Lau T, Balle V H, Bretlau P
Clin Otolaryngol Allied Sci. 1986 Apr;11(2):75-7. doi: 10.1111/j.1365-2273.1986.tb00111.x.
Of 105 tumours of the major salivary glands, 90 were benign and 15 malignant. In benign tumours a correct preoperative diagnosis was made by fine needle aspiration biopsy in 84%, and none were falsely classed as malignant. In the malignant tumours, only 8 out of 15 (53%) were correctly diagnosed as malignant while 7 were misdiagnosed as benign. It is concluded that in benign salivary gland tumours there is good accordance between fine needle aspiration biopsy and the final histological report, in contrast to the malignant tumours where this is less convincing. Fine needle aspiration biopsy is a valuable diagnostic tool, but the result should be carefully evaluated, regarded as only part of the clinical picture and not solely relied on.
在105例大唾液腺肿瘤中,90例为良性,15例为恶性。在良性肿瘤中,细针穿刺活检术前诊断正确的占84%,无一例被误诊为恶性。在恶性肿瘤中,15例中只有8例(53%)被正确诊断为恶性,7例被误诊为良性。结论是,与恶性肿瘤相比,细针穿刺活检与最终组织学报告在良性唾液腺肿瘤中有较好的一致性,而在恶性肿瘤中这种一致性则不那么令人信服。细针穿刺活检是一种有价值的诊断工具,但结果应仔细评估,仅作为临床表现的一部分,而不应完全依赖它。