Fine needle aspiration cytology in the management of a parotid mass: a two centre retrospective study.
Objectives: There is a diversity of opinion regarding the role of fine needle aspiration cytology (FNAC) in the pre-operative evaluation of the parotid mass. This study further investigates the role of FNAC from the standpoint of the clinician attempting to resolve one or more clinical issues.Method...
| Publicado en: | Surgeon (Edinburgh University Press) Vol. 3; no. 2; pp. 67 - 73 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | exam questions research tables/charts Journal Article |
| Publicado: |
Edinburgh University Press
Apr2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106400956&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106400956 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1479666X Q11 jtl: Surgeon (Edinburgh University Press) issn: 1479666X maglogo: N pubinfo: dt: Apr2005 vid: 3 iid: 2 pid: 2327 pub: Edinburgh University Press artinfo: ui: 106400956 106400956 NLM15861939 2009110295 10.1016/s1479-666x(05)80064-2 NLM15861939 106400956 ppf: 67 ppct: 6 formats: tig: atl: Fine needle aspiration cytology in the management of a parotid mass: a two centre retrospective study. aug: au: Balakrishnan K Castling B McMahon J Imrie J Feeley KM Parker AJ Bull PD Johnston A Balakrishnan, K Castling, B McMahon, J Imrie, J Feeley, K M Parker, A J Bull, P D Johnston, A affil: Monklands Hospital, Airdrie, Lanarkshire, UK sug: subj: Biopsy, Needle Evaluation Cytology Parotid Neoplasms Diagnosis Academic Medical Centers Confidence Intervals Histology Retrospective Design Sensitivity and Specificity United Kingdom Human ab: Objectives: There is a diversity of opinion regarding the role of fine needle aspiration cytology (FNAC) in the pre-operative evaluation of the parotid mass. This study further investigates the role of FNAC from the standpoint of the clinician attempting to resolve one or more clinical issues.Methods: A retrospective study conducted at two UK Hospitals with no overlap of cytopathologists or surgeons. Patients undergoing parotidectomy at each institution were identified from Pathology department databases. The definitive histopathological diagnosis was compared with any pre-operative FNAC diagnosis. Cytology results were classified as suggestive, non-diagnostic, sampling error, or misleading.Setting: The study was conducted in a District General Hospital and a University Teaching Hospital providing secondary care for each community.Results: For the University Teaching Hospital the sensitivity in distinguishing malignant from benign disease was 79% (95% CI 61-97%) with a specificity 84% (95% CI 73-95%). However, three of eight patients with a primary parotid salivary gland malignancy were reported as having benign disease on FNAC. For the participating District General Hospital the sensitivity in distinguishing malignant from benign disease was 38% (95% CI 13-63%) and specificity 95% (95% CI 73-95%).Conclusions: Fine needle aspiration cytology does not reliably distinguish a benign from a malignant primary salivary gland neoplasm in the participating institutions. Where clinical teams use FNAC in an attempt to resolve this clinical problem, the results should be interpreted with caution and an ongoing audit of performance is required. pubtype: Academic Journal doctype: exam questions research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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