94.2% and 96.9%, respectively 3…”

Section: Introductionmentioning

confidence: 99%

Effect of previous radiotherapy on cervical lymph node fine‐needle aspiration cytology diagnostic accuracy in head and neck cancers

Chan

2012

The Laryngoscope

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“…Gonzales et al [11] described a sensitivity and a specificity of 95.08 and 98.11%, respectively, for FNA in diagnosis of head and neck masses. Also they found a PPV of 96.67% and a NPV of 97.20%.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Value of Fine-Needle Aspiration in Head and Neck Lymphoma: A Cross-Sectional Study

Karimi-Yazdi

Motiee-Langroudi

Saedi

et al. 2012

Indian J Otolaryngol Head Neck Surg

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The objective of this paper was that fine-needle aspiration (FNA) has become a well-liked modality in the diagnosis, staging, and follow-up of head and neck masses. Limited studies exist regarding the value of FNA in the diagnosis of head and neck masses. We aimed to evaluate the diagnostic value of head and neck lymphomas. This cross-sectional study method was performed in Imam Hospital and Cancer Institute affiliated to Tehran University of Medical Sciences. In a 5 years period between January 2006 and June 2010, we enrolled all patients with cervical mass (es) who had undergone FNA as the primary diagnostic modality and then underwent biopsy (excisional or open). Results of FNA were compared with histopathological study as a gold standard method. Finally, 47 patients were recruited. It was found that FNA had a sensitivity of 88% (CI 95% = 79-97), a specificity of 81.2% (CI 95% = 70-92), a positive predictive value of 84.6% (CI 95% = 75-95), a negative predictive value of 85.7% (CI 95% = 77-95) and an accuracy of 85.1% (CI 95% = 75-95) in the diagnosis of head and neck lymphoma. We conclude that FNA has a considerable value in differentiation of head and neck lymphoma from nonlymphoma etiologies and is recommended as a screening test for the diagnosis of head and neck lymphoma.

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Head and Neck Fine-Needle Aspiration: Cytohistological Correlation

Cited by 5 publications

References 17 publications

Accuracy of fine‐needle aspiration cytology of head and neck masses

Accuracy of fine‐needle aspiration cytology of head and neck masses

Effect of previous radiotherapy on cervical lymph node fine‐needle aspiration cytology diagnostic accuracy in head and neck cancers

Diagnostic Value of Fine-Needle Aspiration in Head and Neck Lymphoma: A Cross-Sectional Study

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