Histocytological Correlation Study of Salivary Gland Lesions.

Dr.Reetesh Kumar gujar; Dr.Rohit Bhalara; Dr.Jagdish Dalsania; Dr. S.R.Talwelkar; Dr.Gauravi Dhruva

Volume : III, Issue : VI, June - 2014

Histocytological Correlation Study of Salivary Gland Lesions.

Dr. Reetesh Kumar Gujar, Dr. Rohit Bhalara, Dr. Jagdish Dalsania, Dr. S. R. Talwelkar, Dr. Gauravi Dhruva

Abstract :

Background: Salivary gland neoplasm are characterised by their wide variety as well as histologic diversity within same tumour and insufficient tumor cells make their diagnosis difficult in some patients. The aim of this study was to evaluate the efficacy of fine-needle aspiration cytology (FNAC) in the diagnosis of salivary gland lesions and to correlate cytological findings with histopathology. Materials and Methods: A prospective study of FNAC of salivary gland lesions was carried out along with its histopathological correlation starting from January 2011 to June 2013 at the P.D.U. Medical College and Hospital, Rajkot, Gujarat (India). Total 80 salivary gland aspirates were done and was followed by histopathological examination. Results: FNAC categorized 46.2% lesions as non neoplastic and 53.75% as neoplastic. Histopathological examination revealed that 45% were Nonneoplastic Lesions and 55% were Neoplastic Lesions. Among the lesions 45% were Inflammatory, 46.25% were Benign and 8.75% were Malignant. Most common salivary gland to be involved was Parotid Gland (76.2%). Sensitivity of FNAC was 71.4%, Specificity was 95.9% and Diagnostic Accuracy was 93.75%. Conclusion: Aspiration cytology is very useful and time saving and has high sensitivity, specificity and diagnostic accuracy. It is a cost effective procedure and cuts down the waiting period between the patient�s first visit to the clinicians and establishment of definitive diagnosis and specific line of therapy. The main utility of FNAC of salivary gland lesions is to classify them in inflammatory, benign and malignant.