Evaluation of Fine Needle Aspiration Cytology in The Diagnosis of Salivary Gland Lesions and its Correlation with Histopathological Findings

Dr. Ramesh Chandrakar; Dr. Riti Sharma

Volume : V, Issue : IV, April - 2015

Evaluation of Fine Needle Aspiration Cytology in The Diagnosis of Salivary Gland Lesions and its Correlation with Histopathological Findings

Dr. Ramesh Chandrakar, Dr. Riti Sharma

Abstract :

 Salivary gland lesions form about 2–6.5% of all head and neck lesions in adults. FNAC is safe, almost 

painless and cost–effective procedure. Salivary gland tumors are notoriously difficult to categorize because of the diverse morphological patterns and overlapping features, even with standard paraffin preparations, it is 

sometimes difficult to distinguish benign from malignant disease. So the present study was undertaken to study the 

cytomorphological features of the various salivary gland lesions and to assess the diagnostic accuracy of FNAC by 

compå it with the histopathology. The present prospective and retrospective study was carried out in Pt. J.N.M. 

Medical College, Raipur (C.G.) India and associated Dr.B.R.Ambedkar Memorial Hospital, Raipur (C.G.) during a period 

between 1st September 2004 to 31st August 2010. A total of 278 cases included in present series were taken up for 

the study. FNAC was performed using a 10cc syringe and 20–22 no needle. Out of 278 cases, in 76 cases surgical 

biopsies were available for histopathological correlation. Data was compiled in MS excel and checked for its completeness, correctness and then it was analyzed. Of the total 278 cases of salivary gland lesions, non–neoplastic lesions were 

the commonest forming 42.8% of the total number of cases. Benign and malignant salivary gland tumors constituted 

37% and 17.9% of all the cases studied. Diagnostic accuracy of FNAC for non–neoplastic lesions, benign and malignant 

neoplasms were 85.7%, 85.1% and 81.8% respectively. The overall diagnostic accuracy of FNAC in the present study 

was 84.2%. To conclude, fine needle aspiration cytology is an important diagnostic tool in evaluating salivary gland lesions, considering the results and experiences of the present study