Stevenson D S, Allison R S, Robertson M S, Hamer J W
Department of Otolaryngology, Christchurch Hospital.
N Z Med J. 1989 Dec 13;102(881):639-41.
Fine needle aspiration cytology has been performed on patients presenting with head and neck masses in Christchurch since mid-1985. The results of an initial 120 aspirations were reviewed. Histology was available to compare with the cytology result in 58% of cases. Clinical review was used to assess the accuracy of the cytology result in the remaining cases. The majority of the masses aspirated were of benign origin (72%). The cytological diagnosis was accurate in 79% of cases. Of the remaining aspirates, 13% were inaccurate and 8% nondiagnostic. The sensitivity for malignant lesions was 100%, with 86% specificity (for benign lesions). Particular diagnostic difficulty was found in the differentiation between some salivary gland tumours, and the assessment of aspirates from neck masses after combined therapy (radiotherapy and surgery). Fine needle aspiration cytology is of considerable value in the management of head and neck masses.
自1985年年中以来，克赖斯特彻奇市对出现头颈部肿块的患者进行了细针穿刺细胞学检查。对最初120例穿刺结果进行了回顾。58%的病例有组织学结果可与细胞学结果进行比较。其余病例则通过临床复查来评估细胞学结果的准确性。穿刺的肿块大多数起源于良性（72%）。细胞学诊断在79%的病例中是准确的。其余穿刺结果中，13%不准确，8%无法诊断。对恶性病变的敏感性为100%，对良性病变的特异性为86%。在一些唾液腺肿瘤的鉴别诊断以及联合治疗（放疗和手术）后颈部肿块穿刺物的评估方面发现了特别的诊断困难。细针穿刺细胞学检查在头颈部肿块的处理中具有相当大的价值。
