Khan Nazoora, Afroz Nishat, Haider Aiman, Hassan Mohd Jaseem, Hashmi Sarwat Hussain, Hasan Syed Abrar
Department of Pathology, J.N. Medical College, Aligarh, Uttar Pradesh, India.
Department of Oral and Maxillofacial Surgery, Dr. Z.A. Dental College, A.M.U., Aligarh, Uttar Pradesh, India.
J Cytol. 2013 Oct;30(4):263-9. doi: 10.4103/0970-9371.126661.
The primary goal of our study was to evaluate the value and accuracy of fine needle aspiration cytology (FNAC) in the diagnosis of various intraoral lesions and to correlate the cytological diagnosis with final histopathological findings.
Fine needle aspiration was performed in 229 patients presented with different lesions of the oral cavity at our institution. Cytological findings were then compared with final histopathological diagnosis.
With a male to female ratio of 1.79:1, 229 patients presented with different lesions of the oral cavity were aspirated. Histopathological correlation was available in 86.9% of cases while inadequate material was obtained in 13.1% cases. The diagnostic accuracy of fine needle aspiration in diagnosing benign, pre-malignant and malignant lesions were 95.8%, 84.6% and 97% respectively. Overall the diagnostic accuracy of FNAC in diagnosing intraoral lesions was 94.9% with sensitivity and specificity of 93.2% and 96.8% respectively.
FNAC of intraoral lesion is recommended as a valuable procedure for the initial evaluation of all intraoral lesions as it is simple, inexpensive, convenient and comfortable to the patient. Moreover, it can offer a rapid and accurate diagnosis for further management of the patient.
本研究的主要目的是评估细针穿刺细胞学检查（FNAC）在诊断各种口腔内病变中的价值和准确性，并将细胞学诊断与最终的组织病理学结果相关联。
对我院229例出现不同口腔病变的患者进行细针穿刺。然后将细胞学检查结果与最终的组织病理学诊断进行比较。
229例出现不同口腔病变的患者接受了穿刺，男女比例为1.79:1。86.9%的病例有组织病理学相关性，13.1%的病例取材不足。细针穿刺诊断良性、癌前和恶性病变的准确率分别为95.8%、84.6%和97%。总体而言，FNAC诊断口腔内病变的准确率为94.9%，敏感性和特异性分别为93.2%和96.8%。
口腔内病变的FNAC被推荐为对所有口腔内病变进行初步评估的一种有价值的方法，因为它简单、廉价、方便且患者舒适。此外，它可为患者的进一步治疗提供快速准确的诊断。
