Sal分类法在腮腺细针穿刺细胞学检查中的应用：对312例患者的10年回顾性分析
Application of Sal classification to parotid gland fine-needle aspiration cytology: 10-year retrospective analysis of 312 patients.
作者信息
Kilavuz Ahmet Erdem, Songu Murat, İmre Abdulkadir, Arslanoğlu Secil, Özkul Yilmaz, Pinar Ercan, Ateş Düzgün
机构信息
Department of Otorhinolaryngology, Acibadem Healthcare Group Taksim Hospital, Istanbul, Turkey.
Department of Otorhinolaryngology, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkey.
出版信息
Head Neck. 2018 May;40(5):937-942. doi: 10.1002/hed.25056. Epub 2018 Jan 31.
BACKGROUND
The accuracy of fine-needle aspiration biopsy (FNAB) is controversial in parotid tumors. We aimed to compare FNAB results with the final histopathological diagnosis and to apply the "Sal classification" to our data and discuss its results and its place in parotid gland cytology.
METHODS
The FNAB cytological findings and final histological diagnosis were assessed retrospectively in 2 different scenarios based on the distribution of nondefinitive cytology, and we applied the Sal classification and determined malignancy rate, sensitivity, and specificity for each category.
RESULTS
In 2 different scenarios FNAB sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were found to be 81%, 87%, 54.7%, and 96.1%; and 65.3%, 100%, 100%, and 96.1%, respectively. The malignancy rates and sensitivity and specificity were also calculated and discussed for each Sal category.
CONCLUSION
We believe that the Sal classification has a great potential to be a useful tool in classification of parotid gland cytology.
背景
细针穿刺活检（FNAB）在腮腺肿瘤中的准确性存在争议。我们旨在将FNAB结果与最终组织病理学诊断进行比较，并将“萨尔分类法”应用于我们的数据，讨论其结果及其在腮腺细胞学中的地位。
方法
基于非确定性细胞学的分布，在两种不同情况下对FNAB细胞学检查结果和最终组织学诊断进行回顾性评估，我们应用萨尔分类法并确定每类的恶性率、敏感性和特异性。
结果
在两种不同情况下，FNAB的敏感性、特异性、阳性预测值（PPV）和阴性预测值（NPV）分别为81%、87%、54.7%和96.1%；以及65.3%、100%、100%和96.1%。还计算并讨论了每个萨尔类别的恶性率、敏感性和特异性。
结论
我们认为萨尔分类法有很大潜力成为腮腺细胞学分类的有用工具。
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