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细针穿刺细胞学检查在腮腺肿瘤中的诊断价值

Diagnostic value of fine needle aspiration cytology in parotid tumors.

作者信息

Awan Muhammad Sohail, Ahmad Zafar

机构信息

The Aga Khan University, Karachi.

出版信息

J Pak Med Assoc. 2004 Dec;54(12):617-9.

PMID:16104489
Abstract

OBJECTIVE

To evaluate the usefulness and accuracy of fine needle aspiration cytology in the diagnosis of parotid gland tumors.

METHODS

We reviewed files of all patients who underwent parotidectomy for various parotid pathologies at Aga Khan University Hospital. Study design included a comparison between results of preoperative FNAC with final histopathological diagnosis. Galen & Ganbino method was used to calculate sensitivity and specificity of FNAC.

RESULTS

Among 50 patients reviewed, there was one false positive and 3 false negative results reported on FNAC. This gives a sensitivity of FNAC for reporting malignancy to be 74% and specificity to rule out malignancy 97%. No significant complications were reported while performing the procedure.

CONCLUSION

FNAC is a safe and effective modality in diagnosis and treatment planning of patients with parotid tumors.

摘要

目的

评估细针穿刺细胞学检查在腮腺肿瘤诊断中的实用性和准确性。

方法

我们回顾了在阿迦汗大学医院因各种腮腺疾病接受腮腺切除术的所有患者的病历。研究设计包括术前细针穿刺抽吸活检(FNAC)结果与最终组织病理学诊断结果的比较。采用盖伦和甘比诺方法计算FNAC的敏感性和特异性。

结果

在回顾的50例患者中,FNAC报告有1例假阳性和3例假阴性结果。这使得FNAC报告恶性肿瘤的敏感性为74%,排除恶性肿瘤的特异性为97%。在进行该操作时未报告重大并发症。

结论

FNAC是腮腺肿瘤患者诊断和治疗规划中的一种安全有效的方法。

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引用本文的文献

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Sensitivity, Specificity, and Posttest Probability of Parotid Fine-Needle Aspiration: A Systematic Review and Meta-analysis.腮腺细针穿刺抽吸术的敏感性、特异性及检验后概率:一项系统评价与Meta分析
Otolaryngol Head Neck Surg. 2016 Jan;154(1):9-23. doi: 10.1177/0194599815607841. Epub 2015 Oct 1.
2
Usefulness of fine-needle aspiration in parotid diagnostics.细针穿刺在腮腺诊断中的实用性。
Oral Maxillofac Surg. 2009 Dec;13(4):185-90. doi: 10.1007/s10006-009-0182-4.