1. Utility of fine needle aspiration in diagnosis of intraoral minor salivary gland tumors.
- Author
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Singh, Meeta, Sagar, Nishant, Yadav, Surekha, Aggarwal, Radhika, Mandal, Shramana, Khurana, Nita, Jain, Shyama, and Meher, Ravi
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TUMOR diagnosis , *ADENOID cystic carcinoma , *ADENOMA , *CYTODIAGNOSIS , *MOUTH tumors , *NEEDLE biopsy , *ORAL mucosa , *SALIVARY gland tumors , *PREDICTIVE tests , *RETROSPECTIVE studies , *EARLY diagnosis ,LIP tumors ,TONGUE tumors - Abstract
Objective: To evaluate the utility of intraoral fine-needle aspiration cytology (FNAC) in diagnosis of minor salivary gland neoplasms (MSGN) with application of Milan system of reporting salivary gland cytopathology; keeping histopathology as gold standard and to detail the cytological findings of MSGNs. Method: Retrospective study between Jan 2008 and June 2017 (appro × 10 years) on the cytology of the minor salivary gland tumor along with the histopathological correlation. The relevant clinical data was collected from the medical record. Result: Sixty-four cases of MSGNs were included in the study. The histodiagnosis of the 41 were available. Twenty-one cases were diagnosed as malignant, while rest 20 cases were reported as benign. The most common tumor diagnosed was pleomorphic adenoma (PA) (50% cases), followed by mucoepidermoid carcinoma (14%) and adenoid cystic carcinoma (12.5%). The most common site of MSGT was found to be hard palate (44%), followed by soft palate (23%), floor of the mouth (12%), lip (11%), buccal mucosa (5%), and tongue (5%) with no gender predilection. Sensitivity of FNAC for detection of malignancy was 81% while specificity 95%. For malignancies, positive predictive value for malignancies was 17/18 (94.4%) and negative predictive value was 19/23 (82.3%). According to Milan system out of 21 cases in category IV B, 4 cases were found malignant (Category VI), while 1/18 case in category VI turned out to be nonneoplastic lesion (Category II). Conclusion: FNAC is imperative in early diagnosis and subsequent management of MSGNs [ABSTRACT FROM AUTHOR]
- Published
- 2020
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