Weinberger M S, Rosenberg W W, Meurer W T, Robbins K T
Division of Otolaryngology, Head and Neck Surgery, UCSD Medical Center.
Head Neck. 1992 Nov-Dec;14(6):483-7. doi: 10.1002/hed.2880140611.
The results of 49 specimens obtained by fine-needle aspiration biopsy of parotid gland lesions were compared with the pathologic diagnoses of the surgically resected specimens. Cytologically, 33 lesions were diagnosed as benign, with 30 of these confirmed histologically and three false-negative results. Fourteen cytologic specimens were called malignant or suspicious for malignancy, with 11 of these confirmed histologically and three false-positive results. The concurrence rate for distinguishing benign from malignant disease was 87.2%. The sensitivity for malignancy was 78.6% and the specificity 90.9%. The pathology of the misdiagnosed lesions will be reviewed. Based on our data and a review of the literature, we conclude that fine needle aspiration biopsy of parotid gland masses, with the observation of certain caveats, is a helpful adjunctive test for diagnosis and treatment planning.
将49例通过腮腺病变细针穿刺活检获得的标本结果与手术切除标本的病理诊断结果进行了比较。在细胞学上，33个病变被诊断为良性，其中30个经组织学证实，3个为假阴性结果。14个细胞学标本被判定为恶性或可疑恶性，其中11个经组织学证实，3个为假阳性结果。区分良性与恶性疾病的符合率为87.2%。恶性病变的敏感性为78.6%，特异性为90.9%。将对误诊病变的病理情况进行回顾。基于我们的数据和文献回顾，我们得出结论，在注意某些事项的情况下，腮腺肿块的细针穿刺活检是诊断和治疗规划的一项有用的辅助检查。
