Peravali Ranjit Kumar, Bhat H Hari Kishore, Upadya Varsha H, Agarwal Anmol, Naag Sushma
Department of Oral and Maxillofacial Surgery, Sibar Institute of Dental Sciences, Guntur, India.
Department of Oral and Maxillofacial Surgery, Centre for Craniofacial Anomalies, Yenepoya Dental College, Yenepoya University, Mangalore, 575018 India.
J Maxillofac Oral Surg. 2015 Mar;14(Suppl 1):438-42. doi: 10.1007/s12663-014-0665-1. Epub 2014 Jul 15.
Salivary gland tumors generate considerable interest because of their heterogeneous and variable histology, grade of malignancy, and clinical behavior. Fine needle aspiration cytology (FNAC) is considered the first diagnostic modality for salivary neoplasms due to its ready availability and ease of performance. However it cannot always be relied upon in isolation, and should be used in conjunction with other investigations like incisional biopsy. We present two cases, which highlight the drawbacks of relying on FNAC alone, which resulted in misdiagnosis of adenoid cystic carcinoma as pleomorphic adenoma.
涎腺肿瘤因其组织学的异质性和多变性、恶性程度以及临床行为而备受关注。细针穿刺细胞学检查（FNAC）因其易于获取和操作简便，被认为是涎腺肿瘤的首要诊断方法。然而，它不能总是单独依赖，而应与其他检查如切开活检结合使用。我们展示了两个病例，突出了仅依靠FNAC的缺点，这导致将腺样囊性癌误诊为多形性腺瘤。
