Clinical Value of Fine Needle Aspiration Cytology and Core Needle Biopsy in Head and Neck Pathology - A Nationwide Survey in Germany.

Autor:	Geisthoff UW; Department of Otolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany., Droege F; Department of Otorhinolaryngology, Essen University Hospital, University of Duisburg-Essen, Essen, Germany., Hand C; Arkansas College of Osteopathic Medicine, Fort Smith, AR, U.S.A., Holtmann LC; Department of Otorhinolaryngology, Essen University Hospital, University of Duisburg-Essen, Essen, Germany., Mattheis S; Department of Otorhinolaryngology, Essen University Hospital, University of Duisburg-Essen, Essen, Germany., Hoch S; Department of Otolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany., Lang S; Department of Otorhinolaryngology, Essen University Hospital, University of Duisburg-Essen, Essen, Germany., Stuck BA; Department of Otolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany., Guntinas-Lichius O; Department of Otorhinolaryngology, Jena University Hospital, Friedrich-Schiller-University, Jena, Germany., Rudhart SA; Department of Otorhinolaryngology, University Hospital Bonn, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany stefan.rudhart@ukb.de.
Jazyk:	angličtina
Zdroj:	Anticancer research [Anticancer Res] 2024 Jul; Vol. 44 (7), pp. 3115-3124.
DOI:	10.21873/anticanres.17125
Abstrakt:	Background/aim: Fine-needle aspiration cytology (FNA) and core needle biopsy (CNB) of the thyroid gland, salivary glands, and lymph nodes are considered simple and rapid methods for minimally invasive tissue collection. We performed a postal survey to analyse the diagnostic value and complication rate of FNA and CNB in Germany. Patients and Methods: A questionnaire comprising 11 questions was sent to all 161 German ENT departments in September 2015. Results: The response rate was 45%. In 33 of the 73 responding clinics neither FNA nor CNB were carried out. Of the 26 clinics that provided detailed reasons, the majority (n=18) cited a lack of expertise among the collaborating pathologists. Overall, FNA was used more often, regardless of the anatomical region investigated. The study was based on a total of 36,684 FNAs and 9,624 CNBs. The rate of estimated meaningful and correct findings was 63% (10%-90%) for FNA, and 83% (50%-100%) for CNB. In eight cases (<0.001%) a potential tumor cell spread was reported. Conclusion: This is the first nationwide survey in Germany to investigate the utility of FNA and CNB across different localizations in the head and neck region. This study revealed comparable results to the literature regarding the diagnostic value of FNA and CNB. Cell spreading was only observed in individual cases. The appraisal of needle biopsies in the head and neck area seems to be rather inhomogeneous in Germany. (Copyright © 2024 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.)
Databáze:	MEDLINE
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