The utility of parotid gland and level I and II neck fine-needle aspiration.

Autor:	Raab SS; Department of Pathology, Allegheny University of Health Sciences, Pittsburgh, PA 15212, USA., Sigman JD, Hoffman HT
Jazyk:	angličtina
Zdroj:	Archives of pathology & laboratory medicine [Arch Pathol Lab Med] 1998 Sep; Vol. 122 (9), pp. 823-7.
Abstrakt:	Objective: Although fine-needle aspiration (FNA) commonly is used in the diagnostic workup of parotid gland and level I and II neck lesions, the effect of an FNA service on patient care has not been definitively established. Methods: Follow-up was obtained in 158 patients who underwent FNA. The value of FNA was analyzed by determining the proportions of cases in which management was altered by the information obtained. Result: The percentage of lesions classified by FNA as benign, nonneoplastic; benign, neoplastic; atypical or suspicious; malignant; and insufficient was 42%, 28%, 16%, 41%, and 7%, respectively. By using FNA, an operation was avoided in 70% and 79% of patients with a nonneoplastic lesion and a metastasis, respectively. Conclusions: Although definitive subclassification of some lesion types was poor, FNA was useful in patient triage.
Databáze:	MEDLINE
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