Fine Needle Aspiration Biopsy of the Parotid Gland
| Autor: | Erol Rüştü Bozkurt, Haydar Durak, Burak Bahadir, Kemal Behzatoğlu, Hasan H Kaplan, Zeki Yücel |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Pathology Histology medicine.diagnostic_test Myoepithelioma Adenoid cystic carcinoma business.industry General Medicine medicine.disease Pathology and Forensic Medicine Parotid gland stomatognathic diseases Fine-needle aspiration medicine.anatomical_structure Malignant Myoepithelioma Biopsy medicine Radiology Parotid Diseases business Parotitis |
| Zdroj: | Acta Cytologica. 48:149-154 |
| ISSN: | 1938-2650 0001-5547 |
| DOI: | 10.1159/000326308 |
| Popis: | OBJECTIVE: To describe the diagnostic problems and present our findings in 2 uncommon tumors, malignant myoepithelioma and small cell undifferentiated carcinoma, by examining fine needle aspiration (FNA) biopsies of parotid gland masses. STUDY DESIGN: The study group consisted of 34 females and 41 males 12-80 years old, with an average of 44. Excluding inflammatory results, all adequate aspirates were confirmed histologically to determine the correlation. RESULTS: Sensitivity of FNA cytology was 91%, with specificity of 98%. We encountered some difficulties, and therefore misdiagnoses, in evaluating specific neoplasms, such as adenoid cystic carcinoma and Warthin's tumor, which have well-established cytologic diagnostic criteria. Two cases of uncommon neoplasms of salivary glands, small cell undifferentiated carcinoma and malignant myoepithelioma, were cytologically found to be malignant but not further classified. In addition, tuberculous parotitis, with its well-defined features, should to be referred since unnecessary surgery can be avoided by using FNA cytology. CONCLUSION: FNA is a sensitive and specific diagnostic tool for parotid gland masses. However, specific classification of neoplasms may sometimes be difficult. Pathologists should be aware of specific entities, such as malignant myoepithelioma, when evaluating high grade neoplasms. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|