Diagnostic use of fine-needle aspiration cytology and core-needle biopsy in head and neck sarcomas
| Autor: | Sean C. Sheppard, Roland Giger, Lluís Nisa, Urs Borner, Martin Wartenberg |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Core needle
medicine.medical_specialty Biopsy Fine-Needle Context (language use) Soft Tissue Neoplasms Sensitivity and Specificity 03 medical and health sciences 0302 clinical medicine Fine needle aspiration cytology Biopsy medicine Humans Head and neck medicine.diagnostic_test business.industry Sarcoma Aspiration cytology body regions Vascular Tumors Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Histopathology Radiology Biopsy Large-Core Needle business 030217 neurology & neurosurgery |
| Zdroj: | HeadneckREFERENCES. 43(6) |
| ISSN: | 1097-0347 |
| Popis: | The diagnostic role of fine-needle aspiration cytology (FNAC) and core-needle biopsy (CNB) has not been comprehensively assessed in head and neck sarcomas. A systematic review of published cases (1990-2020) was conducted. Diagnostic performance of both FNAC/CNB to determine tumor dignity and histopathological diagnosis was calculated. One hundred and sixty-eight cases were included for which FNAC (n = 156), CNB (n = 8), or both (n = 4) were used. Predominant histologies were skeletal muscle, chondrogenic and vascular sarcomas. FNAC correctly assessed dignity in 76.3% and histology in 45% of cases. Dignity was significantly better for vascular tumors, metastatic and recurrent specimens, and worse for chondrogenic sarcomas. CNB showed a 92% accuracy to identify dignity and 83% for histopathology. FNAC and CNB are useful methods for the diagnosis of head and neck sarcomas, particularly well-suited in the context of recurrent or metastatic disease. The role of CNB remains largely unexplored for this indication. |
| Databáze: | OpenAIRE |
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