Volume : VII, Issue : IV, April - 2017

Role of FNAC in salivary gland lesions with histopathological correlation

Iti Jain, Shweta Dandeliya, Rajesh Gaur

Abstract :

 Objectives:

Fine needle aspiration cytology (FNAC) has been employed in pre–operative diagnosis of salivary gland lesions for many years. Various studies in the existing literature have shown a wide range of sensitivity and diagnostic accuracy of cytologic diagnosis. This study was aimed at evaluating salivary gland FNAC for sensitivity, specificity and diagnostic accuracy at a tertiary care center.

 

Methods: 280 patients were studied retrospectively over one year. FNAC was done using 20 cc syringes and 20–22 no. needles. histomorphology was assessed on ‘routine H & E stained paraffin sections and Leishman.

Results: 80% of the lesions were neoplastic (61 % benign, 31 % malignant) and 20% were nonneoplastic. Pleomorphic adenoma was the most frequent benign neoplasm while mucoepidermoid carcinoma was the most frequent malignant lesion. Among the nonneoplastic lesions, the maximum numbers of cases were of chronic sialadentis. In the present study,FNAC has a sensitivity of 94.54% and specificity of 80.95 % for neoplastic lesions.

Conclusions: FNAC was found to be a useful diagnostic tool in the evaluation of salivary gland lesions because of its simplicity, excellent patient compliance and rapid diagnosis. This cost effective tool is invaluable in planning the surgical management of the patient

 

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Iti Jain, Shweta Dandeliya, Rajesh Gaur, Role of FNAC in salivary gland lesions with histopathological correlation, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾4 | April-2017


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